Prenatal care adequacy of migrants born in conflict-affected countries and country-born parturients in Finland

•Migrants from conflict-affected areas had a 3.5-fold risk for delayed prenatal care.•Less prenatal visits prior to term birth compared with country-born parturients.•No differences in prepartum hospitalization between migrants and country-born parturients. The 2015 refugee crisis led into a forced...

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Bibliographic Details
Published in:Journal of migration and health (Online) 2022-01, Vol.6, p.100122-100122, Article 100122
Main Authors: Leppälä, Satu, Lamminpää, Reeta, Gissler, Mika, Vehviläinen-Julkunen, Katri
Format: Article
Language:English
Subjects:
Birth registry
Health care utilization
Health equity
Maternal health
Medicin och hälsovetenskap
Migrant
Prenatal care
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Summary:•Migrants from conflict-affected areas had a 3.5-fold risk for delayed prenatal care.•Less prenatal visits prior to term birth compared with country-born parturients.•No differences in prepartum hospitalization between migrants and country-born parturients. The 2015 refugee crisis led into a forced migration of millions of people globally. As a consequence, many countries experienced a quick change in the proportion of conflict-area born migrants. This group being stated as an especially vulnerable group for suboptimal maternal health, a timely inspection of preventive maternity care was required. This study investigated prenatal care in terms of gestation trimester at the first prenatal visit, number of check-ups prior to birth, and prepartum hospitalization in conflict-country born migrants and Finnish parturients in Finland. Cross-sectional study included all pregnancies of migrants born in conflict-affected countries (n = 3 155) and country-born parturients (n = 93 600) in Finland in 2015–16. The data were obtained through Medical Birth Registry and Population Information System. Statistical analysis employed T-test, Chi-square test, and logistic regression analysis. Odds ratios with 95% Confidence Intervals (CI) were adjusted for sociodemographic and health-related background variables. Migrant parturients had a higher probability for delayed enter in prenatal care compared with Finnish-born parturients (adjusted odds ratio aOR = 3.46; 95% Confidence Interval CI 3.06, 3.91). Recommended minimum number of check-ups was participated by 95.3% of the migrant, and 96.4% of the Finnish-born group (P
ISSN:2666-6235
2666-6235
DOI:10.1016/j.jmh.2022.100122