Maternal and perinatal outcomes of asylum seekers and undocumented migrants in Europe: a systematic review

Noor C. Gieles, Julia B. Tankink, Myrthe van Midde, Johannes Düker, Peggy van der Lans, Catherina M. Wessels, Kitty W.M. Bloemenkamp, Gouke Bonsel, Thomas van den Akker, Simone Goosen, Marcus J. Rijken, Joyce L. Browne

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: Asylum seekers (AS) and undocumented migrants (UM) are at risk of adverse pregnancy outcomes due to adverse health determinants and compromised maternal healthcare access and service quality. Considering recent migratory patterns and the absence of a robust overview, a systematic review was conducted on maternal and perinatal outcomes in AS and UM in Europe. METHODS: Systematic literature searches were performed in MEDLINE and EMBASE (until 1 May 2017), complemented by a grey literature search (until 1 June 2017). Primary research articles reporting on any maternal or perinatal outcome, published between 2007 and 2017 in English/Dutch were eligible for inclusion. Review protocols were registered on Prospero: CRD42017062375 and CRD42017062477. Due to heterogeneity in study populations and outcomes, results were synthesized narratively. RESULTS: Of 4652 peer-reviewed articles and 145 grey literature sources screened, 11 were included from 4 European countries. Several studies reported adverse outcomes including higher maternal mortality (AS), severe acute maternal morbidity (AS), preterm birth (UM) and low birthweight (UM). Risk of bias was generally acceptable, although the limited number and quality of some studies preclude definite conclusions. CONCLUSION: Limited evidence is available on pregnancy outcomes in AS and UM in Europe. The adverse outcomes reported imply that removing barriers to high-quality maternal care should be a priority. More research focussing on migrant subpopulations, considering potential risk factors such as ethnicity and legal status, is needed to guide policy and optimize care.

Original languageEnglish
Pages (from-to)714-723
Number of pages10
JournalEuropean journal of public health
Volume29
Issue number4
DOIs
Publication statusPublished - 1 Aug 2019
Externally publishedYes

Fingerprint

Refugees
Mothers
Literature
Pregnancy Outcome
Maternal Mortality
Quality of Health Care
Premature Birth
Jurisprudence
Research
MEDLINE
Outcome Assessment (Health Care)
Morbidity
Delivery of Health Care
Health
Population

Cite this

Gieles, N. C., Tankink, J. B., van Midde, M., Düker, J., van der Lans, P., Wessels, C. M., ... Browne, J. L. (2019). Maternal and perinatal outcomes of asylum seekers and undocumented migrants in Europe: a systematic review. European journal of public health, 29(4), 714-723. https://doi.org/10.1093/eurpub/ckz042
Gieles, Noor C. ; Tankink, Julia B. ; van Midde, Myrthe ; Düker, Johannes ; van der Lans, Peggy ; Wessels, Catherina M. ; Bloemenkamp, Kitty W.M. ; Bonsel, Gouke ; van den Akker, Thomas ; Goosen, Simone ; Rijken, Marcus J. ; Browne, Joyce L. / Maternal and perinatal outcomes of asylum seekers and undocumented migrants in Europe : a systematic review. In: European journal of public health. 2019 ; Vol. 29, No. 4. pp. 714-723.
@article{53f425df984b4d718b4da70ac544301e,
title = "Maternal and perinatal outcomes of asylum seekers and undocumented migrants in Europe: a systematic review",
abstract = "BACKGROUND: Asylum seekers (AS) and undocumented migrants (UM) are at risk of adverse pregnancy outcomes due to adverse health determinants and compromised maternal healthcare access and service quality. Considering recent migratory patterns and the absence of a robust overview, a systematic review was conducted on maternal and perinatal outcomes in AS and UM in Europe. METHODS: Systematic literature searches were performed in MEDLINE and EMBASE (until 1 May 2017), complemented by a grey literature search (until 1 June 2017). Primary research articles reporting on any maternal or perinatal outcome, published between 2007 and 2017 in English/Dutch were eligible for inclusion. Review protocols were registered on Prospero: CRD42017062375 and CRD42017062477. Due to heterogeneity in study populations and outcomes, results were synthesized narratively. RESULTS: Of 4652 peer-reviewed articles and 145 grey literature sources screened, 11 were included from 4 European countries. Several studies reported adverse outcomes including higher maternal mortality (AS), severe acute maternal morbidity (AS), preterm birth (UM) and low birthweight (UM). Risk of bias was generally acceptable, although the limited number and quality of some studies preclude definite conclusions. CONCLUSION: Limited evidence is available on pregnancy outcomes in AS and UM in Europe. The adverse outcomes reported imply that removing barriers to high-quality maternal care should be a priority. More research focussing on migrant subpopulations, considering potential risk factors such as ethnicity and legal status, is needed to guide policy and optimize care.",
author = "Gieles, {Noor C.} and Tankink, {Julia B.} and {van Midde}, Myrthe and Johannes D{\"u}ker and {van der Lans}, Peggy and Wessels, {Catherina M.} and Bloemenkamp, {Kitty W.M.} and Gouke Bonsel and {van den Akker}, Thomas and Simone Goosen and Rijken, {Marcus J.} and Browne, {Joyce L.}",
year = "2019",
month = "8",
day = "1",
doi = "10.1093/eurpub/ckz042",
language = "English",
volume = "29",
pages = "714--723",
journal = "European journal of public health",
issn = "1101-1262",
publisher = "Oxford University press",
number = "4",

