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Article

Childbirths and the Prevalence of Potential Risk Factors for Adverse Perinatal Outcomes among Asylum Seekers in The Netherlands: A Five-Year Cross-Sectional Study

1
Department of Obstetrics and Gynecology, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands
2
Global Health Unit, Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
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Department of Obstetrics and Gynecology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
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Department of Obstetrics and Gynecology, Hospital Twente ZGT/MST, 7512 KZ Enschede, The Netherlands
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Department of Obstetrics and Gynecology, Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD Leeuwarden, The Netherlands
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Netherlands Association for Community Health Services (GGD GHOR Nederland), Zwarte Woud 2, 3524 SJ Utrecht, The Netherlands
*
Authors to whom correspondence should be addressed.
Joint first authorship.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(24), 12933; https://doi.org/10.3390/ijerph182412933
Received: 25 October 2021 / Revised: 26 November 2021 / Accepted: 6 December 2021 / Published: 8 December 2021
This five-year cross-sectional study mapped the prevalence of several known risk factors for adverse perinatal outcomes in asylum-seeking women in The Netherlands. Characteristics of 2831 registered childbirths among residents of asylum seekers centers (ASCs) in The Netherlands from 2016 to 2020 were included. Results showed a high general and teenage birthrate (2.15 and 6.77 times higher compared to the Dutch, respectively). Most mothers were pregnant upon arrival, and the number of births was highest in the second month of stay in ASCs. Another peak in births between 9 and 12 months after arrival suggested that many women became pregnant shortly after arrival in The Netherlands. Furthermore, 69.5 percent of all asylum-seeking women were relocated between ASCs at least once during pregnancy, which compromises continuity of care. The high prevalence of these risk factors in our study population might explain the increased rate of adverse pregnancy outcomes in asylum seekers compared to native women found in earlier studies. Incorporating migration-related indicators in perinatal health registration is key to support future interventions, policies, and research. Ultimately, our findings call for tailored and timely reproductive and perinatal healthcare for refugee women who simultaneously face the challenges of resettlement and pregnancy. View Full-Text
Keywords: asylum seekers; pregnancy; risk factors; refugees; perinatal health; health inequities; teenage birthrate; length of stay; relocations asylum seekers; pregnancy; risk factors; refugees; perinatal health; health inequities; teenage birthrate; length of stay; relocations
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MDPI and ACS Style

Tankink, J.B.; Verschuuren, A.E.H.; Postma, I.R.; van der Lans, P.J.A.; de Graaf, J.P.; Stekelenburg, J.; Mesman, A.W. Childbirths and the Prevalence of Potential Risk Factors for Adverse Perinatal Outcomes among Asylum Seekers in The Netherlands: A Five-Year Cross-Sectional Study. Int. J. Environ. Res. Public Health 2021, 18, 12933. https://doi.org/10.3390/ijerph182412933

AMA Style

Tankink JB, Verschuuren AEH, Postma IR, van der Lans PJA, de Graaf JP, Stekelenburg J, Mesman AW. Childbirths and the Prevalence of Potential Risk Factors for Adverse Perinatal Outcomes among Asylum Seekers in The Netherlands: A Five-Year Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2021; 18(24):12933. https://doi.org/10.3390/ijerph182412933

Chicago/Turabian Style

Tankink, Julia B., Anouk E.H. Verschuuren, Ineke R. Postma, Peggy J.A. van der Lans, Johanna P. de Graaf, Jelle Stekelenburg, and Annelies W. Mesman. 2021. "Childbirths and the Prevalence of Potential Risk Factors for Adverse Perinatal Outcomes among Asylum Seekers in The Netherlands: A Five-Year Cross-Sectional Study" International Journal of Environmental Research and Public Health 18, no. 24: 12933. https://doi.org/10.3390/ijerph182412933

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