Perinatal outcomes among immigrant mothers over two periods in a region of central Italy

Cacciani, Laura; Asole, Simona; Polo, Arianna; Franco, Francesco; Lucchini, Renato; De Curtis, Mario; Di Lallo, Domenico; Guasticchi, Gabriella
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p294
Academic Journal
Background: The number of immigrants has increased in Italy in the last twenty years (7.2% of the Italian population), as have infants of foreign-born parents, but scanty evidence on perinatal outcomes is available. The aim of this study was to investigate whether infants of foreign-born mothers living in Italy have different odds of adverse perinatal outcomes compared to those of native-born mothers, and if such measures changed over two periods. Methods: The source of this area-based study was the regional hospital discharge database that records perinatal information on all births in the Lazio region. We analysed 296,739 singleton births born between 1996-1998 and 2006-2008. The exposure variable was the mother's region of birth. We considered five outcomes of perinatal health. We estimated crude and adjusted odds ratios and 95% confidence intervals (CIs) to evaluate the association between mother's region of birth and perinatal outcomes. Results: Perinatal outcomes were worse among infants of immigrant compared to Italian mothers, especially for sub-Saharan and west Africans, with the following crude ORs (in 1996-1998 and 2006-2008 respectively): 1.80 (95% CI:1.44-2.28) and 1.95 (95%CI:1.72-2.21) for very preterm births, and 1.32 (95%CI:1.16-1.50) and 1.32 (95%CI:1.25-1.39) for preterm births; 1.18 (95%CI:0.99-1.40) and 1.17 (95%CI:1.03-1.34) for a low Apgar score; 1.22 (95%CI:1.15-1.31) and 1.24 (95%CI:1.17-1.32) for the presence of respiratory diseases; 1.47 (95%CI:1.30-1.66) and 1.45 (95%CI:1.34-1.57) for the need for special or intensive neonatal care/in-hospital deaths; and 1.03 (95%CI:0.93-1.15) and 1.07 (95% CI:1.00-1.15) for congenital malformations. Overall, time did not affect the odds of outcomes differently between immigrant and Italian mothers and most outcomes improved over time among all infants. None of the risk factors considered confounded the associations. Conclusion: Our findings suggest that migrant status is a risk factor for adverse perinatal health. Moreover, they suggest that perinatal outcomes improved over time in some immigrant women. This could be due to a general improvement in immigrants' health in the past decade, or it may indicate successful application of policies that increase accessibility to mother-child health services during the periconception and prenatal periods for legal and illegal immigrant women in Italy.


Related Articles

  • Is my baby healthy? Livermore, Beth // Shape;Aug95, Vol. 14 Issue 12, p30 

    Focuses on genetic testing, a procedure that can detect unborn babies' health conditions. Diseases or abnormalities that can be detected by the procedure; Factors to consider before undergoing genetic testing.

  • State newborn screening program saves lives, costs. Auer, Tonie // Business Press;09/11/98, Vol. 11 Issue 19, p1 

    Focuses on the Texas Department of Health's newborn screening program. Abnormal health conditions commonly detected in newborns from the state's screening program; Advantages of the screening program for newborns and parents; Overview on the processes involved in the screening program.

  • CSL partners with NIH for CMV trial in pregnant women.  // Australian Life Scientist;12/8/2011, p1 

    CSL will contribute $2.5 million of immunoglobulin to an NIH-led trial to combat cytomegalovirus (CMV) in pregnant women to prevent congenital CMV in infants.

  • Scientists Confirm Link Between Missing DNA and Birth Defects.  // Bioscience Technology;2014, p1 

    The article presents a case study of a 15-day-old boy who died because of respiratory failure. Topics discussed include the connection between missing DNA and birth defects, problems associated with genetic deletion, and the human Xq22.1 deletion syndrome. Also discussed are the molecular...

  • PRENATAL CARE.  // Good Medicine;Winter2004, Vol. 13 Issue 1, p5 

    Focuses on a study from the U.S. Centers for Disease Control which found that babies born to overweight mothers face a high risk for birth defects than those born to normal weight women. Birth defects suffered by babies delivered by obese women.

  • THE EFFECT OF INFANT FETAL ALCOHOL SYNDROME FACIAL FEATURES ON ADOPTION PREFERENCE. Waller, Katherine L.; Volk, Anthony; Quinsey, Vernon L. // Human Nature;2004, Vol. 15 Issue 1, p101 

    Examines the effect of fetal alcohol syndrome infant facial characteristics on hypothetical adoption preferences, ratings of attractiveness and ratings of health. Parental solicitude; Best predictor of adoption likelihood.

  • Three new cases of congenital agenesis of the trachea. Heimann, Konrad; Bartz, Clemens; Naami, Amjad; Peschgens, Thomas; Merz, Ulrich; Hörnchen, Helmut; Hörnchen, Helmut // European Journal of Pediatrics;Jan2007, Vol. 166 Issue 1, p79 

    Congenital absence of the trachea is a rare anomaly that might confront the obstetrician or neonatologist with an unexpected emergency. These patients present with cyanosis, severe respiratory distress, insufficient gas exchange, absence of audible crying and difficult or impossible endotracheal...

  • Report finds 1 in 50 babies has birth defect and highlights worrying gaps in regional monitoring.  // Biomedical Market Newsletter;12/14/2011, Vol. 21, p1 

    The article provides information on a report by the British Isles Network of Congenital Anomaly Registers, a data collection agency, according to which one baby in every 50 is born with a birth defect in Great Britain. The report also provides information on the survival rates of babies born...

  • Appendicoumbilical Fistula: A Rare Reason for Neonatal Umbilical Mass. Cevik, M.; Boleken, M. E.; Kadioglu, E. // Case Reports in Medicine;2011, p1 

    The normal umbilicus is a simple structure, but the intrauterine development of the umbilicus is highly complex. Neonatal umbilical mass anomalies usually represent failure of obliteration of the vitelline duct or the allantois which results in persistence of remnants, which can lead to a wide...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics