Somali Women and Their Pregnancy Outcomes Post-migration: Data From Six Receiving Countries

Somali Women and Their Pregnancy Outcomes Post-migration: Data From Six Receiving Countries

Somali Women and Their Pregnancy Outcomes Post-migration: Data From Six Receiving Countries

Somali Women and Their Pregnancy Outcomes Post-migration: Data From Six Receiving Countriess

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Référence bibliographique [1678]

Small, Rhonda, Gagnon, Anita, Gissler, Mika, Zeitlin, Jennifer, Bennis, Milla, Glazier, Richard H., Haelterman, Edwidge, Martens, Guy, McDermott, Sarah, Urquia, Marcelos Luis et Vangen, Siri. 2008. «Somali Women and Their Pregnancy Outcomes Post-migration: Data From Six Receiving Countries ». BJOG: An International Journal of Obstetrics and Gynaecology, vol. 115, no 13, p. 1630-1640.

Fiche synthèse

1. Objectifs


Intentions :
« This study aimed to investigate pregnancy outcomes in Somali-born women compared with those women born in each of the six receiving countries: Australia, Belgium, Canada, Finland, Norway and Sweden. » (p. 1630)

2. Méthode


Échantillon/Matériau :
« Data were contributed from six countries using national or regional data sets that enabled identification of all births to women born in Somalia over periods of 3–6 years between 1997 and 2004. Three countries provided data from two regions each and three provided national data. [...] For Canada, « [d]ata were provided for two provinces, Ontario and Quebec, using Citizenship and Immigration data linked to administrative hospital records through provincial health registries. » (p. 1631)

Type de traitement des données :
Analyse statistique

3. Résumé


« Compared with receiving country-born women, Somaliborn women were less likely to give birth preterm (pooled OR 0.72, 95% CI 0.64–0.81) or to have infants of low birthweight (pooled OR 0.89, 95% CI 0.82–0.98), but there was an excess of caesarean sections, particularly in first births (pooled OR 1.41, 95% CI 1.25–1.59) and an excess of stillbirths (pooled OR 1.86, 95% CI 1.38–2.51). […] This analysis has identified a number of disparities in outcomes between Somali-born women and their receiving country counterparts. The disparities are not readily explained and they raise concerns about the provision of maternity care for Somali women postmigration. Review of maternity care practices followed by implementation and careful evaluation of strategies to improve both care and outcomes for Somali women is needed. » (p. 1630)