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Fetal growth restriction in a cohort of migrants in Germany

Authors: Juliane Ankert; Tanja Groten; Mathias W. Pletz; Sasmita Mishra; Gregor Seliger; Silvia M. Lobmaier; Clarissa Prazeres da Costa; +5 Authors

Fetal growth restriction in a cohort of migrants in Germany

Abstract

Abstract Background Migrant women may have an increased risk of adverse birth outcomes. This study analyses the occurrence of low birth weight, preterm birth and intrauterine growth restriction / fetal growth restriction (IUGR/FGR) in pregnant migrants. Method Cross-sectional study of 82 mother-child pairs of pregnant migrants attending medical care in Germany. Results The Median age was 27 years, 49% of patients were of oriental-asian ethnicity and median year of migration was 2015. At least one previous pregnancy was reported in 76% of patients, in 40% the delivery mode was caesarian section. Median gestational age was 39.7 weeks. Preterm birth occurred in 6.1% of pregnancies. Median gestational age for preterm birth was 32.3 weeks. Low birth weight (< 2500 g) occurred in 6.1%. Birth weights below the 10th percentile of birth weight for gestational age were observed in 8.5% of the total cohort. Conclusions Compared to German data no increased occurrence of low birth weight, preterm birth or IUGR/FGR was found. We note that the rate of caesarian section births was higher than in the general population for reasons yet to be identified. The authors propose stratification according to migration status for the national documentation of birth outcomes in Germany.

Keywords

Adult, Male, Adolescent, Black People, Emigrants and Immigrants, Nigeria, fetal growth restriction, Asian People, Pregnancy, Germany, Research Article ; Maternity care and sociological aspects of pregnancy and childbirth ; FGR ; fetal growth restriction, Humans, Infant, Newborn [MeSH] ; Linear Models [MeSH] ; African Continental Ancestry Group [MeSH] ; Infant, Low Birth Weight [MeSH] ; Premature Birth/epidemiology [MeSH] ; Hypertension, Pregnancy-Induced/epidemiology [MeSH] ; fetal growth restriction ; Nigeria/ethnology [MeSH] ; Germany/epidemiology [MeSH] ; European Continental Ancestry Group [MeSH] ; Male [MeSH] ; Maternity care and sociological aspects of pregnancy and childbirth ; Research Article ; Syria/ethnology [MeSH] ; Adolescent [MeSH] ; Female [MeSH] ; Asian Continental Ancestry Group [MeSH] ; Fetal Growth Retardation/epidemiology [MeSH] ; Adult [MeSH] ; Humans [MeSH] ; Cesarean Section/statistics ; Diabetes, Gestational/epidemiology [MeSH] ; Cross-Sectional Studies [MeSH] ; Somalia/ethnology [MeSH] ; Emigrants and Immigrants/statistics ; FGR ; Young Adult [MeSH] ; Pregnancy [MeSH], Fetal Growth Retardation, Cesarean Section, Infant, Newborn, Gynecology and obstetrics, Hypertension, Pregnancy-Induced, Infant, Low Birth Weight, FGR, Diabetes, Gestational, Cross-Sectional Studies, RG1-991, Linear Models, Premature Birth, Female, Research Article, ddc: ddc:

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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
gold