Birth Tourism Is Associated with Fewer Neonatal Intensive Care Unit Admissions: A Healthy Migrant Effect?

Abstract:

OBJECTIVE: This work aimed to study perinatal, maternal, and neonatal characteristics of birth tourism (BT) mother-baby dyads and the rate of neonatal intensive care unit (NICU) admissions of BT infants. STUDY DESIGN: Retrospective study at a regional perinatal center comparing BT mother-baby dyads to all dyads. BT infants admitted to the NICU were compared with a randomly selected group of infants admitted to the NICU during the same time period. RESULTS: A total of 1,755 BT dyads were identified over 4 years. BT mothers were older (32 vs. 28 years, p < 0.0001), more likely to carry multiples (5.5 vs. 1.4%, p < 0.0001), deliver via cesarean section (40 vs. 34%, p < 0.0001), and require postpartum intensive care (0.6 vs. 0.1%, p < 0.0001). BT infants had significantly fewer NICU admissions 96 (5.5%) versus 3,213 (11.3%; p < 0.0001). There were no statistically significant differences in NICU course and outcome between BT and non-BT control infants. CONCLUSION: Birth tourism is associated with unique determinants of health. In our study, there were fewer NICU admissions, potentially explained by the healthy migrant effect. KEY POINTS:· Birthright citizenship attracts foreigners to give birth in the United States.. · BT is associated with unique social determinants of health.. · Fewer NICU admissions in our study are possibly explained by the healthy migrant effect..

journal_name

Am J Perinatol

authors

Lim J,Sun WD,Zhang L,Mikhael M

doi

10.1055/s-0040-1719117

subject

Has Abstract

pub_date

2020-11-09 00:00:00

eissn

0735-1631

issn

1098-8785

pub_type

杂志文章
  • Rapid marked response of severe hyperemesis gravidarum to oral erythromycin.

    abstract::A recent report has noted an association between Helicobacter pylori and hyperemesis gravidarum. We present two cases in which first-trimester patients with severe hyperemesis gravidarum requiring intravenous fluid replacement were placed on oral erythromycin therapy for other nonrelated conditions. Surprisingly, mark...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994055

    authors: El Younis CM,Abulafia O,Sherer DM

    更新日期:1998-01-01 00:00:00

  • Cervical Length as a Predictor of Preterm Delivery in an Unselected Cohort of Women with Twin Pregnancies.

    abstract:OBJECTIVE:To determine the risk of spontaneous preterm delivery (SPTD) associated with transvaginal cervical length (TVCL) in an unselected cohort. STUDY DESIGN:This is a retrospective study of serial TVCLs in unselected twin gestations. Receiver operator curves for SPTD were constructed from TVCLs at 18, 20, 22, and ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1676484

    authors: Brock CO,Moroz LA,Gyamfi-Bannerman C

    更新日期:2019-10-01 00:00:00

  • Immune system development in infants born to mothers with autoimmune disease, exposed in utero to immunosuppressive agents.

    abstract::Exposure to immunosuppressant agents during gestation can affect the fetal immune system. The aim of this study was to evaluate the immune function of infants whose mothers were administered immunosuppressants during pregnancy for the treatment of autoimmune disorders. Circulating lymphocyte subsets and in vitro immun...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-986679

    authors: Motta M,Ciardelli L,Marconi M,Tincani A,Gasparoni A,Lojacono A,Chirico G

    更新日期:2007-09-01 00:00:00

  • Staphylococcus aureus, including community-acquired methicillin-resistant S. aureus, in a level III NICU: 2001 to 2008.

    abstract:OBJECTIVE:To determine epidemiology and clinical characteristics of infants with methicillin-susceptible (MSSA) and -resistant Staphylococcus aureus (MRSA) in a level III neonatal intensive care unit (NICU). STUDY DESIGN:All NICU admissions (2001 to 2008) with any positive S. aureus culture were included as cases. Cas...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1304819

    authors: Rana D,Abughali N,Kumar D,Super DM,Jacobs MR,Kumar ML

    更新日期:2012-06-01 00:00:00

  • Glycosylated hemoglobin as a predictor of fetal pulmonic maturity in insulin-dependent diabetes at term.

    abstract::In insulin dependent diabetic (IDDM) gestations, fetal pulmonary maturity is delayed in the presence of suboptimal glycemic control. Serum glycosylated hemoglobin (HbA1c) provides a means of assessing glycemic control. We evaluated maternal HbA1c in IDDM pregnancies at term undergoing amniocentesis for lung maturity t...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-993868

    authors: Heimberger CM,Ghidini A,Lewis KM,Spong CY

    更新日期:1999-01-01 00:00:00

  • Impact of oral versus intravenous ibuprofen on neurodevelopmental outcome: a randomized controlled parallel study.

