Migrant neonatal epidemiology

Abstract

Migration to our country has led epidemiologic changes in Hospital de Linares, which motivated this study. The objective is to know the epidemiologic changes in the Maternity Ward en Neonate Unit of a High Complexity. We analyzed the admission of the Haitian women and their offspring throughout 2016 to 2018. We used descriptive stratigraphy and were compared using chi-squared test. Out of 6911 women that gave birth, we found 81 Haitian women. Out of 1499 neonates that were hospitalized, 31 were of Haitian background. We saw an important increase in the number of Haitian women giving birth even though the general birth rate was decreasing. Subsequently there was an increase in the hospitalization of neonates born to Haitian mothers, even though the general neonate hospitalization rate was decreasing and in a higher percentage when compared to the neonates born to women from other nations. The main diagnosis were severe SGA (25 %), Hypoglycemia and Hyperbilirubin. We observed a higher number of total hospitalized period in newborns of Haitian background compared to other nationalities. It’s interesting the increase in Haitian background neonates, the higher percentage of severe SGA and the longer stay due to the language andcultural barrier that influences on the mothers following the medical indications.