Korean J Perinatol.  2013 Sep;24(3):168-179. 10.14734/kjp.2013.24.3.168.

Factors Influencing on Perinatal Outcomes of Asian Marriage Immigrant Women: Ten-year Experience in a Single Center

• Lee HY
• Park GC
• Kim MK
• Lee OK

• KMID: 2280940
• DOI: http://doi.org/10.14734/kjp.2013.24.3.168

Abstract

PURPOSE
We aimed to analyze the maternal and perinatal factors associated with perinatal outcomes by examining families comprised of Korean fathers, Asian immigrant mothers, and their newborns.
METHODS
Medical records of newborn infants admitted to Jeonju Jesus Hospital nursery or ne-onatal intensive care unit (NICU) from January 2004 to June 2013 and their Asian immigrant mothers were reviewed retrospectively. The newborns were divided into two groups depending on whether they were admitted NICU or not, and factors influencing on perinatal outcomes were compared between the two groups. The newborn were divided into the two groups, including those who did not receive inpatient care and those treated in the NICU. The differences between the two groups were analyzed.
RESULTS
The study included 180 newborns and 172 mothers, and 94 (52.3%) and 86 (47.7%) newborns were classified as the nursery group and the NICU group, respectively. There were no statistically significant differences between the two groups in terms of the mothers' nationality, maternal age, maternal education level, maternal occupation, residential area, maternal height and weight, maternal weight gain during pregnancy, maternal hepatitis B antigen positivity, maternal parity, paternal age, and age gap between spouses. However, underweight maternal prepregnancy body mass index (BMI) and hemoglobin level over 11.0 g/dL were significantly more frequent in the NICU group in the comparative analysis. The NICU group showed significantly more frequent no iron supplements during pregnancy (OR=4.06) and gestational disease (OR=3.81).
CONCLUSION
In cases where married immigrant mothers had underweight prepregnancy BMI, gestational disease, or no iron supplements during pregnancy, their newborns were more likely to have NICU care. Therefore, married immigrant women should have appropriate perinatal care including education about a balanced diet to maintain an appropriate body weight with ensuring an adequate iron supplements intake.

Keyword

Asian immigrant mothers; Maternal and perinatal factors; Newborn; Neonatal intensive care unit

MeSH Terms

Asian Continental Ancestry Group*
Body Mass Index
Body Weight
Diet
Education
Emigrants and Immigrants*
Ethnic Groups
Fathers
Female
Hepatitis B
Humans
Infant, Newborn
Inpatients
Intensive Care Units
Iron
Marriage*
Maternal Age
Medical Records
Mothers
Nurseries
Nurseries, Hospital
Occupations
Parity
Paternal Age
Perinatal Care
Pregnancy
Retrospective Studies
Spouses
Thinness
Weight Gain
Iron

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