{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T04:45:08Z","timestamp":1780634708331,"version":"3.54.1"},"reference-count":3,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T00:00:00Z","timestamp":1579132800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T00:00:00Z","timestamp":1579132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ital J Pediatr"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In Italy live about 8.7% immigrants, which contribute to more than 15% of all deliveries taking place in Italy. We aimed to investigate whether newborns from high migratory pressure countries (HMPC) mothers have a different macrosomia and post-term pregnancy incidence compared to Italian newborns.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this retrospective observational study, we analyzed data on 404.863 babies born between 2010 and 2017. Italian mothers delivered 309.658 (76.5%), HMPC mothers 88.179 (21.8%) and developed country (DC) mothers 7.026 (1.7%) babies. We analyzed the incidence of macrosomia and post term pregnancy.<\/jats:p>\n                <jats:p>We estimated incidence rate (IR), unadjusted incidence rate ratio (IRR) and 95% confidence intervals (CIs) to evaluate the association between these perinatal parameters and the mother\u2019s region of birth.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>HMPC compared to Italian newborns showed a significantly higher incidence of birthweight &gt;\u20094000\u2009g (53.3\u2030 vs 39.1\u2030, <jats:italic>p<\/jats:italic>-value &lt;\u20090.001; IRR 1.4, 95%CI\u2009=\u20091.36\u20131.45), birthweight \u22654500\u2009g. (7.0\u2030 vs 3.8\u2030, p-value &lt;\u20090.001; IRR 1.8, 95%CI\u2009=\u20091.67\u20132.0) and gestational age at birth &gt;\u200941\u2009weeks (19.9\u2030 vs 12.8\u2030, p-value &lt;\u20090.001; IRR 1.55, 95%CI\u2009=\u20091.47\u20131.64).<\/jats:p>\n                <jats:p>The macrosomia incidence between HPMC and Italian newborns was significantly increased at all gestational ages (Fig. 1), especially for mothers coming from Central Eastern Europe (121.79\u2030 vs 91.1\u2030, <jats:italic>p<\/jats:italic>-value&lt;\u20090.001; IRR 1.34, 95%CI\u2009=\u20091.11\u20131.62).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In Italy immigrant status represents a risk factor for macrosomia and post-term birth, which could be related to socio-economic status and unfavorable life conditions of immigrant mothers during pregnancy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13052-020-0771-2","type":"journal-article","created":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T18:02:39Z","timestamp":1579197759000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["High risk of macrosomia in newborns of immigrant mothers"],"prefix":"10.1186","volume":"46","author":[{"given":"Mario","family":"De Curtis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Villani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianna","family":"Polo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,1,16]]},"reference":[{"key":"771_CR1","unstructured":"ISTAT: Report stime per l\u2019anno 2018. Indicatori Demografici (accessed: 07\/2019) [https:\/\/www.istat.it\/it\/files\/\/2019\/02\/Report-Stime-indicatori-demografici.pdf]."},{"issue":"1","key":"771_CR2","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1186\/1471-2458-11-294","volume":"11","author":"L Cacciani","year":"2011","unstructured":"Cacciani L, Asole S, Polo A, Franco F, Lucchini R, De Curtis M, Di Lallo D, Guasticchi G. Perinatal outcomes among immigrant mothers over two periods in a region of Central Italy. BMC Public Health. 2011 Dec;11(1):294.","journal-title":"BMC Public Health"},{"issue":"7522","key":"771_CR3","doi-asserted-by":"publisher","first-page":"929","DOI":"10.1136\/bmj.38586.411273.E0","volume":"331","author":"J Baird","year":"2005","unstructured":"Baird J, Fisher D, Lucas P, Kleijnen J, Roberts H, Law C. Being big or growing fast: systematic review of size and growth in infancy and later obesity. BMJ. 2005 Oct 20;331(7522):929.","journal-title":"BMJ"}],"container-title":["Italian Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13052-020-0771-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13052-020-0771-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13052-020-0771-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:24:48Z","timestamp":1610670288000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijponline.biomedcentral.com\/articles\/10.1186\/s13052-020-0771-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,16]]},"references-count":3,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["771"],"URL":"https:\/\/doi.org\/10.1186\/s13052-020-0771-2","relation":{},"ISSN":["1824-7288"],"issn-type":[{"value":"1824-7288","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,16]]},"assertion":[{"value":"11 December 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 January 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"8"}}