Keywords
maternity ward
migrant population
pregnancy surveillance
prenatal care
How to Cite
Abstract
Introduction: Recently in Portugal, several social and demographic changes have been observed with an emphasis on the increasing number of foreign citizens. The linguistic, cultural and social barriers cause challenges to maternal and child health care. This study aimed to characterize the sociodemographic and obstetrical data of mothers and newborns hospitalized in the maternity ward of a tertiary hospital in the southern region of Portugal.
Methods: Cross-sectional observational study. A questionnaire was applied in the postpartum period to women admitted to the maternity ward of a tertiary hospital in Lisbon from 1 March 2021 to 30 June 2021.
Results: 347 surveys were obtained from a total of 785 hospitalizations. The average maternal age was 31.8 years and the average paternal age was 33.7 years. Most mothers (79.1%) and fathers (77.3%) reported having, at least, secondary education. 19.5% of mothers and 7.7% of fathers were students or unemployed, 18.9% of parents were unqualified workers and 32.0% of mothers and 23.4% of fathers were professionals in the group of intellectual and scientific activities. More than a quarter of our population were migrants (27.6% of mothers and 26.2% of fathers) and, of these, 14.9% of mothers and 11.2% of fathers were not fluent in Portuguese. 7.9% of pregnancies did not meet the criteria for adequate prenatal care defined at the national level. There was an association (p < 0.01) between inadequate pregnancy surveillance and lower maternal age and lower educational level. There was no difference between the migrant and non-migrant population regarding the completion of the prenatal care program.
Conclusions: The percentage of the migrant population is currently very expressive, with a non-negligible number of parents not fluent in Portuguese, which requires an adaptation of health resources to optimize the care provided. Lack of adequate prenatal care was expressive and was associated with lower maternal age and lower level of education.