Do the Antenatal Care and Perinatal Outcomes of Women with a Vietnamese Migration Background Differ from Those of Other Women?: A Retrospective Analysis.

IF 2.4 4区医学 Q2 OBSTETRICS & GYNECOLOGY Geburtshilfe Und Frauenheilkunde Pub Date : 2025-01-02 eCollection Date: 2025-01-01 DOI:10.1055/a-2446-6504

Lisa Antonia Lorenz-Meyer, Clara Sziborra, Wolfgang Henrich, Matthias David

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Abstract

Introduction: In Germany, 0.25% of the total population are persons with a Vietnamese migration background. There are almost no studies on this particular group of immigrants. We compared the perinatal data of women with a Vietnamese migration background with the pregnancy outcomes of non-Vietnamese women also living in Germany.

Methods: After using name analysis to allocate women into different groups, the perinatal data of women with a Vietnamese migration background who gave birth between 1.1.2016 and 31.12.2019 in Campus Charité Mitte in Berlin were retrospectively evaluated. These data were compared in a 3:1 ratio with the data of women of non-Vietnamese origin and the same age and parity. Multivariate regression analysis was used to determine factors which influenced caesarean section rates, the transfer rates of neonates to the neonatal department, and the rates of higher degree perineal tears.

Results: The perinatal data of 470 women with a Vietnamese migration background, 209 (44.5%) of whom were registered as living in a refugee shelter, were compared with those of 1410 controls. An "ideal pregnancy outcome," which included giving birth after 37 + 0 weeks of gestation, a 5-minute Apgar score ≥ 8, arterial cord blood pH ≥ 7.20, no transfer of the newborn to the neonatal department, and spontaneous birth or vacuum extraction without a higher degree perineal tear, was recorded for 44.5% of women with and 38.1% of women without a Vietnamese migration background (p = 0.1), despite the lower attendance rates at antenatal screening appointments of Vietnamese women. Accommodation in a shelter for refugees was a protective factor against caesarean section (OR 0.5, 95% CI: 0.36-0.73) and transfer of the newborn to the neonatal department (OR 0.45, 95% CI: 0.23-0.89). A Vietnamese migration background was a risk factor for a third-degree perineal tear (OR 5.4, 95% CI: 1.4-21.30).

Conclusion: Despite lower levels of antenatal care, women with a Vietnamese migration background did not have poorer pregnancy outcomes.

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越南移民背景妇女的产前护理和围产期结局与其他妇女不同吗？：回顾性分析。

在德国，有越南移民背景的人占总人口的0.25%。几乎没有关于这一特定移民群体的研究。我们比较了具有越南移民背景的妇女的围产期数据与同样生活在德国的非越南妇女的妊娠结局。方法：对2016年1月1日至2019年12月31日在柏林慈善学院（Campus charit Mitte）分娩的越南移民妇女的围产期资料进行回顾性分析。这些数据以3:1的比例与相同年龄和胎次的非越南裔妇女的数据进行比较。采用多因素回归分析确定影响剖宫产率、新生儿转新生儿科率和会阴高度撕裂率的因素。结果：将470名越南移民背景妇女的围产期数据与1410名对照进行比较，其中209名（44.5%）登记为居住在难民收容所。“理想妊娠结局”包括妊娠37 + 0周后分娩，5分钟Apgar评分≥8，动脉血脐带血pH≥7.20，新生儿未转至新生儿科，自然分娩或真空抽吸无较高程度会阴撕裂，44.5%有越南移民背景的妇女和38.1%没有越南移民背景的妇女记录（p = 0.1），尽管越南妇女产前筛查的出诊率较低。难民收容所的住宿是防止剖腹产（OR 0.5, 95% CI: 0.36-0.73）和新生儿转到新生儿科（OR 0.45, 95% CI: 0.23-0.89）的保护因素。越南移民背景是会阴三度撕裂的危险因素（OR 5.4, 95% CI: 1.4-21.30）。结论：尽管产前护理水平较低，越南移民背景的妇女妊娠结局并不差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geburtshilfe Und Frauenheilkunde 医学-妇产科学

CiteScore

2.50

自引率

22.20%

发文量

828

审稿时长

6-12 weeks

期刊介绍： Geburtshilfe und Frauenheilkunde (GebFra) addresses the whole field of obstetrics and gynecology and is concerned with research as much as with clinical practice. In its scientific section, it publishes original articles, reviews and case reports in all fields of the discipline, namely gynecological oncology, including oncology of the breast obstetrics and perinatal medicine, reproductive medicine, and urogynecology. GebFra invites the submission of original articles and review articles. In addition, the journal publishes guidelines, statements and recommendations in cooperation with the DGGG, SGGG, OEGGG and the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF, Association of Scientific Medical Societies, www.awmf.org). Apart from the scientific section, Geburtshilfe und Frauenheilkunde has a news and views section that also includes discussions, book reviews and professional information. Letters to the editors are welcome. If a letter discusses an article that has been published in our journal, the corresponding author of the article will be informed and invited to comment on the letter. The comment will be published along with the letter.