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Int. J. Environ. Res. Public Health 2018, 15(9), 1934;

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

Department of Pediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany
German Center for Lung Research, Biomedical Research in End Stage and Obstructive Lung Disease/BREATH Hannover, 30625 Hannover, Germany
Hannover Medical School, 30625 Hannover, Germany
Department of General Practice, University Medical Center Göttingen, 37073 Göttingen, Germany
Department of Clinical Immunology and Rheumatology, Hannover Medical School, 30625 Hannover, Germany
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)
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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

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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.

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