Your browser doesn't support javascript.
loading
Immigration and C-sections incidence: Maternal care and perinatal outcomes in the context of the pandemic in Chile.
Carroza Escobar, María Begoña; Silva, Nicole; Ortíz-Contreras, Jovita; Villegas, Rodrigo; Vargas, Sergio L; Núñez, Claudio; Vergara Maldonado, Luis Felipe; Villanueva, Loreto Paola.
Afiliação
  • Carroza Escobar MB; Programa de Doctorado en Salud Pública, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
  • Silva N; Departamento de Promoción de la Salud de la Mujer y el Recién Nacido, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
  • Ortíz-Contreras J; Servicio de Ginecología y Obstetricia, Complejo Hospitalario San José, Servicio de Salud Metropolitano Norte, Santiago, Chile.
  • Villegas R; Departamento de Promoción de la Salud de la Mujer y el Recién Nacido, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
  • Vargas SL; Programa de Bioestadística, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
  • Núñez C; Programa de Microbiología, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
  • Vergara Maldonado LF; Servicio de Ginecología y Obstetricia, Complejo Hospitalario San José, Servicio de Salud Metropolitano Norte, Santiago, Chile.
  • Villanueva LP; Programa de MBA con Especialización en Salud, Instituto de Salud Pública, Universidad Andrés Bello, Santiago, Chile.
Front Glob Womens Health ; 4: 1267156, 2023.
Article em En | MEDLINE | ID: mdl-38074279
Introduction: Immigration has increased significantly in Chile. Despite that all pregnant women, regardless of nationality and immigration status, have the right to access to all healthcare services during pregnancy, childbirth, and postpartum, inequities in health care outcomes and health provision have been reported. During COVID-19 pandemic, these inequities are completely unknown. Objective: The aim of this study was to compare the incidence of c-sections according to mother's migration status, as well as other maternal care and perinatal outcomes in women giving birth at San José Hospital in Santiago, Chile, during the COVID-19 pandemic. Methods: A retrospective cohort study was designed including 10,166 registered single births at the San José Hospital between March 2020 and August 2021. To compare between groups, statistical tests such as Chi-square and Fisher's exact were used. Log Binomial regression models were performed adjusted for potential confounding variables. To estimate the strength of association the relative risk was used. Results: Immigrant mothers account for 48.1% of the registered births. Compared to non-immigrant women, immigrants exhibit a higher proportion of c-section, specifically, emergency c-section (28.64% vs. 21.10%; p-value < 0.001) but a lower proportion of and having a preterm birth (8.24% vs. 13.45%; p < 0.05), receiving personalized childbirth care (13.02% vs. 14.60%; p-value < 0.05), companion during labor and childbirth (77.1% vs. 86.95%; p-value < 0.001), And postpartum attachment to newborn (73% vs. 79.50%; p-value < 0.001). The proportion of COVID exposure was not significant between groups, not the severity also. Haitians had a highest risk of undergoing emergency c-section (aRR = 1.61) and Venezuelans had a highest risk of elective c-section (aRR = 2.18) compared to non-immigrants. Conclusion: This study reports high rates of c-sections in the entire population, but in immigrant populations it is even higher. Additionally, it found gaps in maternal care and perinatal outcomes between immigrants and non-immigrants. More studies are needed to elucidate the possible causes of these differences and establish new regulations to protect the reproductive rights of the immigrant population.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: America do sul / Chile Idioma: En Revista: Front Glob Womens Health Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Chile País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: America do sul / Chile Idioma: En Revista: Front Glob Womens Health Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Chile País de publicação: Suíça