The Pregnancy Outcomes Among Newly Arrived Asylum-Seekers in Italy: Implications of Public Health

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ORIGINAL PAPER

The Pregnancy Outcomes Among Newly Arrived Asylum-Seekers in Italy: Implications of Public Health Lucia Fontanelli Sulekova1,2,3   · Martina Spaziante1,2,3 · Serena Vita1,2,3 · Paola Zuccalà3,4 · Valentina Mazzocato4 · Ornella Spagnolello1,5,6 · Maurizio Lopalco3 · Laura Elena Pacifici7 · Luca Bello8 · Cristian Borrazzo9 · Silvia Angeletti10 · Massimo Ciccozzi11 · Giancarlo Ceccarelli1,2,3,4,12 Accepted: 17 November 2020 © The Author(s) 2020

Abstract Background  Migration has a significant impact on overall health and pregnancy outcome. Despite the fact that growing volume of migration flows significantly engaging the public health system of European host countries, there is a lack of evidence concerning pregnancy outcomes of newly arrived asylum-seeking women. Methods  Data about pregnant asylum seekers hosted in the Italian Reception Centers between the 1 st June 2016 and the 1st June 2018 were retrospectively collected and analysed in the present study. We examined the following pregnancy outcomes: miscarriage, self-induced abortion, voluntary pregnancy termination, live-birth; and studied potentially related socio-demographic factors. Results  Out of the 110 pregnant women living in the reception centers, 44 (40%) had eutocic delivery, 8 (7.3%) dystocic delivery, 15 (13.6%) miscarriage, 17 (15.5%) self-induced abortion and 26 (23.6%) underwent voluntary pregnancy termination. Nigerian women were at a significantly higher risk of abortive outcomes for voluntary pregnancy termination (p