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
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 ana...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e064859.full |
| _version_ | 1826546141280337920 |
|---|---|
| author | Zeina Jamaluddine Hala Ghattas Jocelyn Dejong Stephen J McCall Tanya C El Khoury Shady Elbassuoni Mhd Hussein Murtada Christine Haddad Aya Hussein Amina Krounbi Janoub Khazaal Rabih Chahine |
| author_facet | Zeina Jamaluddine Hala Ghattas Jocelyn Dejong Stephen J McCall Tanya C El Khoury Shady Elbassuoni Mhd Hussein Murtada Christine Haddad Aya Hussein Amina Krounbi Janoub Khazaal Rabih Chahine |
| author_sort | Zeina Jamaluddine |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T07:29:24Z |
| format | Article |
| id | doaj.art-06365c5bb25349d59194e7226be1bb7a |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-03-14T05:29:02Z |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-06365c5bb25349d59194e7226be1bb7a2025-03-05T17:05:09ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-064859Maternal 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 databaseZeina Jamaluddine0Hala Ghattas1Jocelyn Dejong2Stephen J McCall3Tanya C El Khoury4Shady Elbassuoni5Mhd Hussein Murtada6Christine Haddad7Aya Hussein8Amina Krounbi9Janoub Khazaal10Rabih Chahine11Center for Research on Population and Health, American University of Beirut, Beirut, LebanonCenter for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, LebanonDepartment of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon1 Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon2 Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon3 Computer Science, Faculty of Art and Sciences, American University of Beirut, Beirut, Lebanon3 Computer Science, Faculty of Art and Sciences, American University of Beirut, Beirut, Lebanon2 Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon4 Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon4 Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon4 Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, Lebanon4 Department of Obstetrics and Gynecology, Rafik Hariri University Hospital, Beirut, LebanonObjectives 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.https://bmjopen.bmj.com/content/13/2/e064859.full |
| spellingShingle | Zeina Jamaluddine Hala Ghattas Jocelyn Dejong Stephen J McCall Tanya C El Khoury Shady Elbassuoni Mhd Hussein Murtada Christine Haddad Aya Hussein Amina Krounbi Janoub Khazaal Rabih Chahine 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/13/2/e064859.full |
| work_keys_str_mv | AT zeinajamaluddine maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT halaghattas maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT jocelyndejong maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT stephenjmccall maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT tanyacelkhoury maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT shadyelbassuoni maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT mhdhusseinmurtada maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT christinehaddad maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT ayahussein maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT aminakrounbi maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT janoubkhazaal maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase AT rabihchahine maternalandinfantoutcomesofsyrianandpalestinianrefugeeslebaneseandmigrantwomengivingbirthinatertiarypublichospitalinlebanonasecondaryanalysisofanobstetricdatabase |