Neonatal complications of newborns children born of immigrant mothers in comparison with local mothers: A view of a growing immigration to Ecuador
DOI:
https://doi.org/10.33448/rsd-v10i2.12644Keywords:
Newborns; Immigrant mothers; Neonatal complications; Ecuador.Abstract
Background: In the last years, there has been a great migratory flow to Ecuador. Purpose: To determine if there are differences in the morbidity of children born of immigrant mothers or local mothers. Methods: epidemiological, observational, cross-sectional study, with two cohorts of patients, newborns from immigrant mothers, and local mothers. 220 individuals were analyzed. Results: 90.45% of the mothers were between 18 and 35 years old; 49.09% had a free-union marital status, 32.27% were single, 18.18% married, and 0.45 divorced, homemakers in the 75.91%, with temporarily leased housing, 89.09% live with close relatives. In 54.55%, the income was between 61 to 400 USD, 66.36% eat three meals in a day, and 70.46% of mothers had five or more prenatal controls. In 71.90% of cases, it performed prenatal controls in the facilities of the Ministry of Health in Ecuador, and it made 18.10% in their country of origin, Colombia, or Venezuela. The most common maternal risk factor was UTIs in 60.57% of mothers, followed by preeclampsia and syphilis. Conclusion: Children born from immigrant mothers have a higher number of neonatal complications. Most immigrant mothers arrive in conditions of poverty and get occasional and temporary jobs that allow them to earn an income of between 30 to 400 USD per month. This low income has a direct effect on the nutritional status of the mother and the fetus. Additionally, these mothers have a lower number of prenatal controls, of low quality, and more connate infections. The circle of immigrant poverty has direct health complications.
References
Abbas S. (2019). Migrations internationales, un phénomène en constante évolution. Revue de l'infirmiere, 68(251), 16–19. https://doi.org/10.1016/j.revinf.2019.03.026
Abubakar, I., Aldridge, R. W., Devakumar, D., Orcutt, M., Burns, R., Barreto, M. L., Dhavan, P., Fouad, F. M., Groce, N., Guo, Y., Hargreaves, S., Knipper, M., Miranda, J. J., Madise, N., Kumar, B., Mosca, D., McGovern, T., Rubenstein, L., Sammonds, P., Sawyer, S. M., … UCL–Lancet Commission on Migration and Health (2018). The UCL-Lancet Commission on Migration and Health: the health of a world on the move. Lancet (London, England), 392(10164), 2606–2654. https://doi.org/10.1016/S0140-6736(18)32114-7
D'Souza, L., Jayaweera, H., & Pickett, K. E. (2016). Pregnancy diets, migration, and birth outcomes. Health care for women international, 37(9), 964–978. https://doi.org/10.1080/07399332.2015.1102268
Fellmeth, G., Fazel, M., & Plugge, E. (2017). Migration and perinatal mental health in women from low- and middle-income countries: a systematic review and meta-analysis. BJOG : an international journal of obstetrics and gynaecology, 124(5), 742–752. https://doi.org/10.1111/1471-0528.14184
Fernández-Niño, J. A., & Navarro-Lechuga, E. (2018). Human migration and health: an emerging field of research in Colombia. Migración humana y salud: un campo emergente de investigación en Colombia. Revista de Salud Publica (Bogota, Colombia), 20(4), 404–405. https://doi.org/10.15446/rsap.V20n4.74970
Hedegaard, S. S., Wisborg, K., & Hvas, A. M. (2015). Diagnostic utility of biomarkers for neonatal sepsis--a systematic review. Infectious diseases (London, England), 47(3), 117–124. https://doi.org/10.3109/00365548.2014.971053
Jaramillo-Ochoa, R., Sippy, R., Farrell, D. F., Cueva-Aponte, C., Beltrán-Ayala, E., Gonzaga, J. L., Ordoñez-León, T., Quintana, F. A., Ryan, S. J., & Stewart-Ibarra, A. M. (2019). Effects of Political Instability in Venezuela on Malaria Resurgence at Ecuador-Peru Border, 2018. Emerging infectious diseases, 25(4), 834–836. https://doi.org/10.3201/eid2504.181355
Lassi, Z. S., & Bhutta, Z. A. (2015). Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes. The Cochrane database of systematic reviews, (3), CD007754. https://doi.org/10.1002/14651858.CD007754.pub3
Palmer, R., Layte, R., & Kearney, J. (2019). The maternal health behaviours of non-Irish nationals during pregnancy and the effect of time living in Ireland. Public health, 170, 95–102. https://doi.org/10.1016/j.puhe.2019.02.023
Rebolledo-Ponietsky, K., Munayco, C. V., & Mezones-Holguín, E. (2019). Migration crisis in Venezuela: impact on HIV in Peru. Journal of travel medicine, 26(2), tay155. https://doi.org/10.1093/jtm/tay155
Rodríguez-Morales, A. J., Suárez, J. A., Risquez, A., Delgado-Noguera, L., & Paniz-Mondolfi, A. (2019). The current syndemic in Venezuela: Measles, malaria and more co-infections coupled with a breakdown of social and healthcare infrastructure. Quo vadis?. Travel medicine and infectious disease, 27, 5–8. https://doi.org/10.1016/j.tmaid.2018.10.010
Torres, J. R., & Castro, J. S. (2019). Venezuela's migration crisis: a growing health threat to the region requiring immediate attention. Journal of travel medicine, 26(2), tay141. https://doi.org/10.1093/jtm/tay141
Tuite, A. R., Thomas-Bachli, A., Acosta, H., Bhatia, D., Huber, C., Petrasek, K., Watts, A., Yong, J., Bogoch, I. I., & Khan, K. (2018). Infectious disease implications of large-scale migration of Venezuelan nationals. Journal of travel medicine, 25(1), tay077. https://doi.org/10.1093/jtm/tay077
Wickramage, K., Vearey, J., Zwi, A. B., Robinson, C., & Knipper, M. (2018). Migration and health: a global public health research priority. BMC public health, 18(1), 987. https://doi.org/10.1186/s12889-018-5932-5
Wild, V., & Dawson, A. (2018). Migration: a core public health ethics issue. Public health, 158, 66–70. https://doi.org/10.1016/j.puhe.2018.02.023
Williams, J. E., & Pugh, Y. (2018). The Late Preterm: A Population at Risk. Critical care nursing clinics of North America, 30(4), 431–443. https://doi.org/10.1016/j.cnc.2018.07.001
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