scholarly journals Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes

Author(s):  
Embla Ýr Guðmundsdóttir ◽  
Helga Gottfreðsdóttir ◽  
Berglind Hálfdánsdóttir ◽  
Marianne Nieuwenhuijze ◽  
Mika Gissler ◽  
...  

2017 ◽  
Vol 105 (1) ◽  
pp. 86-95 ◽  
Author(s):  
E. Omling ◽  
A. Jarnheimer ◽  
J. Rose ◽  
J. Björk ◽  
J. G. Meara ◽  
...  




2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Gordana Dragovic ◽  
Colette J. Smith ◽  
Djordje Jevtovic ◽  
Bozana Dimitrijevic ◽  
Jovana Kusic ◽  
...  




Author(s):  
María Asunción Pérez-Jacoiste Asín ◽  
Otilia Bisbal ◽  
José Antonio Iribarren ◽  
Alfredo Pérez-Rivilla ◽  
Rafael Mican ◽  
...  


2015 ◽  
Vol 104 (8) ◽  
pp. e350-e359 ◽  
Author(s):  
Kylee Cox ◽  
Colin W. Binns ◽  
Roslyn Giglia


2020 ◽  
Author(s):  
Andrea Lo Vecchio ◽  
Maria Donata Cambriglia ◽  
Dario Bruzzese ◽  
Alfredo Guarino


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Na Zeng ◽  
Erica Erwin ◽  
Wendy Wen ◽  
Daniel J. Corsi ◽  
Shi Wu Wen ◽  
...  

Abstract Background Racial disparities in adverse perinatal outcomes have been studied in other countries, but little has been done for the Canadian population. In this study, we sought to examine the disparities in adverse perinatal outcomes between Asians and Caucasians in Ontario, Canada. Methods We conducted a population-based retrospective cohort study that included all Asian and Caucasian women who attended a prenatal screening and resulted in a singleton birth in an Ontario hospital (April 1st, 2015-March 31st, 2017). Generalized estimating equation models were used to estimate the independent adjusted relative risks and adjusted risk difference of adverse perinatal outcomes for Asians compared with Caucasians. Results Among 237,293 eligible women, 31% were Asian and 69% were Caucasian. Asians were at an increased risk of gestational diabetes mellitus, placental previa, early preterm birth (< 32 weeks), preterm birth, emergency cesarean section, 3rd and 4th degree perineal tears, low birth weight (< 2500 g, < 1500 g), small-for-gestational-age (<10th percentile, <3rd percentile), neonatal intensive care unit admission, and hyperbilirubinemia requiring treatment, but had lower risks of preeclampsia, macrosomia (birth weight > 4000 g), large-for-gestational-age neonates, 5-min Apgar score < 7, and arterial cord pH ≤7.1, as compared with Caucasians. No difference in risk of elective cesarean section was observed between Asians and Caucasians. Conclusion There are significant differences in several adverse perinatal outcomes between Asians and Caucasians. These differences should be taken into consideration for clinical practices due to the large Asian population in Canada.



2019 ◽  
Vol 4 (5) ◽  
pp. e001853 ◽  
Author(s):  
Bethany L Hedt-Gauthier ◽  
Herve Momo Jeufack ◽  
Nicholas H Neufeld ◽  
Atalay Alem ◽  
Sara Sauer ◽  
...  

BackgroundCollaborations are often a cornerstone of global health research. Power dynamics can shape if and how local researchers are included in manuscripts. This article investigates how international collaborations affect the representation of local authors, overall and in first and last author positions, in African health research.MethodsWe extracted papers on ‘health’ in sub-Saharan Africa indexed in PubMed and published between 2014 and 2016. The author’s affiliation was used to classify the individual as from the country of the paper’s focus, from another African country, from Europe, from the USA/Canada or from another locale. Authors classified as from the USA/Canada were further subclassified if the author was from a top US university. In primary analyses, individuals with multiple affiliations were presumed to be from a high-income country if they contained any affiliation from a high-income country. In sensitivity analyses, these individuals were presumed to be from an African country if they contained any affiliation an African country. Differences in paper characteristics and representation of local coauthors are compared by collaborative type using χ² tests.ResultsOf the 7100 articles identified, 68.3% included collaborators from the USA, Canada, Europe and/or another African country. 54.0% of all 43 429 authors and 52.9% of 7100 first authors were from the country of the paper’s focus. Representation dropped if any collaborators were from USA, Canada or Europe with the lowest representation for collaborators from top US universities—for these papers, 41.3% of all authors and 23.0% of first authors were from country of paper’s focus. Local representation was highest with collaborators from another African country. 13.5% of all papers had no local coauthors.DiscussionIndividuals, institutions and funders from high-income countries should challenge persistent power differentials in global health research. South-South collaborations can help African researchers expand technical expertise while maintaining presence on the resulting research.



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