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Placental abruption in immigrant women: a Norwegian population-based study
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  • Karolina S. Mæland,
  • Nils-Halvdan Morken,
  • Erica Schytt,
  • Vigdis Aasheim,
  • Roy Miodini Nilsen
Karolina S. Mæland
Western Norway University of Applied Sciences

Corresponding Author:[email protected]

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Nils-Halvdan Morken
Norwegian Institute of Public Health, University of Bergen
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Erica Schytt
Karolinska Institute, Center for Clinical Research Dalarna
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Vigdis Aasheim
Western Norway University of Applied Sciences
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Roy Miodini Nilsen
Western Norway University of Applied Sciences
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Abstract

Objective To estimate the incidence of placental abruption in immigrant women compared with non-immigrants by maternal country and region of birth, reason for immigration and length of residence. Design Nationwide population-based study. Setting Data from the Medical Birth Registry of Norway and Statistics Norway (1990-2016). Sample The study sample included 1,558,174 pregnancies, in which immigrant women accounted for 245,887 pregnancies and 1,312,287 pregnancies were to non-immigrants. Methods Crude and adjusted odds ratios with 95% confidence intervals (CI) for placental abruption in immigrant women compared to non-immigrants were estimated by logistic regression with robust standard error estimations (accounting for within-mother clustering). Adjustment variables included year of birth, maternal age, parity, multiple pregnancies, chronic hypertension and level of education. Main outcome measures Placental abruption Results The incidence of placental abruption decreased during the study period for both immigrants (from 0.68% to 0.44%) and non-immigrants (from 0.80% to 0.34%). Immigrant women from the sub-Saharan African region had an adjusted odds ratio of 1.35 (95% CI: 1.15-1.58) compared to non-immigrants for placental abruption, whereas immigrant women from Ethiopia had an adjusted odds ratio of 2.39 (95% CI 1.67-3.41). We found a small variation in placental abruption incidence by other countries or regions of birth, length of residence and reason for immigration. Conclusion Immigrant women from sub-Saharan Africa, especially Ethiopia, have increased odds for placental abruption when giving birth in Norway. Reason for immigration and length of residence had little impact on the incidence of placental abruption.