{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T21:46:50Z","timestamp":1792532810636,"version":"4.5.0"},"reference-count":37,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"unspecified","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,11,18]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the sociodemographic characteristics of mothers of Haitian origin and the obstetric and neonatal outcomes of their newborns born in French Guiana between 2013 and 2021 in order to identify specific vulnerabilities within this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive, population-based study using data from a comprehensive birth cohort including all deliveries in French Guiana from 2013 to 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>All maternity units in French Guiana, a French overseas territory located in South America.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 66\u2009485 live births were recorded during the study period, including 14\u2009065 (21.2%) births to mothers of Haitian origin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Sociodemographic characteristics, antenatal care indicators and neonatal outcomes were compared between mothers of Haitian origin and mothers of other origins. Adjusted odds ratios (aOR) and 95%\u2009CI were calculated for key outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with mothers of other origins, Haitian mothers had higher odds of delivering a newborn small for gestational age (aOR=1.41, 95%\u2009CI 1.32 to 1.50), neonatal hospitalisation at birth (aOR=1.19, 95%\u2009CI 1.11 to 1.28), having an insufficient number of antenatal visits (aOR=1.32, 95%\u2009CI 1.26 to 1.38) and lacking health insurance coverage (aOR=2.83, 95%\u2009CI 2.52 to 3.17). Conversely, they had a lower risk of adolescent pregnancy (&lt;20 years; aOR=0.24, 95%\u2009CI 0.21 to 0.26). The risk of preterm birth did not differ significantly between groups (p=0.24).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mothers of Haitian origin in French Guiana experience distinct social and perinatal vulnerabilities. Strengthening equitable access to healthcare and implementing targeted community-based interventions are essential to improve maternal and neonatal health outcomes in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-098713","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T15:05:20Z","timestamp":1769007920000},"page":"e098713","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Perinatal challenges for mothers of Haitian origin and their newborns in French Guiana: a historical cohort from 2013 to 2021"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1124-5558","authenticated-orcid":false,"given":"Juliette","family":"Laumonnier","sequence":"first","affiliation":[{"name":"Service de p\u00e9diatrie, CHU Guyane, Cayenne, French Guiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2006-6851","authenticated-orcid":false,"given":"Leslie","family":"Alcouffe","sequence":"additional","affiliation":[{"name":"UA17 INSERM Sant\u00e9 des populations en Amazonie - CIC 1424 Guyane, CHU Guyane, Cayenne, French Guiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7oise","family":"Vendittelli","sequence":"additional","affiliation":[{"name":"Clermont Auvergne INP, Clermont-Ferrand Hospital, CNRS, Institut Pascal, Universit\u00e9 Clermont Auvergne, Clermont-Ferrand, France"},{"name":"AUDIPOG (Association des Utilisateurs de Dossiers Informatis\u00e9s en P\u00e9diatrie, Obst\u00e9trique et Gyn\u00e9cologie), Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Covis","sequence":"additional","affiliation":[{"name":"Collectivit\u00e9 Territoriale de Guyane, Cayenne, French Guiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phanie","family":"Bernard","sequence":"additional","affiliation":[{"name":"R\u00e9seau P\u00e9rinat Guyane, Cayenne, French Guiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9397-3204","authenticated-orcid":false,"given":"Mathieu","family":"Nacher","sequence":"additional","affiliation":[{"name":"UA17 INSERM Sant\u00e9 des populations en Amazonie - CIC 1424 Guyane, CHU Guyane, Cayenne, French Guiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0624-4180","authenticated-orcid":false,"given":"Narcisse","family":"Elenga","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie, CHU Guyane, Cayenne, French Guiana"},{"name":"UA17 INSERM Sant\u00e9 des populations en Amazonie - CIC 1424 Guyane, CHU Guyane, Cayenne, French Guiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4715-1845","authenticated-orcid":false,"given":"Lindsay","family":"Osei","sequence":"additional","affiliation":[{"name":"Service de p\u00e9diatrie, CHU Guyane, Cayenne, French Guiana"},{"name":"UA17 INSERM Sant\u00e9 des populations en Amazonie - CIC 1424 Guyane, CHU Guyane, Cayenne, French Guiana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"2026062609053646000_16.1.e098713.1","unstructured":"La diversit\u00e9 linguistique marque chaque pan de la culture en Guyane - Insee Analyses Guyane \u2013 54. n.d. 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