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CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2025; 85(01): 56-68
DOI: 10.1055/a-2446-6504
GebFra Science
Original Article

Do the Antenatal Care and Perinatal Outcomes of Women with a Vietnamese Migration Background Differ from Those of Other Women?

A Retrospective Analysis Article in several languages: English | deutsch
Lisa Antonia Lorenz-Meyer
1   Klinik für Geburtsmedizin, Campus Mitte, Charité – Universitätsmedizin Berlin, Berlin, Germany (Ringgold ID: RIN14903)
,
Clara Sziborra
2   Klinik für Gynäkologie, Campus Virchow-Klinikum, Charité – Universitätsmedizin Berlin, Berlin, Germany (Ringgold ID: RIN14903)
,
Wolfgang Henrich
1   Klinik für Geburtsmedizin, Campus Mitte, Charité – Universitätsmedizin Berlin, Berlin, Germany (Ringgold ID: RIN14903)
,
Matthias David
2   Klinik für Gynäkologie, Campus Virchow-Klinikum, Charité – Universitätsmedizin Berlin, Berlin, Germany (Ringgold ID: RIN14903)
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Abstract

Introduction

In Germany, 0.25% of the total population are persons with a Vietnamese migration background. There are almost no studies on this particular group of immigrants. We compared the perinatal data of women with a Vietnamese migration background with the pregnancy outcomes of non-Vietnamese women also living in Germany.

Methods

After using name analysis to allocate women into different groups, the perinatal data of women with a Vietnamese migration background who gave birth between 1.1.2016 and 31.12.2019 in Campus Charité Mitte in Berlin were retrospectively evaluated. These data were compared in a 3:1 ratio with the data of women of non-Vietnamese origin and the same age and parity. Multivariate regression analysis was used to determine factors which influenced caesarean section rates, the transfer rates of neonates to the neonatal department, and the rates of higher degree perineal tears.

Results

The perinatal data of 470 women with a Vietnamese migration background, 209 (44.5%) of whom were registered as living in a refugee shelter, were compared with those of 1410 controls. An “ideal pregnancy outcome,” which included giving birth after 37 + 0 weeks of gestation, a 5-minute Apgar score ≥ 8, arterial cord blood pH ≥ 7.20, no transfer of the newborn to the neonatal department, and spontaneous birth or vacuum extraction without a higher degree perineal tear, was recorded for 44.5% of women with and 38.1% of women without a Vietnamese migration background (p = 0.1), despite the lower attendance rates at antenatal screening appointments of Vietnamese women. Accommodation in a shelter for refugees was a protective factor against caesarean section (OR 0.5, 95% CI: 0.36–0.73) and transfer of the newborn to the neonatal department (OR 0.45, 95% CI: 0.23–0.89). A Vietnamese migration background was a risk factor for a third-degree perineal tear (OR 5.4, 95% CI: 1.4–21.30)

Conclusion

Despite lower levels of antenatal care, women with a Vietnamese migration background did not have poorer pregnancy outcomes.

Keywords

migration - antenatal care - Vietnam - perinatal data - refugee

Supplementary Material



Publication History

Received: 06 August 2024

Accepted after revision: 19 October 2024

Article published online:
02 January 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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