Severe acute maternal morbidity in asylum seekers: A two-year nationwide cohort study in the Netherlands

Acta Obstetricia et Gynecologica Scandinavica

Volumn 90, Issue 9, 2011, Pages 1010-1016

  Van Hanegem, Nehalennia ^a   Miltenburg, Andrea Solnes ^b   Zwart, Joost J ^c   Bloemenkamp, Kitty W M ^c   Van Roosmalen, Jos ^b,c  

^a ACADEMIC MEDICAL CENTER   (Netherlands)

^b VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^c LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

asylum seeker; immigrant; Maternal morbidity; pregnancy; risk factor

Indexed keywords

ADULT; ARTICLE; ASYLUM SEEKER; CESAREAN SECTION; COHORT ANALYSIS; COMPARATIVE STUDY; CONTROLLED STUDY; DISEASE SEVERITY; ECLAMPSIA; ETHNIC GROUP; FEMALE; HELLP SYNDROME; HOUSEHOLD; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENT; IMMIGRANT; INCIDENCE; INTENSIVE CARE UNIT; LANGUAGE; LATE GESTATIONAL BOOKING; MAJOR CLINICAL STUDY; MATERNAL MORBIDITY; MATERNITY WARD; MENTAL HEALTH; MULTIPARA; NETHERLANDS; OBSTETRIC HEMORRHAGE; OUTCOME ASSESSMENT; PHYSICAL ACTIVITY; PREGNANT WOMAN; PRENATAL CARE; PRIORITY JOURNAL; PROSPECTIVE STUDY; REFUGEE; RISK ASSESSMENT; RISK FACTOR; SEVERE ACUTE MATERNAL MORBIDITY; SOCIAL STATUS; UNEMPLOYMENT; UTERUS RUPTURE; WOMEN'S HEALTH;

COHORT STUDIES; FEMALE; HUMANS; INCIDENCE; NETHERLANDS; PREGNANCY; PREGNANCY COMPLICATIONS; PROSPECTIVE STUDIES; REFUGEES; RISK FACTORS; SOCIAL CLASS;

EID: 80051896367     PISSN: 00016349     EISSN: 16000412     Source Type: Journal    
DOI: 10.1111/j.1600-0412.2011.01140.x     Document Type: Article

References (25)

