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
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24 janvier 2025
- 10938/33726
- 36813505.0
- 2-s2.0-85148772702
Ce document est lié à :
BMJ Open
Mots-clés
Diabetes in pregnancy Epidemiology Obstetrics Public health Arabs Cesarean section Female Hospitals, public Humans Infant Infant, newborn Lebanon Parturition Pregnancy Premature birth Refugees Syria Transients and migrants Adult Article Blood transfusion Diabetes mellitus Fetus death Human Hysterectomy Lebanese Machine learning Migrant Nationality Palestinian Placenta accreta Placenta previa Preeclampsia Pregnancy complication Pregnancy outcome Premature labor Public hospital Refugee Secondary analysis Solutio placentae Syrian Tertiary care center Uterus rupture Young adult Arab Birth Migration Newborn Prematurity Syrian arab republicSujets proches
Womyn Wimmin Woman Womon Human females Women's workCiter ce document
McCall et al., « 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 », American University of Beirut ScholarWorks
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Résumé
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
