{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T03:07:09Z","timestamp":1792206429094,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T00:00:00Z","timestamp":1689206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare maternal and perinatal outcomes of migrant Venezuelan women with local pregnant patients in a Colombian institution in the context of a migratory crisis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This cross\u2010sectional study included 11\u2009304 deliveries from the Cl\u00ednica de Maternidad Rafael Calvo in Cartagena de Indias, Colombia, a tertiary referral center on the north coast of Colombia. Data on maternal demographics and perinatal outcomes were obtained by chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 595 patients were identified as Venezuelan migrants, and their perinatal outcomes were compared against those of 10\u2009709 local pregnant patients. Despite similar baseline maternal conditions in both groups, poorer prenatal follow\u2010up care (3 [1\u20135] vs. 5 [4\u20137] visits;<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and severe complications were more common in Venezuelan migrant pregnant patients and their children. In addition, maternal hypertension was significantly more common in migrants (11.4% [68\/595] vs. 8.3% [887\/10709];<jats:italic>P<\/jats:italic>\u2009=\u20090.009). Furthermore, in the group of pregnant migrant patients, the rates of severe maternal morbidity (13.4% [80\/575] vs. 9.45%, [1013\/10709];<jats:italic>P<\/jats:italic>\u2009=\u20090.002), neonatal respiratory distress syndrome (22\/595 [3.7%] vs. 237\/10709 [2.23%];<jats:italic>P<\/jats:italic>\u2009=\u20090.03), and perinatal mortality (11\/586 [1.88%] vs. 67\/10651 [0.63%];<jats:italic>P<\/jats:italic>\u2009=\u20090.003) were significantly higher than in the local pregnant population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Forced migration during pregnancy may be associated with poorer prenatal care, which may predispose women and their newborns to more frequent adverse maternal and perinatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14991","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T09:15:29Z","timestamp":1689239729000},"page":"416-422","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Maternal and perinatal health among pregnant patients in the context of a migratory crisis"],"prefix":"10.1002","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4198-6534","authenticated-orcid":false,"given":"Jezid","family":"Miranda","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Grupo de Investigaci\u00f3n en Cuidado Intensivo y Obstetricia (GRICIO) Universidad de Cartagena Cartagena Colombia"},{"name":"Department of Obstetrics and Gynecology Centro Hospitalario Serena del Mar, Cartagena de Indias y Fundaci\u00f3n Santa Fe de Bogot\u00e1 Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda F.","family":"Sanabria","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Grupo de Investigaci\u00f3n en Cuidado Intensivo y Obstetricia (GRICIO) Universidad de Cartagena Cartagena Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Annicchiarico","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Grupo de Investigaci\u00f3n en Cuidado Intensivo y Obstetricia (GRICIO) Universidad de Cartagena Cartagena Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikita","family":"Alfieri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, San Paolo Hospital Medical School Universita degli Studi di Milano Milan Lombardia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena Sanz","family":"Cortes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Fetal Therapy and Surgery Baylor College of Medicine and Texas Children's Hospital Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,13]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"United Nations High Commissioner for Refugees.UNHCR Mid\u2010Year Trends 2020 [UNHCR website].2020. 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