ArticleBMC pregnancy and childbirth2017
Human Development Index (HDI) of the maternal country of origin as a predictor of perinatal outcomes - a longitudinal study conducted in Spain.
Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Association between migration and severe maternal outcomes in high-income countries: Systematic review and meta-analysis.PLoS medicine · 2023Pooled it
- Human Development Index of the maternal country of origin and its relationship with maternal near miss: A systematic review of the literature.BMC pregnancy and childbirth · 2020Pooled it
- Clinical and Nonclinical Factors and Advanced Neonatal Resuscitation Interventions.JAMA network open · 2026Article
- Ukrainian refugee women's experience with maternity care in Norway: A qualitative study.European journal of midwifery · 2025Article
- Article
- Improved Trends in the Mortality-to-Incidence Ratios for Liver Cancer in Countries with High Development Index and Health Expenditures.Healthcare (Basel, Switzerland) · 2023Article
- A global study of the association of cesarean rate and the role of socioeconomic status in neonatal mortality rate in the current century.BMC pregnancy and childbirth · 2022Article
- Association between preterm births and socioeconomic development: analysis of national data.BMC public health · 2022Observational
- Psychological, Psychosocial and Obstetric Differences between Spanish and Immigrant Mothers: Retrospective Observational Study.International journal of environmental research and public health · 2022Observational
- Influence of the Human Development Index on the Maternal-Perinatal Morbidity and Mortality of Pregnant Women with SARS-CoV-2 Infection: Importance for Personalized Medical Care.Journal of clinical medicine · 2021Article
- Maternal and Perinatal Outcomes in Patients with Suspected COVID-19 and Their Relationship with a Negative RT-PCR Result.Journal of clinical medicine · 2020Article
- Economic Crisis Impact and Social Determinants of Perinatal Outcomes and Infant Mortality in Greece.International journal of environmental research and public health · 2020Article
- Measuring inequalities of development at the sub-national level: From the human development index to the human life indicator.PloS one · 2020Article
- Secular trends in stillbirth by maternal socioeconomic status in Spain 2007-15: a population-based study of 4 million births.European journal of public health · 2019Observational
- Evaluating maternal and child health indicators for the Sustainable Development Goals in 2018: what is Iran's position?Epidemiology and health · 2019Article
- Maternal mortality in Spain and its association with country of origin: cross-sectional study during the period 1999-2015.BMC public health · 2018Article
- Dataset on the prevalence of tobacco smoking in men and women of selected countries whit difference human development.Data in brief · 2018Article
- Diarrhea deaths in children among countries with different levels of the human development index.Data in brief · 2018Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn an era of worldwide population displacement, recent studies have identified strong associations between social situations and perinatal outcomes among immigrants. Little is known about the effect of maternal social background on pregnancy outcomes. The Human Development Index (HDI) assesses the following dimensions of human development: life expectancy, education level and income. The objective of our study was to determine if maternal HDI may be used to identify women at increased odds of poor pregnancy outcomes.
methodsWe conducted a longitudinal population-based study in a tertiary centre in Madrid, Spain. The outcome variables were maternal and perinatal/antenatal mortality, preeclampsia (PE), low birth weight (LBW), gestational diabetes mellitus (GDM), preterm delivery (PTD) before 37 and 34 gestational weeks, abnormal cardiotocography (CTG) during delivery, C-section (CS) due to abnormal CTG, pH < 7.10 at birth, Apgar at 5 min ≤ 7, and resuscitation type ≥3. We performed multivariate logistic regression analyses adjusted for potential confounding variables to evaluate the associations between maternal HDI and perinatal outcomes.
resultsIn total, 38,719 singleton infants who were born in our maternity ward between 2010 and 2016 and had perinatal outcome data available were included in this study. The neonates of women from medium/low HDI countries had significantly lower odds of low birth weight (LBW) than their very high HDI country counterparts (OR 0.63, 95% CI 0.55-0.72). However, the odds of PTD before 37 gestational weeks and PE were higher in the medium/low HDI group than the very high HDI group (OR 1.26, 95% CI 1.04-1.53; OR 1.35, 95% CI 1.02-1.79, respectively). Poorer neonatal outcomes were identified in the medium/low HDI group than the very high HDI group, including greater odds of abnormal CTG, CS due to abnormal CTG and Apgar 2 ≤ 7 (p < 0.05).
conclusionsOur findings suggest that the infants of mothers from medium/low HDI had lower odds of LBW but higher odds of PTD, PE and poor neonatal outcomes. These results support the hypothesis that maternal HDI can be used to understand the impact of maternal origin on pregnancy outcomes. Further studies are needed to confirm its validity.
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