دورية أكاديمية
أعرض في EDS

Maternal and infant outcomes of Syrian and Palestinian refugees, Lebanese and migrant women giving birth in a tertiary public hospital in Lebanon: a secondary analysis of an obstetric database.

التفاصيل البيبلوغرافية
العنوان: Maternal and infant outcomes of Syrian and Palestinian refugees, Lebanese and migrant women giving birth in a tertiary public hospital in Lebanon: a secondary analysis of an obstetric database.
المؤلفون: McCall SJ; Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., El Khoury TC; Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Ghattas H; Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Elbassuoni S; Computer Science, Faculty of Art and Sciences, American University of Beirut, Beirut, Lebanon., Murtada MH; Computer Science, Faculty of Art and Sciences, American University of Beirut, Beirut, Lebanon., Jamaluddine Z; Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Haddad C; Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Hussein A; Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon., Krounbi A; Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon., DeJong J; Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon., Khazaal J; Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon., Chahine R; Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon rchahine968@gmail.com.
المصدر: BMJ open [BMJ Open] 2023 Feb 22; Vol. 13 (2), pp. e064859. Date of Electronic Publication: 2023 Feb 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Premature Birth* , Refugees* , Transients and Migrants*, Pregnancy ; Infant, Newborn ; Female ; Infant ; Humans ; Cesarean Section ; Lebanon/epidemiology ; Syria ; Arabs ; Parturition ; Hospitals, Public
مستخلص: Objectives: This study aims to assess whether the characteristics, management and outcomes of women varied between Syrian and Palestinian refugees, migrant women of other nationalities and Lebanese women giving birth at a public tertiary centre in Beirut, Lebanon.
Methods: This was a secondary data analysis of routinely collected data from the public Rafik Hariri University Hospital (RHUH) between January 2011 and July 2018. Data were extracted from medical notes using text mining machine learning methods. Nationality was categorised into Lebanese, Syrian, Palestinian and migrant women of other nationalities. The main outcomes were diabetes, pre-eclampsia, placenta accreta spectrum, hysterectomy, uterine rupture, blood transfusion, preterm birth and intrauterine fetal death. Logistic regression models estimated the association between nationality and maternal and infant outcomes, and these were presented using ORs and 95% CIs.
Results: 17 624 women gave birth at RHUH of whom 54.3% were Syrian, 39% Lebanese, 2.5% Palestinian and 4.2% migrant women of other nationalities. The majority of women had a caesarean section (73%) and 11% had a serious obstetric complication. Between 2011 and 2018, there was a decline in the use of primary caesarean section (caesarean section performed for the first time) from 7% to 4% of births (p<0.001). The odds of preeclampsia, placenta abruption and serious complications were significantly higher for Palestinian and migrant women of other nationalities compared to Lebanese women, but not for Syrian women. Very preterm birth was higher for Syrians (OR: 1.23, 95% CI: 1.08 to 1.40) and migrant women of other nationalities (OR: 1.51, 95% CI: 1.13 to 2.03) compared to Lebanese women.
Conclusion: Syrian refugees in Lebanon had similar obstetric outcomes compared to the host population, except for very preterm birth. However, Palestinian women and migrant women of other nationalities appeared to have worse pregnancy complications than the Lebanese women. There should be better healthcare access and support for migrant populations to avoid severe complications of pregnancy.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: diabetes in pregnancy; epidemiology; obstetrics; public health
تواريخ الأحداث: Date Created: 20230222 Date Completed: 20230224 Latest Revision: 20230309
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9950922
DOI: 10.1136/bmjopen-2022-064859
PMID: 36813505
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2022-064859