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Impact of the COVID-19 Pandemic on Prenatal Care Utilization Among Italian and Immigrant Pregnant Women: A Multicenter Survey.

Abstract
Objectives: To compare the utilization of prenatal services between immigrant and Italian women during the COVID-19 pandemic. Methods: A cross-sectional survey was conducted at 3 maternity care centers in Italy. Results: We included 1,312 women, 1,198 (91.3%) were Italian and 114 (8.7%) were immigrants. A significantly higher proportion of Italians underwent 8 or more prenatal care visits (64.4% vs. 54.4%, p = 0.03) and more immigrants than Italians attended their appointments at hospital settings (45% vs. 18%, p < 0.001). Regarding prenatal course, Italians were more likely than immigrants to attend a non-hospital setting or an online class (49.6% and 30.2% vs. 34.9% and 11.6%, p = 0.008). A higher influenza vaccine uptake among immigrants compared with Italians was observed (39.5% vs. 19.8%, p < 0.001). Among women not receiving certain prenatal services, immigrants were more likely to state COVID-19 pandemic was the main reason for non-compliance. Conclusion: Immigrant pregnant women were more likely to receive prenatal services at a hospital setting than their Italian counterparts. Among women who did not comply with prenatal services, immigrants were more likely to cite the pandemic as their main reason.
AuthorsLuz Maria Vilca, Laura Sarno, Davide Passoni, Patrizio Antonazzo, Edda Pellegrini, Maurizio Guida, Elena Cesari, Irene Cetin
JournalInternational journal of public health (Int J Public Health) Vol. 69 Pg. 1606289 ( 2024) ISSN: 1661-8564 [Electronic] Switzerland
PMID38440081 (Publication Type: Comparative Study, Journal Article, Multicenter Study)
CopyrightCopyright © 2024 Vilca, Sarno, Passoni, Antonazzo, Pellegrini, Guida, Cesari and Cetin.
Topics
  • Female
  • Humans
  • Pregnancy
  • COVID-19 (epidemiology)
  • Cross-Sectional Studies
  • Emigrants and Immigrants
  • European People
  • Italy (epidemiology)
  • Maternal Health Services
  • Pandemics
  • Pregnant Women
  • Prenatal Care

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