Evidence map›Paper›PMID 33676438›Full record

ArticleBMC pregnancy and childbirth2021

Maternal health care utilization and the obstetric outcomes of undocumented women in Finland - a retrospective register-based study.

Janita Tasa, Ville Holmberg, Susanna Sainio, Päivi Kankkunen, Katri Vehviläinen-Julkunen

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  15. Healthcare Equity and Commissioning: A Four-Year National Analysis of Portuguese Primary Healthcare Units.International journal of environmental research and public health · 2022
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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

5 authors.

Janita TasaDepartment of Nursing Science, University of Eastern Finland, Kuopio, Finland. janitatasa@gmail.com.
Ville HolmbergInflammation Center, Infectious Diseases, Helsinki University Hospital, Helsinki, Finland.
Susanna SainioFinnish Red Cross Blood Service, Helsinki, Finland.
Päivi KankkunenDepartment of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Katri Vehviläinen-JulkunenDepartment of Nursing Science, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-6828-8261

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUndocumented pregnant women constitute a vulnerable group of people who lack equal access to pregnancy care. Previous research has shown that undocumented migrants encounter difficulties in accessing health services, the onset of prenatal care is delayed, and women have an increased risk for infectious diseases. The aim of this study was to describe the use of maternal health care services and the obstetric outcomes of undocumented women in Helsinki, capital city of Finland, in addition to comparing the results with all pregnant women in Finland.

methodsThe study was a retrospective register-based study consisting of data collected between 2014 to 2018 from the electronic medical records of the public maternity clinic and maternity hospital in Helsinki, Finland. The study population consists of 62 individual pregnancies of undocumented women. The results of the study were compared with national data on parturients and deliveries (N = 47,274 women) and with prenatal screening tests for infectious diseases (N = 51,447 [HIV, HBV], N = 51,446 [syphilis]).

resultsThe majority (91%) of the undocumented women attended public prenatal care. However, four women received no prenatal care and three women were denied access to care. Undocumented women entered prenatal care later and had fewer visits compared with all pregnant women. The majority (71%) of the undocumented women received inadequate prenatal care as the number of visits was less than eight. Of the study population, 5% (3/59) tested positive for HIV, 3% (2/59) for HBV, and 2% (1/57) for syphilis. The prevalence of HIV (p-value < 0.001) and HBV (p-value = 0.007) was significantly higher amongst undocumented women compared with all pregnant women.

conclusionsUndocumented women entered prenatal care later than recommended. Most women received inadequate prenatal care and some of them did not receive prenatal care at all. The prevalence of infectious diseases was significantly higher and the coverage of prenatal screenings deficient amongst undocumented pregnant women.

Indexed as

Maternal Health ServicesPerinatal CarePregnancy Complications, InfectiousPrenatal DiagnosisAdultFemaleFinlandHealth Services AccessibilityHumansPatient Acceptance of Health CarePregnancyPregnancy OutcomePrevalenceUndocumented ImmigrantsVulnerable PopulationsAccess to health careChildbirthMigrantPregnancyPrenatal careRegister-based studyUndocumented

Identifiers

PMID33676438
PMCPMC7937309

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Registered trials

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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.