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Table 2 Pregnancy and health characteristics, N=2595

From: Transnational prenatal care among migrant women from low-and-middle-income countries who gave birth in Montreal, Canada

Characteristic

No transnational care n = 2347

Transnational care, arrived during pregnancy n = 148

Transnational care, arrived pre-pregnancy n = 100

P value

Parity, n (%)

    

 Primiparous

1021 (43.5)

73 (49.3)

50 (50.0)

0.184

 Multiparous

1326 (56.5)

75 (50.7)

50 (50.0)

 

Gave birth in Canada before, n (%)

n = 2336

n = 147

  

 Yes

797 (34.1)

0 (0.0)*

29 (29.0)

0.000

 No

1539 (65.9)

147 (100.0)*

71 (71.0)

 

Excess pregnancy weight gain according to the Society of Obstetrician and Gynaecologists of Canada (SOGC) guidelines†, n (%)

n = 2263

n = 137

n = 98

0.001

 Yes

1038 (45.9)

40 (29.2)‡

43 (43.9)

 

 No

1225 (54.1)

97 (70.8)‡

55 (56.1)

 

Pre-pregnancy body mass index (BMI), n (%)

n = 2287

n = 140

n = 98

 

 Underweight

134 (5.9)

11 (7.9)

6 (6.1)

0.010

 Normal

1383 (60.5)

96 (68.6)

73 (74.5)‡

 

 Overweight

580 (25.4)

21 (15.0)‡

16 (16.3)

 

 Obese

190 (8.3)

12 (8.6)

3 (3.1)

 

Ever smoked during pregnancy, n (%)

    

 Yes

47 (2.0)

5 (3.4)

3 (3.0)

0.436

 No

2300 (98.0)

143 (96.6)

97 (97.0)

 

Drug or alcohol use during pregnancy, n (%)

    

 Yes

26 (1.1)

4 (2.7)

2 (2.0)

0.182

 No

2321 (98.9)

144 (97.3)

98 (98.0)

 

Poor maternal general health recorded/reported (infectious disease, anemia, chronic illness§), n (%)

    

 Yes (reported/recorded)

796 (33.9)

41 (27.7)

37 (37.0)

0.232

 No/info not available

1551 (66.1)

107 (72.3)

63 (63.0)

 

Anemia (chronic and/or during pregnancy), n (%)

    

 Yes (reported/recorded)

465 (19.8)

22 (14.9)

26 (26.0)

0.096

 Not reported/ recorded

1882 (80.2)

126 (85.1)

74 (74.0)

 

Took multivitamin during pregnancy, n (%)

n = 2326

 

n = 99

 

 Yes

2147 (92.3)

139 (93.9)

89 (89.9)

0.509

 No

179 (7.7)

9 (6.1)

10 (10.1)

 

Had pregnancy complications¶, n (%)

    

 Yes (reported/recorded)

846 (36.0)

42 (28.4)

29 (29.0)

0.067

 Not reported/recorded

1501 (64.0)

106 (71.6)

71 (71.0)

 

Gestational diabetes mellitus, n (%)

    

 Yes (reported/recorded)

292 (12.4)

7 (4.7)‡

11 (11.0)

0.019

 Not reported/recorded

2055 (87.6)

141 (95.3)‡

89 (89.0)

 

Prenatal visits ≥ 4 visits, n (%)

n = 2300

n = 146

n = 96

 

 Yes

2275 (98.9)

133 (91.1)*

95 (99.0)

0.000

 No

25 (1.1)

13 (8.9)*

1 (1.0)

 

Prenatal care timely based on arrival in Canada#, n (%)

n = 2332

   

 Yes

2073 (88.9)

133 (89.9)

83 (83.0)

0.171

 No

259 (11.1)

15 (10.1)

17 (17.0)

 

Health insurance, n (%)

   

0.000

 Medicare (public healthcare coverage)

2250 (95.9)

120 (81.1)*

93 (93.0)

 Interim Federal Health Program**

31 (1.3)

8 (5.4)‡

0 (0.0)

 Private only

54 (2.3)

11 (7.4)‡

5 (5.0)

 None

12 (0.5)

9 (6.1)‡

2 (2.0)

Reported paying for medical services during pregnancy, n (%)

n = 2340

n = 147

n = 99

0.625

 Yes

811 (34.7)

51 (34.7)

39 (39.4)

 No

1529 (65.3)

96 (65.3)

60 (60.6)

  1. * Denotes significant difference from ‘No transnational care’ and ‘Transnational care, arrived pre-pregnancy’.
  2. †https://www.pregnancyinfo.ca/your-pregnancy/healthy-pregnancy/weight-gain-during-pregnancy/.
  3. ‡ Denotes significant difference from ‘No transnational care’.
  4. § Cardiovascular or respiratory disease, mental illness and/or diabetes.
  5. ¶ Placental conditions, hypertension, pre-eclampsia, preterm rupture of membranes, intrauterine growth restriction, congenital anomaly, chorioamnionitis, oligohydramnios, hyperemesis gravidarum, urinary tract infections and/or maternal fever.
  6. # As per the Society of Obstetricians and Gynaecologists of Canada guidelines for prenatal care and based on when women arrived in Canada (i.e., first trimester for women in Canada pre-pregnancy, within one month for women who arrived during pregnancy and were < 37 weeks pregnant and within 2 weeks if they were ≥ 37 weeks pregnant.
  7. ** Healthcare coverage for asylum-seekers and refugees.