{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T00:34:33Z","timestamp":1792888473885,"version":"4.5.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T00:00:00Z","timestamp":1611360000000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Pregnancy is a time of increased vulnerability for women. Women of refugee background may be further challenged in pregnancy due to a complex series of physical, psychological and social factors. Previous studies show ambiguous results, with some showing increased the risk of prenatal complications in refugees compared with their native counterparts, whereas other studies report the opposite. With the current steep rise in the number of refugees and displaced persons worldwide, research is important to understand whether pregnancy disparities between this population and their native counterparts exist, and the causes. This systematic literature review aims to find out whether refugee women have a higher prevalence of adverse pregnancy outcomes and prenatal infections compared with native women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>We conducted a literature search in the databases PubMed and Embase, supplemented with screening of reference lists and citations for relevant literature. We included studies published in English reporting risk of preeclampsia, spontaneous abortion and stillbirths, preterm birth, preterm prelabor rupture of membranes (PPROM) and adverse prenatal infectious diseases in women of refugee status. PROSPERO registration CRD42020205628.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 19 articles eligible for inclusion: 12 were cross\u2010sectional, six were cohort studies and one was a case\u2010control study. The most frequently reported outcome in the literature was preterm birth (reported in 16 of the studies) and preeclampsia (reported in 11 of the studies). Refugees had increased risk of stillbirth (reported relative risk ranging from 1.20 to 2.24) and spontaneous abortion (reported relative risk ranging from 1.56 to 1.58), when compared with native women and a decreased risk of preeclampsia (reported relative risk ranging from 0.65 to 0.81).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The small number of articles eligible for inclusion in the review highlights the lack of research and knowledge on refugee health during pregnancy. Further research is required to understand and reduce disparities in pregnancy outcomes between refugee and non\u2010refugee women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14070","type":"journal-article","created":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T08:31:39Z","timestamp":1609230699000},"page":"649-657","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Pregnancy complications among refugee women: A systematic review"],"prefix":"10.1111","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4287-721X","authenticated-orcid":false,"given":"Hawa\u2010Idil","family":"Harakow","sequence":"first","affiliation":[{"name":"Department of Public Health Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8006-6194","authenticated-orcid":false,"given":"Lone","family":"Hvidman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Department of Clinical Medicine Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2534-2942","authenticated-orcid":false,"given":"Christian","family":"Wejse","sequence":"additional","affiliation":[{"name":"Department of Public Health Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5487-8359","authenticated-orcid":false,"given":"Andreas H.","family":"Eiset","sequence":"additional","affiliation":[{"name":"Department of Public Health Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,23]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"WHO Regional Office for Europe.Regional situation analysis practices experiences lessons learned and ways forward.2018.https:\/\/www.who.int\/migrants\/publications\/EURO\u2010report.pdf?ua=1"},{"key":"e_1_2_9_3_1","unstructured":"United Nations.UNHCR Refugee Trends at a Glance.www.unhcr.org\/5c6fb2d04"},{"key":"e_1_2_9_4_1","unstructured":"World Health Organization (WHO) Regional Office for Europe.Improving the health care of pregnant refugee and migrant women and newborn children.2018:52.http:\/\/www.euro.who.int\/__data\/assets\/pdf_file\/0003\/388362\/tc\u2010mother\u2010eng.pdf?ua=1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/8783294"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1111\/tog.12224","article-title":"The obstetric care of asylum seekers and refugee women in the UK","volume":"17","author":"Asif S","year":"2015","journal-title":"Obstet Gynaecol"},{"key":"e_1_2_9_7_1","first-page":"1","article-title":"Perinatal health outcomes and care among asylum seekers and refugees: a systematic review of systematic reviews","volume":"16","author":"Coleman H","year":"2018","journal-title":"BMC Med"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.17.193664"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.06.027"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40985-017-0065-4"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.16-0999"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-3485.167092"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2009.06.005"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2034-4"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2053-1"},{"key":"e_1_2_9_16_1","first-page":"482","article-title":"Obstetric outcomes of Syrian refugees and Turkish citizens","volume":"22","author":"Kanmaz AG","year":"2019","journal-title":"Arch Iran Med"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1673427"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018979"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13440"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12088"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-016-4188-5"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckz120"},{"key":"e_1_2_9_23_1","first-page":"23","article-title":"Do Syrian refugees have increased risk for worser pregnancy outcomes? Results of a tertiary center in \u0130stanbul","volume":"15","author":"G\u00fcng\u00f6r ES","year":"2018","journal-title":"Turk Jinekoloji Obstet Dern Derg"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2013.06.001"},{"key":"e_1_2_9_25_1","first-page":"161","article-title":"Maternal risk factors in Afghan\u2010refugees compared to Pakistani mothers in Peshawar, NWFP Pakistan","volume":"61","author":"Badshah S","year":"2011","journal-title":"J Pak Med Assoc"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01942.x"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0886-z"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-015-1846-3"},{"key":"e_1_2_9_29_1","first-page":"371","article-title":"Perinatal outcome and financial impact of Eritrean and Sudanese refugees delivered in a tertiary hospital in Tel Aviv, Israel","volume":"16","author":"Michaan N","year":"2014","journal-title":"Isr Med Assoc J"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(15)30604-6"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2018.7314"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12382"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.5.595"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2019.7706"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-034412"},{"key":"e_1_2_9_36_1","first-page":"465","article-title":"The relationship between body mass index and preeclampsia: a systematic review and meta\u2010analysis","volume":"17","author":"Motedayen M","year":"2019","journal-title":"Int J Reprod Biomed"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2010.10.013"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12978"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2008.11.002"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(99)00161-4"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-37"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14070","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.14070","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T01:29:10Z","timestamp":1693618150000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,23]]},"references-count":40,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1111\/aogs.14070"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14070","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,23]]},"assertion":[{"value":"2020-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}