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首页> 外文期刊>International Journal of Environmental Research and Public Health >Perinatal Outcomes of Uninsured Immigrant, Refugee and Migrant Mothers and Newborns Living in Toronto, Canada
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Perinatal Outcomes of Uninsured Immigrant, Refugee and Migrant Mothers and Newborns Living in Toronto, Canada

机译：居住在加拿大多伦多的无保险移民，难民和移民母亲及新生儿的围产期结果

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摘要

Canadian healthcare insurance is not universal for all newcomer populations. New immigrant, refugee claimant, and migrant women face various barriers to healthcare due to the lack of public health insurance coverage. This retrospective study explored the relationships between insurance status and various perinatal outcomes. Researchers examined and compared perinatal outcomes for 453 uninsured and provincially insured women who delivered at two general hospitals in the Greater Toronto Area between 2007 and 2010. Data on key perinatal health indicators were collected via chart review of hospital medical records. Comparisons were made with regional statistics and professional guidelines where available. Four-in-five uninsured pregnant women received less-than-adequate prenatal care. More than half of them received clearly inadequate prenatal care, and 6.5% received no prenatal care at all. Insurance status was also related to the type of health care provider, reason for caesarean section, neonatal resuscitation rates, and maternal length of hospital stay. Uninsured mothers experienced a higher percentage of caesarian sections due to abnormal fetal heart rates and required more neonatal resuscitations. No significant difference was found for low birth weight, preterm birth, NCIU admissions, postpartum hemorrhage, breast feeding, or intrapartum care provided.
机译：加拿大医疗保险并非对所有新移民都有普遍性。由于缺乏公共健康保险，新移民，难民申请人和移民妇女面临各种医疗保健障碍。这项回顾性研究探讨了保险状况与各种围产期结局之间的关系。研究人员检查并比较了2007年至2010年间在大多伦多地区的两家综合医院分娩的453名无保险和有省保险的妇女的围产期结局。通过对医院医疗记录的图表审查收集了围产期关键健康指标的数据。与区域统计数据和专业指南（如果有）进行了比较。五分之四的未投保孕妇的产前护理不足。超过一半的人显然没有得到足够的产前检查，而6.5％的人根本没有得到任何产前检查。保险状况还与医疗保健提供者的类型，剖腹产的原因，新生儿复苏率以及孕妇住院时间有关。由于胎儿心率异常，没有保险的母亲剖腹产的比例更高，需要更多的新生儿复苏措施。对于低出生体重，早产，NCIU入院，产后出血，母乳喂养或提供的产期护理，没有发现显着差异。

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