    abstract:OBJECTIVE:Although neurodevelopmental outcomes related to the management of patent ductus arteriosus with intravenous indomethacin and ibuprofen are known, little data on the long-term effects of oral ibuprofen can be found in the literature. METHOD:A follow-up study of 99 infants with birth weight ≤ 1,500 g and gesta...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0033-1333667

    authors: Eras Z,Gokmen T,Erdeve O,Ozyurt BM,Saridas B,Dilmen U

    更新日期:2013-11-01 00:00:00

  • Inadvertent amniocenteses occurring during unrelated invasive diagnostic procedures in the third trimester.

    abstract::Two cases of inadvertent third trimester amniocenteses occurring during attempted spinal tap and culdocentesis are presented. These hitherto undescribed occurrences stress potential complications of these invasive diagnostic procedures in the gravid woman. ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994618

    authors: Sherer DM,Abramowicz JS

    更新日期:1993-11-01 00:00:00

  • Application of transcutaneous carbon dioxide tension monitoring with low electrode temperatures in premature infants in the early postnatal period.

    abstract:OBJECTIVE:The aim of this article is to evaluate the accuracy, precision, and safety of transcutaneous carbon dioxide tension (TcPCO2) monitoring at different electrode temperatures in preterm infants in the early postnatal period. STUDY DESIGN:A total of 26 neonates with a median birth weight of 974 g (432-1,694 g) a...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0033-1352485

    authors: Hirata K,Nishihara M,Oshima Y,Hirano S,Kitajima H

    更新日期:2014-05-01 00:00:00

  • Pregnancy complicated by hemipelvectomy: case presentations and review of the literature.

    abstract::Nine patients with posthemipelvectomy with subsequent delivery of 13 living children are reported in the world's literature. This radical procedure is possible only in a modern age of intensive medical and surgical support. Additional cases can be expected in the future. We present two additional patients and three ch...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-999616

    authors: Snyder DJ,Thomas RL

    更新日期:1989-07-01 00:00:00

  • Misdiagnosis of a normal fetal platelet count after coagulation of intrapartum scalp samples in autoimmune thrombocytopenic purpura.

    abstract::Intrapartum fetal scalp sampling for platelet counts in maternal autoimmune thrombocytopenia has been advocated for determining route of delivery. We report a case in which two coagulated scalp samples were believed to indicate a normal fetal platelet count. As a result, vaginal delivery of a severely thrombocytopenic...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999401

    authors: Moise KJ Jr,Patton DE,Cano LE

    更新日期:1991-09-01 00:00:00

  • Viable cervical pregnancy managed with systemic Methotrexate, uterine artery embolization, and local tamponade with inflated Foley catheter balloon.

    abstract::We present an unusual case of a primigravida with a viable cervical pregnancy diagnosed by transvaginal ultrasound and magnetic resonance imaging. Staggered conservative therapeutic measures included systemic high-dose Methotrexate with Folinic acid rescue followed by bilateral embolization of the uterine arteries in ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-42341

    authors: Sherer DM,Lysikiewicz A,Abulafia O

    更新日期:2003-07-01 00:00:00

  • Predicting placental abruption and previa in women with a previous cesarean delivery.

    abstract::The purpose of this study was to determine if placental abruption or previa in women with a history of a prior cesarean delivery (CD) can be predicted. A retrospective cohort study of pregnant women with previous CD was conducted in 17 centers between 1996 and 2000. Women developing placenta previa or abruption in the...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2007-981430

    authors: Odibo AO,Cahill AG,Stamilio DM,Stevens EJ,Peipert JF,Macones GA

    更新日期:2007-05-01 00:00:00

  • Neonatal outcome in growth-restricted versus appropriately grown preterm infants.

    abstract::The objective of this paper is to examine whether growth-restricted preterm infants have a different neonatal outcome than appropriately grown preterm infants. All consecutive, singleton preterm deliveries between 27-35 weeks' gestation were included over a 4-year period. Infants with congenital anomalies and infants ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2000-9423

    authors: Simchen MJ,Beiner ME,Strauss-Liviathan N,Dulitzky M,Kuint J,Mashiach S,Schiff E

    更新日期:2000-01-01 00:00:00

  • Stem cell factor (SCF) levels in newborns.

