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Journal of Immigrant and Minority Health
Published in: Journal of Immigrant and Minority Health 3/2020

01-06-2020 | Care | Original Paper

Antenatal Care Utilization and Obstetric and Newborn Outcomes Among Pregnant Refugees Attending a Specialized Refugee Clinic

Authors: Mary Malebranche, Eric Norrie, Sylvia Hao, Garielle Brown, Rachel Talavlikar, Andrea Hull, Giselle De Vetten, Kara A. Nerenberg, Amy Metcalfe, Gabriel Fabreau

Published in: Journal of Immigrant and Minority Health | Issue 3/2020

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Abstract

The objective of the study is to characterize the antenatal care utilization and obstetric and newborn outcomes among refugee women at a specialized refugee clinic and determine whether these outcomes varied between refugees (government-assisted or privately-sponsored) and asylum seekers. This retrospective cohort study included women receiving antenatal care at a specialized refugee clinic between 2011 and 2016. Time from arrival to first clinic visit, Adequacy of Prenatal Care Utilization Index, and obstetric and newborn outcomes were examined, stratified by refugee category. Amongst 179 women, median time from arrival to first clinic visit was longer for asylum seekers (2.8 months, IQR 12.9) compared to government-assisted and privately-sponsored refugees (0.4 months, IQR 0.7, and 1.6 months, IQR 3.2, respectively; p < 0.01). A larger proportion of asylum seeking women received inadequate antenatal care. No difference was found in obstetric and newborn outcomes. Differences in antenatal care utilization between refugee categories suggest that barriers may remain for asylum seekers; however, obstetric and newborn outcomes were comparable amongst refugee categories.
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Metadata
Title
Antenatal Care Utilization and Obstetric and Newborn Outcomes Among Pregnant Refugees Attending a Specialized Refugee Clinic
Authors
Mary Malebranche
Eric Norrie
Sylvia Hao
Garielle Brown
Rachel Talavlikar
Andrea Hull
Giselle De Vetten
Kara A. Nerenberg
Amy Metcalfe
Gabriel Fabreau
Publication date
01-06-2020
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 3/2020
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-019-00961-y

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