Comparison of Perinatal Complications between Thai and Foreign Pregnant Women at Chiang Khong Crown Prince Hospital, Chiang Rai Province
Keywords:
pregnant women, ethnic minority, complicationAbstract
Background: The number of foreign pregnant women living at the border of Thailand is increasing. Maternal and neonatal problems of this group may differ from those of Thai pregnant women. Therefore, a study of their perinatal problems may lead to better understanding and improve maternal and child health of foreign women in Thailand.
Objective: The study aimed to compare the rate of perinatal problems between foreign and Thai pregnant women at Chiang Khong Crown Prince Hospital, Chiang Rai Province.
Study design: Cross-sectional study
Methods: We retrospectively reviewed medical records of foreign and Thai pregnant women attending Chiang Khong Crown Prince Hospital between October 1, 2018 and September 30, 2019. The review included maternal factors, perinatal and natal complications, infants’ gestational age and birth weight.
Results: In all, 501 pregnant women were enrolled of which 328 (65.45%) and 173 (34.53%) were Thai and foreign, respectively. Maternal age more than 35 years among Thai pregnant women (10.67%) was more frequent than those in the foreign group (4.62%). The rates of anemia, hepatitis B carrier and history of abortion more than 2 times among foreign pregnant women (19.65, 6.36 and 5.20%, respectively) were significantly higher than those of Thai pregnant women (11.59, 2.74 and 1.83%, respectively). The rate of low birth weight (less than 2,500 gm) of infants born to foreign pregnant women (12.14%) was significantly higher than that of Thai pregnant women (6.71%).
Conclusion: The rates of perinatal problems and low birth weight infants among foreign women were higher than those of Thai pregnant women. Good antenatal care should be encouraged to improve maternal and child health among this group of women.
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