How migration affects health during childbirth and anesthesia: a study
Not Applicable
- Conditions
- Healthy-migrant effect or migrant health paradoxNot Applicable
- Registration Number
- ISRCTN11740283
- Lead Sponsor
- ‘Helena Venizelou’ General, Maternity and Children’s Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Ongoing
- Sex
- Female
- Target Recruitment
- 5000
Inclusion Criteria
- We will include internationally recently migrated pregnant women with a length of stay in Greece =3 years, giving birth in Athens and women of Greek origin.2. All births from 22+0 weeks’ gestation or from infants weighing =500 g during the study period.
Exclusion Criteria
Pregnant women with incomplete data in the hospital registry database or those referred to another center due to maternal or infant issues
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Measured by retrospective chart review:1. Maternal pathology: Maternal comorbidities will include Gestational Diabetes Mellitus (GDM), hypertensive disorders (preeclampsia/eclampsia), smoking during pregnancy, HIV, hepatitis, anaemia and other health problems.2. Anaesthetic data: General/CSE/spinal for caesarean delivery, epidural analgesia during labor3. Maternal and neonatal outcomes:3.1. Maternal outcomes will include postpartum haemorrhage, maternal transfusion, mother requiring HDU/ICU admission.3.2. Neonatal outcomes will include 5-minute Apgar score <7, stillbirth rates, preterm birth (=37weeks), intrauterine growth retardation (IUGR), emergency intubation of the newborn in OR, meconium-stained amniotic fluid, congenital abnormalities, Neonatal Intensive Care Unit admission/Special Care Baby Unit admission/Ward, perinatal mortality
- Secondary Outcome Measures
Name Time Method Measured by retrospective chart review:1. Provision of neuraxial anaesthesia during labour2. Overall maternal satisfaction