Immigration and Adverse Pregnancy Outcomes in an Italian Free Care Hospital
Giuseppe Caruso,1 Eleonora Marcoccia,1,2 Roberto Brunelli,1 Miriam Candelieri,1 Michele Carlo Schiavi,1 Ilaria Zannini,1 Seila Perrone,1 Oriana Capri,1 Ludovico Muzii,1 Giuseppina Perrone,1 Paola Galoppi1 1Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome,...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Dove Medical Press
2021-10-01
|
Series: | International Journal of Women's Health |
Subjects: | |
Online Access: | https://www.dovepress.com/immigration-and-adverse-pregnancy-outcomes-in-an-italian-free-care-hos-peer-reviewed-fulltext-article-IJWH |
id |
doaj-34b2319f2af44d44a3aa914a22b67998 |
---|---|
record_format |
Article |
spelling |
doaj-34b2319f2af44d44a3aa914a22b679982021-10-07T19:49:31ZengDove Medical PressInternational Journal of Women's Health1179-14112021-10-01Volume 1391191769547Immigration and Adverse Pregnancy Outcomes in an Italian Free Care HospitalCaruso GMarcoccia EBrunelli RCandelieri MSchiavi MCZannini IPerrone SCapri OMuzii LPerrone GGaloppi PGiuseppe Caruso,1 Eleonora Marcoccia,1,2 Roberto Brunelli,1 Miriam Candelieri,1 Michele Carlo Schiavi,1 Ilaria Zannini,1 Seila Perrone,1 Oriana Capri,1 Ludovico Muzii,1 Giuseppina Perrone,1 Paola Galoppi1 1Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Umberto I Hospital, Rome, Italy; 2Department of Experimental Medicine, Sapienza University of Rome, Umberto I Hospital, Rome, ItalyCorrespondence: Giuseppe CarusoDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Umberto I Hospital, Viale del Policlinico, 155, Rome, 00161, ItalyTel +39064463069; +390649972568Email g.caruso@uniroma1.itIntroduction: The ever-increasing wave of immigration in Italy has posed demanding challenges in the management of the new multiethnic obstetric population. The aim of this study was to compare pregnancy and perinatal outcomes between immigrants and the native population in an Italian public hospital.Materials and Methods: Singleton pregnant women (≥ 24 weeks of gestation) who delivered during a 3-year period in an Italian free care hospital were included. Long-term (≥ 2 years of residence) immigrant patients were divided into 4 groups according to their ethnic origin: Europeans, Asians, Latin Americans, and Africans. Perinatal indicators of obstetric outcomes were collected and compared between immigrants and Italians.Results: Of the 3556 patients included, 1092 were immigrants and 2464 Italians. The immigrant cohort experienced a higher rate of macrosomia (1.8% vs 0.6%; p = 0.001), very low birth weight (1.3% vs 0.6%; p = 0.048), very early preterm delivery (1.4% vs 0.4%; p = 0.048), and gestational diabetes mellitus (1.8% vs 0.5%; p = 003) compared with the native population. The overall rate of cesarean sections was greater among Italians (56% vs 45.8%; p < 0.001). Among ethnic groups, Europeans and Latin Americans reported a higher rate of preterm delivery (20.2% and 19%, respectively; p < 0.001). Latin Americans carried also a greater risk of fetal macrosomia (3.6%; p < 0.008), while the rate of very low birth weight was higher among Europeans and Africans (2% and 1.8%, respectively; p < 0.04).Conclusion: Obstetricians should pay special attention to the potential disparities in pregnancy outcomes between immigrants and the native population. Future efforts should focus on reducing preterm delivery and glucose dysmetabolism among pregnant immigrants.Keywords: ethnic disparities, immigration, maternal outcomes, neonatal outcomes, pregnancyhttps://www.dovepress.com/immigration-and-adverse-pregnancy-outcomes-in-an-italian-free-care-hos-peer-reviewed-fulltext-article-IJWHethnic disparitiesimmigrationmaternal outcomesneonatal outcomespregnancy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Caruso G Marcoccia E Brunelli R Candelieri M Schiavi MC Zannini I Perrone S Capri O Muzii L Perrone G Galoppi P |
spellingShingle |
Caruso G Marcoccia E Brunelli R Candelieri M Schiavi MC Zannini I Perrone S Capri O Muzii L Perrone G Galoppi P Immigration and Adverse Pregnancy Outcomes in an Italian Free Care Hospital International Journal of Women's Health ethnic disparities immigration maternal outcomes neonatal outcomes pregnancy |
author_facet |