}

Gieles, NC, Tankink, JB, van Midde, M, Düker, J, van der Lans, P, Wessels, CM, Bloemenkamp, KWM, Bonsel, G, van den Akker, T, Goosen, S, Rijken, MJ & Browne, JL 2019, 'Maternal and perinatal outcomes of asylum seekers and undocumented migrants in Europe: a systematic review' European journal of public health, vol. 29, no. 4, pp. 714-723. https://doi.org/10.1093/eurpub/ckz042

Maternal and perinatal outcomes of asylum seekers and undocumented migrants in Europe : a systematic review. / Gieles, Noor C.; Tankink, Julia B.; van Midde, Myrthe; Düker, Johannes; van der Lans, Peggy; Wessels, Catherina M.; Bloemenkamp, Kitty W.M.; Bonsel, Gouke; van den Akker, Thomas; Goosen, Simone; Rijken, Marcus J.; Browne, Joyce L.

In: European journal of public health, Vol. 29, No. 4, 01.08.2019, p. 714-723.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Maternal and perinatal outcomes of asylum seekers and undocumented migrants in Europe

T2 - a systematic review

AU - Gieles, Noor C.

AU - Tankink, Julia B.

AU - van Midde, Myrthe

AU - Düker, Johannes

AU - van der Lans, Peggy

AU - Wessels, Catherina M.

AU - Bloemenkamp, Kitty W.M.

AU - Bonsel, Gouke

AU - van den Akker, Thomas

AU - Goosen, Simone

AU - Rijken, Marcus J.

AU - Browne, Joyce L.

PY - 2019/8/1

Y1 - 2019/8/1

N2 - BACKGROUND: Asylum seekers (AS) and undocumented migrants (UM) are at risk of adverse pregnancy outcomes due to adverse health determinants and compromised maternal healthcare access and service quality. Considering recent migratory patterns and the absence of a robust overview, a systematic review was conducted on maternal and perinatal outcomes in AS and UM in Europe. METHODS: Systematic literature searches were performed in MEDLINE and EMBASE (until 1 May 2017), complemented by a grey literature search (until 1 June 2017). Primary research articles reporting on any maternal or perinatal outcome, published between 2007 and 2017 in English/Dutch were eligible for inclusion. Review protocols were registered on Prospero: CRD42017062375 and CRD42017062477. Due to heterogeneity in study populations and outcomes, results were synthesized narratively. RESULTS: Of 4652 peer-reviewed articles and 145 grey literature sources screened, 11 were included from 4 European countries. Several studies reported adverse outcomes including higher maternal mortality (AS), severe acute maternal morbidity (AS), preterm birth (UM) and low birthweight (UM). Risk of bias was generally acceptable, although the limited number and quality of some studies preclude definite conclusions. CONCLUSION: Limited evidence is available on pregnancy outcomes in AS and UM in Europe. The adverse outcomes reported imply that removing barriers to high-quality maternal care should be a priority. More research focussing on migrant subpopulations, considering potential risk factors such as ethnicity and legal status, is needed to guide policy and optimize care.

AB - BACKGROUND: Asylum seekers (AS) and undocumented migrants (UM) are at risk of adverse pregnancy outcomes due to adverse health determinants and compromised maternal healthcare access and service quality. Considering recent migratory patterns and the absence of a robust overview, a systematic review was conducted on maternal and perinatal outcomes in AS and UM in Europe. METHODS: Systematic literature searches were performed in MEDLINE and EMBASE (until 1 May 2017), complemented by a grey literature search (until 1 June 2017). Primary research articles reporting on any maternal or perinatal outcome, published between 2007 and 2017 in English/Dutch were eligible for inclusion. Review protocols were registered on Prospero: CRD42017062375 and CRD42017062477. Due to heterogeneity in study populations and outcomes, results were synthesized narratively. RESULTS: Of 4652 peer-reviewed articles and 145 grey literature sources screened, 11 were included from 4 European countries. Several studies reported adverse outcomes including higher maternal mortality (AS), severe acute maternal morbidity (AS), preterm birth (UM) and low birthweight (UM). Risk of bias was generally acceptable, although the limited number and quality of some studies preclude definite conclusions. CONCLUSION: Limited evidence is available on pregnancy outcomes in AS and UM in Europe. The adverse outcomes reported imply that removing barriers to high-quality maternal care should be a priority. More research focussing on migrant subpopulations, considering potential risk factors such as ethnicity and legal status, is needed to guide policy and optimize care.

UR - http://www.scopus.com/inward/record.url?scp=85070727108&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070727108&partnerID=8YFLogxK

U2 - 10.1093/eurpub/ckz042

DO - 10.1093/eurpub/ckz042

M3 - Article

VL - 29

SP - 714

EP - 723

JO - European journal of public health

JF - European journal of public health

SN - 1101-1262

IS - 4

ER -