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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Maternal near-miss among women with a migrant background in Germany
Acta Obstetricia et Gynecologica Scandinavica, Volume 91, No. 7, Year 2012
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Description
Objective. To examine the association between region of origin and severe illness bringing a mother close to death (near-miss). Design. Retrospective cohort study. Setting. Maternity units in Lower Saxony, Germany. Population. 441 199 mothers of singleton newborns in 2001-2007. Methods. Using chi-squared tests, bivariate and multivariable logistic regression we examined the association between maternal region of origin and near-miss outcomes with prospectively collected perinatal data up to seven days postpartum. Main outcome measures. Hysterectomy, hemorrhage, eclampsia and sepsis rates. Results. Eclampsia was not associated with region of origin. Compared to women from Germany, women from the Middle East (OR 2.24; 95%CI 1.60-3.12) and Africa/Latin America/other countries (OR 2.17; 95%CI 1.15-4.07) had higher risks of sepsis. Women from Asia (OR 3.37; 95%CI 1.66-6.83) and from Africa/Latin America/other countries had higher risks of hysterectomy (OR 2.65; 95%CI 1.36-5.17). Compared to German women, the risk of hemorrhage was higher among women from Asia (OR 1.55; 95%CI 1.19-2.01) and lower among women from the Middle East (OR 0.66, 95%CI 0.55-0.78). Adjusting for maternal age, parity, occupation, partner status, smoking, obesity, prenatal care, chronic conditions and infertility showed no association between country of origin and risk of sepsis. Conclusion. Region of origin was a strong predictor for near-miss among women from the Middle East, Asia and Africa/Latin America/other countries. Confounders mostly did not explain the higher risks for maternal near-miss in these groups of origin. Clinical studies and audits are required to examine the underlying causes for these risks. © 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Authors & Co-Authors
Reime, Birgit
Germany, Hamburg
Bernhard Nocht Institut Fur Tropenmedizin Hamburg
Janssen, Patricia A.
Canada, Vancouver
The University of British Columbia
Farris, Lily
Canada, Vancouver
Bc Children's Hospital
Borde, Theda
Germany, Berlin
Alice Salomon Fachhochschule Berlin
Hellmers, Claudia
Germany, Osnabruck
Fachhochschule Osnabrück
Myezwa, Hellen
South Africa, Johannesburg
University of the Witwatersrand
Wenzlaff, Paul
Germany, Hannover
Centre for Quality Management
Statistics
Citations: 19
Authors: 7
Affiliations: 7
Identifiers
Doi:
10.1111/j.1600-0412.2012.01390.x
ISSN:
00016349
e-ISSN:
16000412
Research Areas
Maternal And Child Health
Noncommunicable Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Participants Gender
Female