Caruso G Marcoccia E Brunelli R Candelieri M Schiavi MC Zannini I Perrone S Capri O Muzii L Perrone G Galoppi P |
author_sort |
Caruso G |
title |
Immigration and Adverse Pregnancy Outcomes in an Italian Free Care Hospital |
title_short |
Immigration and Adverse Pregnancy Outcomes in an Italian Free Care Hospital |
title_full |
Immigration and Adverse Pregnancy Outcomes in an Italian Free Care Hospital |
title_fullStr |
Immigration and Adverse Pregnancy Outcomes in an Italian Free Care Hospital |
title_full_unstemmed |
Immigration and Adverse Pregnancy Outcomes in an Italian Free Care Hospital |
title_sort |
immigration and adverse pregnancy outcomes in an italian free care hospital |
publisher |
Dove Medical Press |
series |
International Journal of Women's Health |
issn |
1179-1411 |
publishDate |
2021-10-01 |
description |
Giuseppe Caruso,1 Eleonora Marcoccia,1,2 Roberto Brunelli,1 Miriam Candelieri,1 Michele Carlo Schiavi,1 Ilaria Zannini,1 Seila Perrone,1 Oriana Capri,1 Ludovico Muzii,1 Giuseppina Perrone,1 Paola Galoppi1 1Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Umberto I Hospital, Rome, Italy; 2Department of Experimental Medicine, Sapienza University of Rome, Umberto I Hospital, Rome, ItalyCorrespondence: Giuseppe CarusoDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, Umberto I Hospital, Viale del Policlinico, 155, Rome, 00161, ItalyTel +39064463069; +390649972568Email g.caruso@uniroma1.itIntroduction: The ever-increasing wave of immigration in Italy has posed demanding challenges in the management of the new multiethnic obstetric population. The aim of this study was to compare pregnancy and perinatal outcomes between immigrants and the native population in an Italian public hospital.Materials and Methods: Singleton pregnant women (≥ 24 weeks of gestation) who delivered during a 3-year period in an Italian free care hospital were included. Long-term (≥ 2 years of residence) immigrant patients were divided into 4 groups according to their ethnic origin: Europeans, Asians, Latin Americans, and Africans. Perinatal indicators of obstetric outcomes were collected and compared between immigrants and Italians.Results: Of the 3556 patients included, 1092 were immigrants and 2464 Italians. The immigrant cohort experienced a higher rate of macrosomia (1.8% vs 0.6%; p = 0.001), very low birth weight (1.3% vs 0.6%; p = 0.048), very early preterm delivery (1.4% vs 0.4%; p = 0.048), and gestational diabetes mellitus (1.8% vs 0.5%; p = 003) compared with the native population. The overall rate of cesarean sections was greater among Italians (56% vs 45.8%; p < 0.001). Among ethnic groups, Europeans and Latin Americans reported a higher rate of preterm delivery (20.2% and 19%, respectively; p < 0.001). Latin Americans carried also a greater risk of fetal macrosomia (3.6%; p < 0.008), while the rate of very low birth weight was higher among Europeans and Africans (2% and 1.8%, respectively; p < 0.04).Conclusion: Obstetricians should pay special attention to the potential disparities in pregnancy outcomes between immigrants and the native population. Future efforts should focus on reducing preterm delivery and glucose dysmetabolism among pregnant immigrants.Keywords: ethnic disparities, immigration, maternal outcomes, neonatal outcomes, pregnancy |
topic |
ethnic disparities immigration maternal outcomes neonatal outcomes pregnancy |
url |
https://www.dovepress.com/immigration-and-adverse-pregnancy-outcomes-in-an-italian-free-care-hos-peer-reviewed-fulltext-article-IJWH |
work_keys_str_mv |
AT carusog immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT marcocciae immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT brunellir immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT candelierim immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT schiavimc immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT zanninii immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT perrones immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT caprio immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT muziil immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT perroneg immigrationandadversepregnancyoutcomesinanitalianfreecarehospital AT galoppip immigrationandadversepregnancyoutcomesinanitalianfreecarehospital |
_version_ |
1716839046446055424 |