Abstract

PurposeThis study compared maternal age at childbirth, the number of live births, and the weight of live births between Korean women and immigrant women using statistical data from the Republic of Korea for the period of 2008-2018.MethodsThe analysis was conducted using data from the Microdata Integrated Service of Statistics Korea (https://mdis.kostat.go.kr/index.do).ResultsKorean women and immigrant women showed a higher age at childbirth in 2018 than in 2008. The percentage of newborns of Korean women with a birth weight of less than 2.5 kg increased slightly for 3 consecutive years from 2016 to 2018, whereas for immigrant women, this percentage increased in 2017 compared to 2016 and then decreased again in 2018. Very low birth weight (less than 1.5 kg) became more common among immigrant women from 2016 to 2018. Birth at a gestational age of fewer than 37 weeks increased both among Korean and immigrant women from 2016 to 2018. In both groups, the percentage of women who had their first child within their first 2 years of marriage decreased from 2008 to 2018.ConclusionImmigrant women had higher birth rates than Korean women, while both groups showed an increasing trend in preterm birth. Greater attention should be paid to the pregnancy and birth needs of immigrant women, and steps are needed to ensure health equity and access in order to prevent preterm births. It is also necessary to identify factors that affect preterm birth and birth of very low birth weight infants among immigrant women in the future.

Highlights

  • The total fertility rate in the Republic of Korea fell below the population replacement level of 2.0 in 1985 and steadily decreased to below 1.0, reaching as low as 0.92 in 2019 [1]

  • The number of babies born in Korea has decreased, the proportion of live births by immigrant women has increased

  • The number of live births among Korean women has continued to decline, and the number of babies born to immigrant women decreased since 2012 (Supplementary Table 2); the rate of this decrease was lower among immigrant women than among Korean women

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Summary

Introduction

Background and rationale The total fertility rate in the Republic of Korea (hereafter, Korea) fell below the population replacement level of 2.0 in 1985 and steadily decreased to below 1.0, reaching as low as 0.92 in 2019 [1].

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