Next Article in Journal
Does Information Pattern Affect Risk Perception of Food Safety? A National Survey in China
Next Article in Special Issue
Prevalence of Sexual Violence in Migrants, Applicants for International Protection, and Refugees in Europe: A Critical Interpretive Synthesis of the Evidence
Previous Article in Journal
Profiles of Physical Fitness Risk Behaviours in School Adolescents from the ASSO Project: A Latent Class Analysis
Previous Article in Special Issue
The Effectiveness and Cost-Effectiveness of Screening for and Vaccination Against Hepatitis B Virus among Migrants in the EU/EEA: A Systematic Review
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2018, 15(9), 1934; https://doi.org/10.3390/ijerph15091934

Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe

1
Department of Pediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany
2
German Center for Lung Research, Biomedical Research in End Stage and Obstructive Lung Disease/BREATH Hannover, 30625 Hannover, Germany
3
Hannover Medical School, 30625 Hannover, Germany
4
Department of General Practice, University Medical Center Göttingen, 37073 Göttingen, Germany
5
Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany
6
German Center for Infection Research (DZIF), Partner Site Hannover-Braunschweig, 38124 Braunschweig, Germany
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Received: 30 June 2018 / Revised: 21 August 2018 / Accepted: 28 August 2018 / Published: 5 September 2018
(This article belongs to the Special Issue Refugee, Migrant and Ethnic Minority Health)
Full-Text   |   PDF [787 KB, uploaded 6 September 2018]   |  

Abstract

Background: Immigration into Europe has reached an all-time high. Provision of coordinated healthcare, especially to refugee women that are at increased risk for adverse pregnancy outcomes, is a challenge for receiving health care systems. Methods: We assessed pregnancy rates and associated primary healthcare needs in three refugee cohorts in Northern Germany during the current crisis. Results: Out of n = 2911 refugees, 18.0% were women of reproductive age, and 9.1% of these were pregnant. Pregnancy was associated with a significant, 3.7-fold increase in primary health care utilization. Language barrier and cultural customs impeded healthcare to some refugee pregnant women. The most common complaints were demand for pregnancy checkup without specific symptoms (48.6%), followed by abdominal pain or urinary tract infections (in 11.4% of cases each). In 4.2% of pregnancies, severe complications such as syphilis or suicide attempts occurred. Discussion: We present data on pregnancy rates and pregnancy associated medical need in three current refugee cohorts upon arrival in Germany. Healthcare providers should be particularly aware of the requirements of pregnant migrants and should adapt primary caretaking strategies accordingly. View Full-Text
Keywords: pregnancy; migration; refugees; health care provision; reception center pregnancy; migration; refugees; health care provision; reception center
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Supplementary material

SciFeed

Share & Cite This Article

MDPI and ACS Style

Dopfer, C.; Vakilzadeh, A.; Happle, C.; Kleinert, E.; Müller, F.; Ernst, D.; Schmidt, R.E.; Behrens, G.M.N.; Merkesdal, S.; Wetzke, M.; Jablonka, A. Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe. Int. J. Environ. Res. Public Health 2018, 15, 1934.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top