Maternal Mortality Among Migrants in Western Europe: A Meta-Analysis

Grete Skøtt Pedersen; Anders Grøntved; Laust Hvas Mortensen; Anne-Marie Nybo Andersen; Janet Rich-Edwards

doi:10.1007/s10995-013-1403-x

Maternal Mortality Among Migrants in Western Europe: A Meta-Analysis

Grete Skøtt Pedersen, Anders Grøntved, Laust Hvas Mortensen, Anne-Marie Nybo Andersen, Janet Rich-Edwards

Section of Social Medicine

14 Citations (Scopus)

Abstract

To examine whether an excess risk of maternal mortality exists among migrant women in Western Europe. We searched electronic databases for studies published 1970 through 2013 for all observational studies comparing maternal mortality between the host country and a defined migrant population. Results were derived from a random-effects meta-analysis, and statistical heterogeneity assessed by the I (2) statistic. In sub-analyses we also calculated summary estimates stratified by direct and indirect death causes. We included 13 studies with more than 42 million women and 4,995 maternal deaths. Compared with indigenous born women, the pooled risk estimate (RR) was 2.00 with 95 % confidence interval (CI) of 1.72, 2.33. Migrant women had a non-significantly higher risk of dying from direct than indirect death causes; pooled RRs of 2.65 CI 1.88, 3.74 and 1.83 CI 1.37, 2.45. This meta-analysis provides evidence that migrant women in Western European countries have an excess risk of maternal mortality.

Original language	English
Journal	Maternal and Child Health Journal
ISSN	1092-7875
DOIs	https://doi.org/10.1007/s10995-013-1403-x
Publication status	Published - Sept 2014

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title = "Maternal Mortality Among Migrants in Western Europe: A Meta-Analysis",

abstract = "To examine whether an excess risk of maternal mortality exists among migrant women in Western Europe. We searched electronic databases for studies published 1970 through 2013 for all observational studies comparing maternal mortality between the host country and a defined migrant population. Results were derived from a random-effects meta-analysis, and statistical heterogeneity assessed by the I (2) statistic. In sub-analyses we also calculated summary estimates stratified by direct and indirect death causes. We included 13 studies with more than 42 million women and 4,995 maternal deaths. Compared with indigenous born women, the pooled risk estimate (RR) was 2.00 with 95 % confidence interval (CI) of 1.72, 2.33. Migrant women had a non-significantly higher risk of dying from direct than indirect death causes; pooled RRs of 2.65 CI 1.88, 3.74 and 1.83 CI 1.37, 2.45. This meta-analysis provides evidence that migrant women in Western European countries have an excess risk of maternal mortality.",

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TY - JOUR

T1 - Maternal Mortality Among Migrants in Western Europe

T2 - A Meta-Analysis

AU - Pedersen, Grete Skøtt

AU - Grøntved, Anders

AU - Mortensen, Laust Hvas

AU - Andersen, Anne-Marie Nybo

AU - Rich-Edwards, Janet

PY - 2014/9

Y1 - 2014/9

N2 - To examine whether an excess risk of maternal mortality exists among migrant women in Western Europe. We searched electronic databases for studies published 1970 through 2013 for all observational studies comparing maternal mortality between the host country and a defined migrant population. Results were derived from a random-effects meta-analysis, and statistical heterogeneity assessed by the I (2) statistic. In sub-analyses we also calculated summary estimates stratified by direct and indirect death causes. We included 13 studies with more than 42 million women and 4,995 maternal deaths. Compared with indigenous born women, the pooled risk estimate (RR) was 2.00 with 95 % confidence interval (CI) of 1.72, 2.33. Migrant women had a non-significantly higher risk of dying from direct than indirect death causes; pooled RRs of 2.65 CI 1.88, 3.74 and 1.83 CI 1.37, 2.45. This meta-analysis provides evidence that migrant women in Western European countries have an excess risk of maternal mortality.

AB - To examine whether an excess risk of maternal mortality exists among migrant women in Western Europe. We searched electronic databases for studies published 1970 through 2013 for all observational studies comparing maternal mortality between the host country and a defined migrant population. Results were derived from a random-effects meta-analysis, and statistical heterogeneity assessed by the I (2) statistic. In sub-analyses we also calculated summary estimates stratified by direct and indirect death causes. We included 13 studies with more than 42 million women and 4,995 maternal deaths. Compared with indigenous born women, the pooled risk estimate (RR) was 2.00 with 95 % confidence interval (CI) of 1.72, 2.33. Migrant women had a non-significantly higher risk of dying from direct than indirect death causes; pooled RRs of 2.65 CI 1.88, 3.74 and 1.83 CI 1.37, 2.45. This meta-analysis provides evidence that migrant women in Western European countries have an excess risk of maternal mortality.

U2 - 10.1007/s10995-013-1403-x

DO - 10.1007/s10995-013-1403-x

M3 - Journal article

C2 - 24337813

SN - 1092-7875

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

ER -

Maternal Mortality Among Migrants in Western Europe: A Meta-Analysis

Abstract

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