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Severe maternal outcome in Afghan immigrant women: A study in Tehran, Iran

Objective To evaluate the risk factors for severe maternal outcome (SMO) in Afghan immigrant women. Methods Women with potentially life‐threatening conditions (PLTC) were selected. Then risk factors for those PLTC which led to SMO (maternal near‐miss or maternal death) were evaluated. In addition, r...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2022-10, Vol.159 (1), p.302-312
Main Authors: Yaghoubi, Fatemeh, Akbari, Nahid, Kashanian, Maryam, Moradi Lakeh, Maziar, Sheikhansari, Narges
Format: Article
Language:English
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Summary:Objective To evaluate the risk factors for severe maternal outcome (SMO) in Afghan immigrant women. Methods Women with potentially life‐threatening conditions (PLTC) were selected. Then risk factors for those PLTC which led to SMO (maternal near‐miss or maternal death) were evaluated. In addition, risk factors for those SMOs occurring on hospital admission or during the first 12 hours after admission to the hospital (SMO12) were evaluated. Results Parity ≥3 (adjusted odds ratio [aOR] 3.24, 95% confidence interval [CI] 1.62–6.50, P = 0.03), low literacy level in mother (aOR 2.99, 95% CI 1.16–5.01, P = 0.03), inadequate prenatal care (aOR 2.74, 95% CI 1.2–3.87, P = 0.01), multigravidity (gravidity ≥5: aOR 2.62, 95% CI 1.31–4.53, P = 0.03), lack of health insurance (aOR 2.52, 95% CI 1.25–4.02, P = 0.01), and low literacy level in husband (aOR = 1.49, 95% CI 1.15–2.9, P = 0.02) were the risk factors for SMO in women with PLTC. Inadequate prenatal care (aOR 4.2, 95% CI 2.05–8.25, P = 0.04), low literacy level in mother (aOR 3.38, 95% CI 1.32–6.65, P = 0.04), parity ≥3 (aOR 2.69, 95% CI 1.16–4.7, P = 0.04), and lack of health insurance (aOR 2.13, 95% CI 1.25–3.67, P = 0.03) were risk factors for SMO12. Conclusion There was a higher rate of SMO and SMO12 cases among Afghan immigrant women. There is a higher rate of severe maternal outcomes in total and within 12 hours of hospitalization among Afghan immigrant women.
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.14111