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ArticlePLOS global public health2025

Influence of women's legal status on pregnancy outcomes and quality of care: Findings from the Pregnancy of Migrants in Switzerland (PROMISES) program.

Eugénie de Weck, Clara Noble, Jessica Sormani, Monique Lamuela Naulin, Cyril Jaksic, Sara Arsever, Begoña Martinez de Tejada, Nicole C Schmidt, Anya Levy Guyer, Anne-Caroline Benski

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In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Eugénie de WeckFaculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID https://orcid.org/0009-0006-1944-1801
Clara NobleFaculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID https://orcid.org/0009-0002-1828-2686
Jessica SormaniGeneva School of Health Sciences, University of Applied Sciences and Arts Western Switzerland (HES-SO), Geneva, Switzerland.
Monique Lamuela NaulinDepartment of Women, Child and Adolescent, University Hospitals of Geneva, Geneva, Switzerland.ORCID https://orcid.org/0009-0004-6487-1769
Cyril JaksicClinical Epidemiology Department, University Hospitals of Geneva, Geneva, Switzerland.ORCID https://orcid.org/0000-0001-5835-3480
Sara ArseverPrimary Care Division, University Hospitals of Geneva, Geneva, Switzerland.
Begoña Martinez de TejadaFaculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID https://orcid.org/0000-0001-5737-3586
Nicole C SchmidtDepartment of Women, Child and Adolescent, University Hospitals of Geneva, Geneva, Switzerland.
Anya Levy GuyerIndependent Consultant, Boston, Massachusetts, United States of America.ORCID https://orcid.org/0000-0002-7948-5287
Anne-Caroline BenskiFaculty of Medicine, University of Geneva, Geneva, Switzerland.ORCID https://orcid.org/0000-0002-1184-882X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2020, approximately 281 million people lived in a country other than their country of birth. In Geneva, Switzerland, people born in other countries constitute 40.2% of the population. We aimed to describe the population of pregnant women delivering at the University Hospitals of Geneva (HUG) maternity department and to identify associations between legal status, migration status, and economic precarity with quality care and health outcomes. We performed an exploratory cross-sectional retrospective study including all women who delivered in HUG's maternity department in May 2019 (n=339). The group was sub-divided in three ways: by migration status (Swiss (S) or migrant (M)); by legal status (documented (D), undocumented (U), or asylum seeker (AS)); and economic precariousness (precarious (P) or non-precarious (NP)). The analysis compared the quality of care received and health outcomes across six sub-groups: Swiss non-precarious women (SNP, 25.3%), Swiss precarious women (SP, 12.2%), documented migrant non-precarious women (DMNP, 34.8%), documented migrant precarious women (DMP, 23.3%), undocumented migrants (UM, 2.4%), and asylum seekers (AS, 2.0%). Precarious patients represented 35.5% of 339 women. Economic precarity was more highly associated with poor health outcomes than legal or migration status. Due to the small samples of undocumented migrants (UM) and asylum seekers (AS), the study had limited capacity to achieve statistical significance for findings. The findings from this exploratory study suggest that, where a program exists to reach pregnant undocumented migrants, a pregnant woman's economic status is also very important in determining her experience with the healthcare system during pregnancy and delivery. More than one third of pregnant women delivering at HUG are in a situation of vulnerability, whether economic or legal. This study had few statistically significant results due to small sample sizes. However, it clearly highlights the need for further research into how best to address various vulnerability factors during pregnancy.

Identifiers

PMID40258009
PMCPMC12011233

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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.