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