1. Diallo K, (ed). Statistical yearbook: trends in displacement, protection and solutions. Geneva: United Nations High Commissioner for Refugees, 2005. Available online at: (accessed December 8, 2009).
2. Central Agency for the Reception of Asylum Seekers, Annual report. Den Haag, 2004. Available online at: (accessed December 8, 2009).
3. Central Agency for the Reception of Asylum Seekers, Annual report. Den Haag, 2005. Available online at: (accessed December 8, 2009).
4. Central Agency for the Reception of Asylum Seekers, Annual report. Den Haag, 2006. Available online at: (accessed December 8, 2009).
5. Vd Heijden PGM, Cruijff M, Hessen D,. Een schatting van het aantal in Nederland verblijvende illegale vreemdelingen in 2005. [An estimate of the number of illegal aliens residing in the Netherlands in 2005] (in Dutch). Utrecht: Ministry of Justice, 2006. Available online at: (accessed December 8, 2009).
6. Vink M, van Wijk R,. Asielzoeker is geen gewone patient. [Asylum seeker is not an ordinary patient] (in Dutch). Medisch Contact. 2009; 64: 209-11.
7. Janssens K, Bosmans M, Temmerman M,. Sexual and reproductive health and rights of refugee women in Europe. Rights, policies, status and needs (literature review). Ghent: Academia Press, 2005. Available online at: (accessed December 8, 2009).
8. Bollini P, Pampallona S, Wanner P, Kupelnick B,. Pregnancy outcome of migrant women and integration policy: a systematic review of the international literature. Soc Sci Med. 2009; 68: 452-61.
9. Zwart J, Richters J, Öry F, de Vries J, Bloemenkamp K, van Roosmalen J,. Severe maternal morbidity during pregnancy, delivery and puerperium in the Netherlands: a nation wide population based study of 371 000 pregnancies. BJOG. 2008; 115: 842-50. (Pubitemid 351692992)
10. Carolan M,. Pregnancy health status of sub-Saharan refugee women who have resettled in developed countries: a review of the literature. Midwifery. 2010; 26: 407-14.
11. Lalchandani S, Sheil O, MacQuillan K,. Obstetric profiles and pregnancy outcomes of immigrant women with refugee status. Ir Med J. 2001; 94: 79-80. (Pubitemid 32409835)
12. Haelterman E, Qvist R, Barlow P, Alexander S,. Social deprivation and poor access to care as risk factors for severe pre-eclampsia. Eur J Obstet Gynecol Reprod Biol. 2003; 11: 25-32. (Pubitemid 37235949)
13. Statistics Netherlands (CBS). Statline, Central Bureau of Statistics, 2007. Available online at: (accessed October 2, 2007).
14. Policy analysis reports Dutch Immigration and Naturalisation Service: 2006, 2007, 2008, 2009. Available online at: (accessed September 7, 2010).
15. the Netherlands Perinatal Registry. Perinatal Care in the Netherlands 2005. Bilthoven, the Netherlands, 2005. Available online at: (accessed September 7, 2010).
16. Satpathy HK, Fleming A, Frey D, Barsoom M, Satpathy C, Khandalavala J,. Maternal obesity and pregnancy. Postgrad Med. 2008; 120: E01-9.
17. Yoong W, Wagley A, Fong C, Chukwuma M, Nauta M,. Obstetric performance of ethnic Kosovo Albanian asylum seekers in London: a case-control study. J Obstet Gynaecol. 2004; 24: 510-2. (Pubitemid 39233724)
18. Goosen S, Uitenbroek D, Wijsen C, Stronks K,. Induced abortions and teenage births among asylum seekers in the Netherlands: analysis of national surveillance data. J Epidemiol Community Health. 2009; 63: 528-33.
19. Fedeli U, Alba N, Lisiero M, Zambon F, Avossa F, Spolaore P,. Obstetric hospitalizations among Italian women, regular and irregular immigrants in North-Eastern Italy. Acta Obstet Gynecol Scand. 2010; 89: 1432-7.
20. Toscani L, DeRoo L, Eytan A, Gex-Fabry M, Avramovski V, Loutan L, et al,. Health status of returnees to Kosovo: do living conditions during asylum make a difference? Public Health. 2007; 121: 34-44. (Pubitemid 46049459)
21. Ronsmans C, Holtz S, Stanton C,. Socioeconomic differentials in cesarean rates in developing countries: a retrospective analysis. Lancet. 2006; 368: 1516-23. (Pubitemid 44634695)
22. Alderliesten M, Vrijkotte T, Van Der Wal M, Bonsel G,. Late start of antenatal care among ethnic minorities in a large cohort of pregnant women. BJOG. 2007; 114: 1232-9. (Pubitemid 47414957)
23. van Roosmalen J, Schuitemaker N, Brand R, van Dongen P, Bennebroek Gravenhorst J,. Substandard care in immigrant versus indigenous maternal deaths in the Netherlands. BJOG. 2002; 109: 212-13. (Pubitemid 37338047)
24. Lewis G,. The Confidential Enquiry into Maternal and Child Health (CEMACH). Saving Mothers' Lives: reviewing maternal deaths to make motherhood safer, 2003-2005. London: The Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom, 2007. Available online at: (accessed December 8, 2009).
25. Philibert M, Deneux-Tharaux C, Bouvier-Colle MH,. Can excess maternal mortality among women of foreign nationality be explained by suboptimal obstetric care? BJOG. 2008; 115: 1411-18.