Fetal growth restriction in a cohort of migrants in Germany

Abstract Background Migrant women may have an increased risk of adverse birth outcomes. This study analyses the occurrence of low birth weight, preterm birth and intrauterine growth restriction / fetal growth restriction (IUGR/FGR) in pregnant migrants. Method Cross-sectional study of 82 mother-chil...

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Main Authors: Juliane Ankert, Tanja Groten, Mathias W. Pletz, Sasmita Mishra, Gregor Seliger, Silvia M. Lobmaier, Clarissa Prazeres da Costa, Vera Seidel, Katharina von Weizsäcker, Alexandra Jablonka, Christian Dopfer, Benjamin T. Schleenvoigt
Format: Article
Language:English
Published: BMC 2021-02-01
Series:BMC Pregnancy and Childbirth
Subjects:
FGR
Online Access:https://doi.org/10.1186/s12884-021-03620-z
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spelling doaj-0738c2c96840479691184dfd89b9d9f02021-02-21T12:17:53ZengBMCBMC Pregnancy and Childbirth1471-23932021-02-012111610.1186/s12884-021-03620-zFetal growth restriction in a cohort of migrants in GermanyJuliane Ankert0Tanja Groten1Mathias W. Pletz2Sasmita Mishra3Gregor Seliger4Silvia M. Lobmaier5Clarissa Prazeres da Costa6Vera Seidel7Katharina von Weizsäcker8Alexandra Jablonka9Christian Dopfer10Benjamin T. Schleenvoigt11Institute for Infectious Diseases and Infection Control, Jena University HospitalDepartment of Obstetrics, University Hospital JenaInstitute for Infectious Diseases and Infection Control, Jena University HospitalDepartment of Obstetrics and Gynaecology, Heidekreis KlinikumPolyclinic of Obstetrics and Prenatal Medicine, Halle University HospitalDepartment of Obstetrics and Gynecology, Klinikum rechts der Isar, Technical University of MunichInstitute for Medical Microbiology, Immunology and Hygiene, Center for Global Health, Technical University of MunichClinic for Obstetrics, Charité, University HospitalClinic for Obstetrics, Charité, University HospitalDepartment of Rheumatology and Immunology, Hannover Medical SchoolDepartment of Pediatric Pneumology, Allergology and Neonatology, Hannover Medical SchoolInstitute for Infectious Diseases and Infection Control, Jena University HospitalAbstract Background Migrant women may have an increased risk of adverse birth outcomes. This study analyses the occurrence of low birth weight, preterm birth and intrauterine growth restriction / fetal growth restriction (IUGR/FGR) in pregnant migrants. Method Cross-sectional study of 82 mother-child pairs of pregnant migrants attending medical care in Germany. Results The Median age was 27 years, 49% of patients were of oriental-asian ethnicity and median year of migration was 2015. At least one previous pregnancy was reported in 76% of patients, in 40% the delivery mode was caesarian section. Median gestational age was 39.7 weeks. Preterm birth occurred in 6.1% of pregnancies. Median gestational age for preterm birth was 32.3 weeks. Low birth weight (< 2500 g) occurred in 6.1%. Birth weights below the 10th percentile of birth weight for gestational age were observed in 8.5% of the total cohort. Conclusions Compared to German data no increased occurrence of low birth weight, preterm birth or IUGR/FGR was found. We note that the rate of caesarian section births was higher than in the general population for reasons yet to be identified. The authors propose stratification according to migration status for the national documentation of birth outcomes in Germany.https://doi.org/10.1186/s12884-021-03620-zFGRfetal growth restriction
collection DOAJ
language English
format Article
sources DOAJ
author Juliane Ankert
Tanja Groten
Mathias W. Pletz
Sasmita Mishra
Gregor Seliger
Silvia M. Lobmaier
Clarissa Prazeres da Costa
Vera Seidel
Katharina von Weizsäcker
Alexandra Jablonka
Christian Dopfer
Benjamin T. Schleenvoigt
spellingShingle Juliane Ankert
Tanja Groten
Mathias W. Pletz
Sasmita Mishra
Gregor Seliger
Silvia M. Lobmaier
Clarissa Prazeres da Costa
Vera Seidel
Katharina von Weizsäcker
Alexandra Jablonka
Christian Dopfer
Benjamin T. Schleenvoigt
Fetal growth restriction in a cohort of migrants in Germany
BMC Pregnancy and Childbirth
FGR
fetal growth restriction
author_facet Juliane Ankert
Tanja Groten
Mathias W. Pletz
Sasmita Mishra
Gregor Seliger
Silvia M. Lobmaier
Clarissa Prazeres da Costa
Vera Seidel
Katharina von Weizsäcker
Alexandra Jablonka
Christian Dopfer
Benjamin T. Schleenvoigt
author_sort Juliane Ankert
title Fetal growth restriction in a cohort of migrants in Germany
title_short Fetal growth restriction in a cohort of migrants in Germany
title_full Fetal growth restriction in a cohort of migrants in Germany
title_fullStr Fetal growth restriction in a cohort of migrants in Germany
title_full_unstemmed Fetal growth restriction in a cohort of migrants in Germany
title_sort fetal growth restriction in a cohort of migrants in germany
publisher BMC
series BMC Pregnancy and Childbirth
issn 1471-2393
publishDate 2021-02-01
description Abstract Background Migrant women may have an increased risk of adverse birth outcomes. This study analyses the occurrence of low birth weight, preterm birth and intrauterine growth restriction / fetal growth restriction (IUGR/FGR) in pregnant migrants. Method Cross-sectional study of 82 mother-child pairs of pregnant migrants attending medical care in Germany. Results The Median age was 27 years, 49% of patients were of oriental-asian ethnicity and median year of migration was 2015. At least one previous pregnancy was reported in 76% of patients, in 40% the delivery mode was caesarian section. Median gestational age was 39.7 weeks. Preterm birth occurred in 6.1% of pregnancies. Median gestational age for preterm birth was 32.3 weeks. Low birth weight (< 2500 g) occurred in 6.1%. Birth weights below the 10th percentile of birth weight for gestational age were observed in 8.5% of the total cohort. Conclusions Compared to German data no increased occurrence of low birth weight, preterm birth or IUGR/FGR was found. We note that the rate of caesarian section births was higher than in the general population for reasons yet to be identified. The authors propose stratification according to migration status for the national documentation of birth outcomes in Germany.
topic FGR
fetal growth restriction
url https://doi.org/10.1186/s12884-021-03620-z
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