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Vulnerable groups, especially pregnant women, need routine and urgent services. The study describes a triage approach for pregnant migrant women, clinical presentations, and how the pathway influences healthcare resource use. Methods: The Lampedusa Protocol began March 2023 in Palermo and assessed outcomes via linked clinical, Red Cross, and emergency transfer helicopter data, using multivariable logistic regression.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/408-delivering-obstetric-care-to-maritime-migrants-the-lampedusa-protocol/448930/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/408-delivering-obstetric-care-to-maritime-migrants-the-lampedusa-protocol/448930.png","ImageObject",300,407,{"name":92,"@type":93},"Putri","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-05","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What clinical problem does the Lampedusa Protocol target?","Question",{"text":112,"@type":113},"It targets the need for both routine and urgent medical services for vulnerable pregnant migrant women arriving via maritime routes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the protocol implemented and what data were used?",{"text":117,"@type":113},"Implemented in March 2023 by Palermo’s Agenzia Sanitaria Provinciale, it used clinical and demographic data cross-referenced from the Lampedusa policlinic and the Italian Red Cross, plus helicopter transfer records from emergency medical services.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main outcomes after implementation?",{"text":121,"@type":113},"After implementation, the proportion of patients requiring any flight fell by 23%, and urgent flights fell by 52%, with no association between origin country MPGI and helicopter evacuation.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},448930,1790816671,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},962085571259,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","vi28 European Journal of Public Health, Vol. 35, Supplement 6, 2025  \n3Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, United States  \n4Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, united States  \n5Palermo 118 Emergency Medical Services, Palermo, Italia  \n6Istituto Nazionale per la promozione della salute delle popolazioni Migranti ed il contrasto delle malattie della Povert (INMP), Roma, Italia  \n7Department of Experimental and Clinical Medicine, University of Florence, Firenze, Italia  \n8Polyclinic of Lampedusa, Lampedusa, Italia  \nOP 6: Health Policy 2, B308 (FCSH), September 3, 2025, 15:45  \n- 16:45  \nBackground: While Lampedusa Island has long represented the“Doorway to Europe,” migration is considered an emergent phenomenon rather than a constant occurrence. Vulnerable populations  \n– particularly pregnant women – require both routine and urgent medical services. We describe a novel approach to triaging pregnant migrant women, observed clinical presentations, and the effects on healthcare resource utilization.  \nMethods: The Lampedusa Protocol was implemented in March 2023 by the Agenzia Sanitaria Provinciale (ASP) of Palermo. Clinical and demographic data from 28 March 2023 to 31 May 2024 were collected and analyzed by cross-referencing the clinical databases of the policlinic of Lampedusa and the Italian Red Cross, the managing entity of the migrant Hotspot. Resource utilization data were collected from the helicopter transfer data recorded by the emergency medical service for the island. Associations between Multidimensional Global Poverty Index (MPGI) and need for helicopter evacuation were assessed using multivariable logistic regression. Our abstract and manuscript are currently under consideration for publication at the Journal of Migration and Health.  \nFindings: 571 pregnant patients were evaluated between 3/28/2023- 5/31/2024 . Patients represented 23 nationalities, average age was 26 years (SD ¼ 6.6 years), and average ultrasound-estimated gestational age was 25.2 weeks (SD ¼ 9.6 weeks) . The most common causes for helicopter transfer were late gestational age or concern for, or symptoms of, labor. Compared to the pre-implementation period, the proportion of patients requiring any flight decreased by 23%(24.5% to 18.9%, p ¼ 0.027) and the proportion requiring urgent flights decreased by 52%(8.3% to 4.0%, p ¼ 0.003) in the post-implementation period. There was no association between MPGI of origin country and helicopter evacuation. Women with known nationality had reduced odds (OR ¼ 0.49, 95% CI ¼ 0.27-0.90, p ¼ 0.02) of requiring urgent helicopter evacuation.  \nInterpretation: We demonstrate improved resource utilization with protocolized care pathways for maritime migrants in European borderlands.  \nAbstract citation ID: ckaf180.079  \n408 Delivering obstetric care to maritime migrants: the Lampedusa protocol  \nAlexandra Sansosti1, Tania Macaluso2, Sanjay Saint3, M. Todd Greene4, Fabio Genco5, Alessandra Diodati6, Leuconoe Grazia Sisti6, Alessandro Bartoloni7, Francesco D’Arca8, Giuseppe Canzone2 1US-Italy Fulbright Commission, Roma, Italia  \n2Department of Family Health, Azienda Sanitaria Provinciale-6 Palermo, Palermo, Italia","cbCailLfvjChTuwF","https://ap.wps.com/l/cbCailLfvjChTuwF","pdf",57249,"English","# Background\n# Methods\n# Findings\n# Interpretation","[{\"question\":\"What clinical problem does the Lampedusa Protocol target?\",\"answer\":\"It targets the need for both routine and urgent medical services for vulnerable pregnant migrant women arriving via maritime routes.\"},{\"question\":\"How was the protocol implemented and what data were used?\",\"answer\":\"Implemented in March 2023 by Palermo’s Agenzia Sanitaria Provinciale, it used clinical and demographic data cross-referenced from the Lampedusa policlinic and the Italian Red Cross, plus helicopter transfer records from emergency medical services.\"},{\"question\":\"What were the main outcomes after implementation?\",\"answer\":\"After implementation, the proportion of patients requiring any flight fell by 23%, and urgent flights fell by 52%, with no association between origin country MPGI and helicopter evacuation.\"}]","408 Delivering obstetric care to maritime migrants - the Lampedusa protocol | PDF",1790729023]