Language barriers found to negatively affect clinical outcomes UMNews jamanetworkopen
). We reanalyzed the associations after undersampling the reference group and found the reported HRs and RRs were stable across imbalances in population sizes.
Several language groups had delayed vaccinations compared with English-speaking counterparts. Variation was noteworthy in outcomes for language groups that would traditionally have been aggregated under race and ethnicity categorization. For example, Hmong had delayed vaccine uptake , but by the end of the observation period had similar overall vaccination rates . This vaccination pattern was associated with a higher rate of hospitalization and death .
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The association of maternal anaemia with adverse maternal and foetal outcomes in Somali women: a prospective study - BMC Women's HealthBackground Anaemia in pregnant women is one of the most common public health problems, especially in low- and middle-income countries, such as Somalia. This study aimed to examine the association between the severity of anaemia during pregnancy and the risk of adverse maternal and foetal outcomes in Somali women. Methods We prospectively enrolled pregnant women who had deliveries from May 1 to December 1, 2022, at Mogadishu Somali Turkey Recep Tayyip Erdoğan Training and Research Hospital. Blood haemoglobin levels were measured for each participant at admission for delivery. Anaemia was defined as a haemoglobin level of less than 11 g/dL, with mild (10 to 10.9 g/dL), moderate (7 to 9.9 g/dL), and severe (| 7 g/dL) forms. The associations between maternal anaemia and maternal-foetal outcomes were investigated. Results The study included 1186 consecutive pregnant women (mean age 26.9 years, range 16–47). The incidence of maternal anaemia at delivery was 64.8%, with 33.8%, 59.8%, and 6.4% of women having mild, moderate and severe forms, respectively. Anaemia at delivery was associated with increased oxytocin administration to prompt labour (OR, 2.25, 95% CI, 1.34–3.78). Both moderate and severe anaemia were associated with increased risks for postpartum haemorrhage (moderate, OR, 4.93; severe, OR, 41.30) and the need for maternal blood transfusions (moderate, OR, 9.66; severe, OR, 301.50). In addition, severe anaemia was associated with increased risks for preterm delivery (OR, 2.50, 95% CI, 1.35–4.63), low birth weight (OR, 3.45, 95% CI, 1.87–6.35), stillbirths (OR, 4.02, 95% CI, 1.79–8.98), placental abruption (OR, 58.04,95% CI, 6.83–493.27) and maternal ICU admission (OR, 8.33, 95% CI, 3.53–19.63). Conclusion Our findings suggest that anaemia in pregnancy is associated with adverse maternal and foetal outcomes, with moderate or severe anaemia leading to increased risks for peri-, intra- and postpartum complications and that treatment of severe anaemia in pregnant wo
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