    abstract::We studied Stem cell factor (SCF) levels in 15 mother-newborn pairs, 15 healthy adult controls, and 16 newborn with bacterial sepsis. SCF levels were also determined in six newborns with sepsis before and after completion of treatment. SCF levels (pg/mL) were found to be 2141 +/- 529 in cord blood, 1385 +/- 314 in mot...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-993970

    authors: Savas A,Ince S,Coskun M,Durmaz S,Yegin O

    更新日期:1998-07-01 00:00:00

  • Intrapartum chemoprophylaxis for group B streptococcus infection to prevent neonatal disease: who should be treated?

    abstract::The purpose of this study was to examine the maternal risk factors associated with early onset Group B streptococcus (GBS) sepsis and determine the potential impact of intrapartum chemoprophylaxis using these risk factors. Using a computerized perinatal database, 26,525 deliveries over a five-year period (1989 to 1994...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994433

    authors: Philipson EH,Herson VC

    更新日期:1996-11-01 00:00:00

  • Diabetes during Pregnancy in Low- and Middle-Income Countries.

    abstract::Objective Our objective was to review the literature in relationship to diabetes in pregnancy in low and middle income countries. Study Design We reviewed the English language literature related to diabetes and obesity during pregnancy in low and middle income countries published over the last 20 years. Results The gl...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1584152

    authors: Goldenberg RL,McClure EM,Harrison MS,Miodovnik M

    更新日期:2016-11-01 00:00:00

  • Factors that Influence Longitudinal Growth from Birth to 18 Months of Age in Infants with Gastroschisis.

    abstract:OBJECTIVE:This study aimed to investigate factors that influence growth in infants with gastroschisis. STUDY DESIGN:Growth parameters at birth, discharge, 6, 12, and 18 months of age were collected from 42 infants with gastroschisis. RESULTS:The mean z-scores for weight, length, and head circumference were below norm...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0039-1693988

    authors: Nair N,Merhar S,Wessel J,Hall E,Kingma PS

    更新日期:2020-12-01 00:00:00

  • The use of clinical, biochemical, and ultrasound parameters for the diagnosis of intrauterine growth retardation.

    abstract::Fifty-four pregnant patients referred for nonstress testing with findings suggestive of intrauterine growth retardation (IUGR) were followed with serial biochemical determinations and ultrasound evaluations. Confirmation of IUGR was made in 18 of the neonates based on body weights below the 10th percentile. Stepwise d...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999770

    authors: Hassan MM,Bottoms SF,Mariona FG,Syner FN,Simkowski KM,Sokol RJ

    更新日期:1987-07-01 00:00:00

  • Distribution of Late-Onset Neonatal Sepsis Pathogens Differs in Inpatient and Outpatient Settings.

    abstract:OBJECTIVE:We sought to examine pathogen distribution and clinical presentation of late-onset sepsis (LOS) at an urban tertiary care center. STUDY DESIGN:We performed a retrospective review of all culture-confirmed cases of LOS presenting to our institution from 2013 to 2017. Medical records were evaluated for demograp...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1675643

    authors: Black CG,Tavares L,Stachel A,Ratner AJ,Randis TM

    更新日期:2019-09-01 00:00:00

  • Glycemic Control and Pregnancy Outcomes in Women with Type 2 Diabetes Treated with Oral Hypoglycemic Agents.

    abstract::Objective There is limited data regarding the use of oral hypoglycemic agents (OHAs) in pregnant women with type 2 diabetes mellitus (T2DM). Study Design This was a retrospective cohort study of women with T2DM who were treated with OHA or insulin from the first trimester onward. Bivariate and multivariate logistic re...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1597625

    authors: Feghali MN,Caritis SN,Catov JM,Scifres CM

    更新日期:2017-06-01 00:00:00

  • Stillbirth, Inflammatory Markers, and Obesity: Results from the Stillbirth Collaborative Research Network.

    abstract:BACKGROUND:Obesity is associated with increased risk of stillbirth, although the mechanisms are unknown. Obesity is also associated with inflammation. Serum ferritin, C-reactive protein, white blood cell count, and histologic chorioamnionitis are all markers of inflammation. OBJECTIVE:This article determines if inflam...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0038-1639340

    authors: Harrison MS,Thorsten VR,Dudley DJ,Parker CB,Koch MA,Hogue CJR,Stoll BJ,Silver RM,Varner MW,Pinar MH,Coustan DR,Saade GR,Bukowski RK,Conway DL,Willinger M,Reddy UM,Goldenberg RL

    更新日期:2018-09-01 00:00:00

  • Respiratory Instability and Hypoxemia Episodes in Preterm Infants.

