Evidence map›Paper›PMID 33278011›Full record

ArticleJournal of immigrant and minority health2021

The Pregnancy Outcomes Among Newly Arrived Asylum-Seekers in Italy: Implications of Public Health.

Lucia Fontanelli Sulekova, Martina Spaziante, Serena Vita, Paola Zuccalà, Valentina Mazzocato, Ornella Spagnolello, Maurizio Lopalco, Laura Elena Pacifici, Luca Bello, Cristian Borrazzo and 3 more

Open access · hybridAbstract read
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In one paragraph

Article in Journal of immigrant and minority health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

Lucia Fontanelli SulekovaDepartment of Public Health and Infectious Diseases, Policlinico Umberto I Hospital. University of Rome Sapienza, Rome, Italy. lucia.fontanellisulekovai@uniroma1.it.ORCID http://orcid.org/0000-0002-8872-6302
Martina SpazianteDepartment of Public Health and Infectious Diseases, Policlinico Umberto I Hospital. University of Rome Sapienza, Rome, Italy.
Serena VitaDepartment of Public Health and Infectious Diseases, Policlinico Umberto I Hospital. University of Rome Sapienza, Rome, Italy.
Paola ZuccalàAuxilium Soc Coop. Sanitary Bureau of Asylum Seeker Center of Castelnuovo di Porto, Senise, Italy.
Valentina MazzocatoItalian Red Cross, Sanitary Bureau of) Extraordinary Reception Centers for Migrants "ENEA", "Pietralata" and "Penelope" of Rome, Rome, Italy.
Ornella SpagnolelloDepartment of Public Health and Infectious Diseases, Policlinico Umberto I Hospital. University of Rome Sapienza, Rome, Italy.
Maurizio LopalcoAuxilium Soc Coop. Sanitary Bureau of Asylum Seeker Center of Castelnuovo di Porto, Senise, Italy.
Laura Elena PacificiUniCamillus - Saint Camillus International University of Health Sciences, Rome, Italy.
Luca BelloUnit of Gynecology, Department of Obstetrics and Gynecology, University of Turin, Maria Vittoria Hospital, Turin, Italy.
Cristian BorrazzoStatistical Unit, Department of Public Health and Infectious Diseases, University of Rome Sapienza, Rome, Italy.
Silvia AngelettiUnit of Clinical Laboratory Science, University Campus Bio-Medico of Rome, Rome, Italy.
Massimo CiccozziUnit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Rome, Italy.
Giancarlo CeccarelliDepartment of Public Health and Infectious Diseases, Policlinico Umberto I Hospital. University of Rome Sapienza, Rome, Italy.
National Agency for New Technologies, Energy and Sustainable Economic Development · ITPoliclinico Umberto I · ITUniversità Campus Bio-Medico · ITInternational Organization for Migration · CHOspedale Maria Vittoria · ITSaint Camillus International University of Health and Medical Sciences · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigration has a significant impact on overall health and pregnancy outcome. Despite the fact that growing volume of migration flows significantly engaging the public health system of European host countries, there is a lack of evidence concerning pregnancy outcomes of newly arrived asylum-seeking women.

methodsData about pregnant asylum seekers hosted in the Italian Reception Centers between the 1 st June 2016 and the 1st June 2018 were retrospectively collected and analysed in the present study. We examined the following pregnancy outcomes: miscarriage, self-induced abortion, voluntary pregnancy termination, live-birth; and studied potentially related socio-demographic factors.

resultsOut of the 110 pregnant women living in the reception centers, 44 (40%) had eutocic delivery, 8 (7.3%) dystocic delivery, 15 (13.6%) miscarriage, 17 (15.5%) self-induced abortion and 26 (23.6%) underwent voluntary pregnancy termination. Nigerian women were at a significantly higher risk of abortive outcomes for voluntary pregnancy termination (p < 0.001), miscarriage (p = 0.049) and self-induced abortion (p < 0.001). Being unmarried was significantly associated with voluntary pregnancy termination and self-induced abortion. Women who chose to undergo unsafe abortion did not result to have significantly lower educational levels, compared to women who preferred medical abortion.

conclusionThis study offers first insights into pregnancy outcomes among asylum-seeking women in Italy. The country of origin and marital status seem to significantly impact on pregnancy outcome. We identified sub-groups of migrant women at increased risk of abortive outcomes, and highlight the need to improve care in order to promote migrant women's reproductive health.

Indexed as

Pregnancy OutcomeRefugeesFemaleHumansItalyPregnancyPublic HealthRetrospective StudiesAsylum seekersInduced abortionMigrantsPregnancy outcomeReproductive health

Identifiers

PMID33278011
PMCPMC7914189
OpenAlexW3110142800

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.