Abstract：
:Introduction Immigrants from Western industrialized countries are rarely found in immigrant studies. Our primary objective was to calculate the rate of cesarean delivery, 5-min Apgar score <7, and preterm birth among Chinese and Western women. Our secondary objective was to examine whether there are significant differences in terms of risk factors between Western immigrants who chose to deliver in their country of citizenship compared to those who chose to deliver in China. Methods Single-center retrospective cohort study in Shanghai, China. Multivariate logistic regression models used delivery outcome, and place of delivery (China vs. country of citizenship) as outcome variables. Results Preterm birth occurred at a rate of 3.82% among Chinese citizens, 4.12% among Chinese-born Western citizens, and 6.54% among non-Chinese-born Western citizens. After adjustment, preterm birth <37 weeks was more frequent among non-Chinese-born Western citizens compared with Chinese citizens, with an odds ratio of 1.82 (Confidence Interval 1.20-2.78), p = 0.005. Variables statistically associated with giving birth in China were maternal age ≥35 years and being Chinese-born Western, as well as the absence of medical or obstetrical conditions. Discussion Western immigrants have overall good obstetrical outcomes in China, and this could be partly explained by selective immigration, but also by the Salmon bias, as women with risk factors tend to return to their country of citizenship for the delivery. However, the preterm birth rate was higher among Western women than in their Chinese counterparts, and further research is needed.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Minsart AF,Liu H,Moffett S,Chen C,Ji Ndoi
10.1007/s10995-017-2347-3subject
Has Abstractpub_date
2017-10-01 00:00:00pages
1861-1866issue
10eissn
1092-7875issn
1573-6628pii
10.1007/s10995-017-2347-3journal_volume
21pub_type
杂志文章abstract：:Objectives Obesity before and during pregnancy is associated with adverse effects for mother and child, but little is known about physical activity and consumption patterns among reproductive-aged women. The goal of this study is to identify behaviors of nonpregnant reproductive-aged women associated with normal weigh...
journal_title：Maternal and child health journal
pub_type： 杂志文章
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更新日期：2018-05-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
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journal_title：Maternal and child health journal
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更新日期：2014-05-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-2216-5
更新日期：2017-05-01 00:00:00
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journal_title：Maternal and child health journal
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更新日期：2018-04-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
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更新日期：2011-02-01 00:00:00
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更新日期：2018-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2013-12-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-012-1044-5
更新日期：2013-02-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-006-0166-z
更新日期：2007-05-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-017-2306-z
更新日期：2017-10-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
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更新日期：2006-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2016-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2016-02-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-018-2474-5
更新日期：2018-07-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章,评审
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更新日期：2016-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s10995-020-03056-5
更新日期：2020-11-26 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-011-0787-8
更新日期：2012-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2016-09-01 00:00:00
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更新日期：2020-06-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-015-1809-8
更新日期：2016-01-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-013-1308-8
更新日期：2014-05-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-015-1916-6
更新日期：2016-04-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-016-2090-1
更新日期：2017-01-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-015-1884-x
更新日期：2016-05-01 00:00:00
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journal_title：Maternal and child health journal
pub_type： 杂志文章
doi：10.1007/s10995-017-2344-6
更新日期：2017-12-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s10995-013-1225-x
更新日期：2014-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2014-11-01 00:00:00
