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

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 immigrant...

Full description

Bibliographic Details
Main Authors: Luz Maria Vilca, Laura Sarno, Davide Passoni, Patrizio Antonazzo, Edda Pellegrini, Maurizio Guida, Elena Cesari, Irene Cetin
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606289/full
_version_ 1797303407790260224
author Luz Maria Vilca
Luz Maria Vilca
Laura Sarno
Davide Passoni
Patrizio Antonazzo
Edda Pellegrini
Maurizio Guida
Elena Cesari
Irene Cetin
author_facet Luz Maria Vilca
Luz Maria Vilca
Laura Sarno
Davide Passoni
Patrizio Antonazzo
Edda Pellegrini
Maurizio Guida
Elena Cesari
Irene Cetin
author_sort Luz Maria Vilca
collection DOAJ
description 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.
first_indexed 2024-03-07T23:53:18Z
format Article
id doaj.art-b6c09fcc74cc4a9d96b585cd8367610a
institution Directory Open Access Journal
issn 1661-8564
language English
last_indexed 2024-03-07T23:53:18Z
publishDate 2024-02-01
publisher Frontiers Media S.A.
record_format Article
series International Journal of Public Health
spelling doaj.art-b6c09fcc74cc4a9d96b585cd8367610a2024-02-19T04:11:41ZengFrontiers Media S.A.International Journal of Public Health1661-85642024-02-016910.3389/ijph.2024.16062891606289Impact of the COVID-19 Pandemic on Prenatal Care Utilization Among Italian and Immigrant Pregnant Women: A Multicenter SurveyLuz Maria Vilca0Luz Maria Vilca1Laura Sarno2Davide Passoni3Patrizio Antonazzo4Edda Pellegrini5Maurizio Guida6Elena Cesari7Irene Cetin8Department of Woman, Mother and Neonate, Buzzi Children’s Hospital, University of Milan, Milan, ItalyChickahominy Health District, Virginia Department of Health, Ashland, VA, United StatesDepartment of Neurosciences, Reproductive Science and Dentistry, University of Naples Federico II, Naples, ItalyDepartment of Woman, Mother and Neonate, Buzzi Children’s Hospital, University of Milan, Milan, ItalyUnit of Obstetrics and Gynecology, Maurizio Bufalini Hospital, AUSL Romagna, Cesena, ItalyMaternal and Child Committee-Lombardy Region, Milan, ItalyDepartment of Neurosciences, Reproductive Science and Dentistry, University of Naples Federico II, Naples, ItalyDepartment of Woman, Mother and Neonate, Buzzi Children’s Hospital, University of Milan, Milan, ItalyDepartment of Woman, Mother and Neonate, Buzzi Children’s Hospital, University of Milan, Milan, ItalyObjectives: 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.https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606289/fullCOVID-19 pandemicimmigrantprenatal care servicesmaternal immunizationultrasoundemergency
spellingShingle Luz Maria Vilca
Luz Maria Vilca
Laura Sarno
Davide Passoni
Patrizio Antonazzo
Edda Pellegrini
Maurizio Guida
Elena Cesari
Irene Cetin
Impact of the COVID-19 Pandemic on Prenatal Care Utilization Among Italian and Immigrant Pregnant Women: A Multicenter Survey
International Journal of Public Health
COVID-19 pandemic
immigrant
prenatal care services
maternal immunization
ultrasound
emergency
title Impact of the COVID-19 Pandemic on Prenatal Care Utilization Among Italian and Immigrant Pregnant Women: A Multicenter Survey
title_full Impact of the COVID-19 Pandemic on Prenatal Care Utilization Among Italian and Immigrant Pregnant Women: A Multicenter Survey
title_fullStr Impact of the COVID-19 Pandemic on Prenatal Care Utilization Among Italian and Immigrant Pregnant Women: A Multicenter Survey
title_full_unstemmed Impact of the COVID-19 Pandemic on Prenatal Care Utilization Among Italian and Immigrant Pregnant Women: A Multicenter Survey
title_short Impact of the COVID-19 Pandemic on Prenatal Care Utilization Among Italian and Immigrant Pregnant Women: A Multicenter Survey
title_sort impact of the covid 19 pandemic on prenatal care utilization among italian and immigrant pregnant women a multicenter survey
topic COVID-19 pandemic
immigrant
prenatal care services
maternal immunization
ultrasound
emergency
url https://www.ssph-journal.org/articles/10.3389/ijph.2024.1606289/full
work_keys_str_mv AT luzmariavilca impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey
AT luzmariavilca impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey
AT laurasarno impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey
AT davidepassoni impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey
AT patrizioantonazzo impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey
AT eddapellegrini impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey
AT maurizioguida impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey
AT elenacesari impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey
AT irenecetin impactofthecovid19pandemiconprenatalcareutilizationamongitalianandimmigrantpregnantwomenamulticentersurvey