    abstract::Oxygenation instability is a very common problem in the premature infant that manifests as intermittent hypoxemia episodes (HEs). These are particularly frequent in premature infants who are on mechanical ventilation beyond the first weeks after birth. However, they can also occur in spontaneously breathing infants. S...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1637760

    authors: Bancalari E,Claure N

    更新日期:2018-05-01 00:00:00

  • Do fiber-enriched diabetic diets have glucose-lowering effects in pregnancy?

    abstract::A fiber-enriched diabetic diet that contained a modest increase in dietary fiber and a commercially available fiber supplement was studied in pregnant diabetic women for its potential glucose-lowering effects. Noninsulin-requiring gestational diabetic patients were placed on a fiber-enriched diet of increasing fiber c...

    journal_title:American journal of perinatology

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-994738

    authors: Reece EA,Hagay Z,Caseria D,Gay LJ,DeGennaro N

    更新日期:1993-07-01 00:00:00

  • Fetal death after normal biophysical profile.

    abstract::Presented are three cases of fetal death, all of which occurred within 3 days of a normal biophysical profile. Despite the excellent record of this antepartum test in predicting fetal well-being, there is a low incidence of false-negative tests; increasing the frequency of testing will not prevent all false-negative t...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999352

    authors: Watson WJ,Katz VL,Bowes WA Jr

    更新日期:1991-03-01 00:00:00

  • Plasma and erythrocyte profiles of nonesterified polyunsaturated fatty acids during normal pregnancy and labor.

    abstract::This study was undertaken to determine the plasma and erythrocyte profiles of metabolically important nonesterified polyunsaturated fatty acids (PUFA), that is, free fatty acids, in each trimester of pregnancy and in labor. Blood was drawn from patients in the first, second, and third trimester and in labor. Nonesteri...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2008-1040766

    authors: Ashby AM,Robinette B,Kay HH

    更新日期:1997-11-01 00:00:00

  • Time and number of displays impact critical signal detection in fetal heart rate tracings.

    abstract::Interest in centralized monitoring in labor and delivery units is growing because it affords the opportunity to monitor multiple patients simultaneously. However, a long history of research on sustained attention reveals these types of monitoring tasks can be problematic. The goal of the present experiment was to exam...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0030-1268718

    authors: Anderson BL,Scerbo MW,Belfore LA,Abuhamad AZ

    更新日期:2011-06-01 00:00:00

  • Prenatal sonographic features and management of a fetus with Roberts-SC phocomelia syndrome (pseudothalidomide syndrome) and pulmonary hypoplasia.

    abstract::The Roberts-SC phocomelia syndrome (pseudothalidomide syndrome) is a rare, usually lethal condition involving short limbs and occasional hydrocephalus. Presented is a case in which prenatal sonographic findings were highly suggestive of this syndrome, although not definite. In this fetus, findings of hydrocephalus, sh...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999392

    authors: Sherer DM,Shah YG,Klionsky N,Woods JR Jr

    更新日期:1991-07-01 00:00:00

  • Prognosis of hypertension first documented during labor.

    abstract::In order to assess the prognosis of hypertension first documented during labor, an inception cohort of all women with hypertension complicating pregnancy was assembled. In this cohort, even extreme elevations of blood pressure, regardless of the degree of proteinuria, were not associated with either maternal or fetal ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999799

    authors: Ales KL,Charlson ME

    更新日期:1987-10-01 00:00:00

  • Spontaneous rupture of the renal pelvis during pregnancy: a case report and review of the literature.

    abstract::We report a case with spontaneous rupture of the renal pelvis during pregnancy. A 34-year-old Japanese woman was referred at 20 weeks' gestation because of sudden severe right flank pain. She had severe colic pain radiating to the right lower abdomen with percussion tenderness at the right costovertebral angle and was...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2002-28489

    authors: Satoh S,Okuma A,Fujita Y,Tamaka M,Nakano H

    更新日期:2002-05-01 00:00:00

  • Anticardiolipin and anti-beta2 glycoprotein I antibodies in infants born to mothers with antiphospholipid antibody-positive autoimmune disease: a follow-up study.

    abstract::Infants born from mothers with antiphospholipid antibody (aPL) -positive autoimmune disease were prospectively evaluated for anticardiolipin and anti-beta2 glycoprotein I antibodies (group 1) and for growth and neurological development. The results were compared with those obtained from two age-matched control groups ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2006-939533

    authors: Motta M,Chirico G,Rebaioli CB,Faden D,Lojacono A,Allegri F,Migliori C,Tincani A

    更新日期:2006-05-01 00:00:00