The East Timorese: a high-risk ethnic minority in UK obstetrics: a cohort study

Fionnuala Mone, Beverley Adams, John G Manderson, Fionnuala M McAuliffe

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To observe the incidence of antenatal risk-factors and adverse maternal outcome in women of East Timorese origin within a UK population.

METHODS: This retrospective cohort study assessed a sample of women of East Timorese Origin (N = 42) attending UK maternity services from 01/2011 to 09/2012 compared to a control group of a standard UK maternity population (N = 7210). Data on the rate of pregnancy related risk-factors and complications were obtained from a computerized patient note database (NIMATS).

RESULTS: The East Timorese were at significant risk antenatally of anaemia (OR 19.5 (95% CI 10.2-37.2) (p < 0.001)), gestational diabetes (OR 10.6 (95% CI 4.6-24.4) (p < 0.001)) and hypertension in pregnancy (OR 4.6 (95% CI 1.4-15.3) (p < 0.01)) as well as late booking for care (OR 19.5 (95% CI 10.2-37.2) p < 0.001). In terms of post-partum complications there was a significant risk of admission to the intensive-care unit (OR 20.0 (95% CI 4.5-89.0) p < 0.001) and of postpartum hemorrhage (OR 15.9 (95% CI 7.7-33.0) p < 0.001). In 72 documented occasions an interpreter could not be obtained.

CONCLUSIONS: Women from East Timor are a high-risk ethnic minority who, with added risk-factors of late booking and difficulty in obtaining interpreters are at greater risk of complications in pregnancy and the puerperium.

Original languageEnglish
Pages (from-to)1594-1597
Number of pages4
JournalThe Journal of Maternal-Fetal & Neonatal Medicine
Volume28
Issue number13
Early online date29 Sep 2014
DOIs
Publication statusPublished - Sep 2015
Externally publishedYes

Keywords

  • Adult
  • Case-Control Studies
  • Ethnic Groups/statistics & numerical data
  • Female
  • Humans
  • Indonesia/ethnology
  • Infant, Newborn
  • Intensive Care Units/statistics & numerical data
  • Obstetric Labor Complications/ethnology
  • Patient Admission/statistics & numerical data
  • Postpartum Hemorrhage/ethnology
  • Pregnancy
  • Pregnancy Complications/ethnology
  • Pregnancy, High-Risk/ethnology
  • Retrospective Studies
  • United Kingdom/epidemiology
  • Young Adult

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