These studies highlight the importance of classifying maternal risk by considering not only economic data but also other relevant aspects of human development and capacity for survival in each country, or, in the case of immigrants, their country of origin, specifically in the case of pregnant women from low-income countries where monitoring of pregnancy and childbirth occurs in their countries of origin and when a pregnant woman becomes an immigrant in a country with higher resources. Wahlberg et al. [30] observed, in a study conducted in Sweden that included 914,474 births and 2655 MNM cases, that women from low-income countries had a significant 2.3 times greater risk than native women of suffering from severe morbidity events. This study revealed some hypotheses about plausible mechanisms by which this relationship occurred, such as a breach of previous social networks among immigrant women, low socio-economic status, poor access to health and prenatal care, and communication problems resulting from suboptimal language acquisition.
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