{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T16:58:17Z","timestamp":1789232297026,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,4,11]],"date-time":"2015-04-11T00:00:00Z","timestamp":1428710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2015,6]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The relationship between migration and pregnancy outcomes is complex, with little insight into whether women of refugee background have greater risks of adverse pregnancy outcomes than other migrant women. This study aimed to describe maternal health, pregnancy care, and pregnancy outcomes among migrant women from humanitarian and nonhumanitarian source countries.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Retrospective, observational study of singleton births, at a single maternity service in Australia 2002\u20132011, to migrant women born in humanitarian source countries (\n HSC<\/jats:styled-content>\n s,\n n<\/jats:italic>\n \u00a0=\u00a02,713) and non\u2010\n HSC<\/jats:styled-content>\n s (\n n<\/jats:italic>\n \u00a0=\u00a010,606). Multivariable regression analysis assessed associations between maternal\n HSC<\/jats:styled-content>\n \u2010birth and pregnancy outcomes.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Compared with women from non\u2010\n HSC<\/jats:styled-content>\n s, the following were more common in women from\n HSC<\/jats:styled-content>\n s: age <\u00a020\u00a0years (0.6 vs 2.9%\n p<\/jats:italic>\n \u00a0<\u00a00.001), multiparity (51 vs 76%\n p<\/jats:italic>\n \u00a0<\u00a00.001), body mass index (BMI) \u2265\u00a025 (38 vs 50%\n p<\/jats:italic>\n \u00a0<\u00a00.001), anemia (3.2 vs 5.9%\n p\u00a0<\/jats:italic>\n <\n \u00a0<\/jats:italic>\n 0.001), tuberculosis (0.1 vs 0.4%\n p\u00a0<\/jats:italic>\n =\n \u00a0<\/jats:italic>\n 0.001), and syphilis (0.4 vs 2.5%\n p\u00a0<\/jats:italic>\n <\n \u00a0<\/jats:italic>\n 0.001). Maternal\n HSC<\/jats:styled-content>\n \u2010birth was independently associated with poor or no pregnancy care attendance (\n OR<\/jats:styled-content>\n 2.5 [95% CI 1.8\u20133.6]), late first pregnancy care visit (\n OR<\/jats:styled-content>\n 1.3 [95% CI 1.1\u20131.5]), and postterm birth (>\u00a041\u00a0weeks gestation) (OR 2.5 [95% CI 1.9\u20133.4]). Stillbirth (0.8 vs 1.2%\n p<\/jats:italic>\n \u00a0=\u00a00.04, OR 1.5 [95% CI 1.0\u20132.4]) and unplanned birth before arrival at the hospital (0.6 vs 1.2%\n p<\/jats:italic>\n \u00a0<\u00a00.001, OR 1.3 [95% CI 0.8\u20132.1]) were more common in\n HSC<\/jats:styled-content>\n \u2010born women but not independently associated with maternal\n HSC<\/jats:styled-content>\n \u2010birth after adjusting for age, parity, BMI and relative socioeconomic disadvantage.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n These findings suggest areas where women from\n HSC<\/jats:styled-content>\n s may have additional needs in pregnancy compared with women from non\u2010\n HSC<\/jats:styled-content>\n s. Refugee\u2010focused strategies to support engagement in pregnancy care and address maternal health needs would be expected to improve health outcomes in resettlement countries.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/birt.12159","type":"journal-article","created":{"date-parts":[[2015,4,11]],"date-time":"2015-04-11T02:38:54Z","timestamp":1428719934000},"page":"116-124","source":"Crossref","is-referenced-by-count":51,"title":["Maternal Health and Pregnancy Outcomes Comparing Migrant Women Born in Humanitarian and Nonhumanitarian Source Countries: A Retrospective, Observational Study"],"prefix":"10.1111","volume":"42","author":[{"given":"Melanie E.","family":"Gibson\u2010Helm","sequence":"first","affiliation":[{"name":"Monash Centre for Health Research and Implementation School of Public Health and Preventive Medicine Monash University Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena J.","family":"Teede","sequence":"additional","affiliation":[{"name":"Monash Health Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I\u2010Hao","family":"Cheng","sequence":"additional","affiliation":[{"name":"Southern Academic Primary Care Research Unit School of Primary Health Care Monash University Dandenong Victoria Australia"},{"name":"South Eastern Melbourne Medicare Local Dandenong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew A.","family":"Block","sequence":"additional","affiliation":[{"name":"Dandenong Hospital Monash Health Dandenong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Knight","sequence":"additional","affiliation":[{"name":"Monash Women's Maternity Services Monash Health Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine E.","family":"East","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Monash University Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Euan M.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Monash University Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline A.","family":"Boyle","sequence":"additional","affiliation":[{"name":"Monash Centre for Health Research and Implementation Monash University Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,4,11]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"United Nations High Commissioner for Refugees.Global trends 2012. 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