Please use this identifier to cite or link to this item: doi:10.22028/D291-41537
Title: Obstetric practice differences between Syrian refugees and non-Syrian nonrefugee gravidae: A retrospective cross-sectional study
Author(s): Kasoha, Mariz
Nigdelis, Meletios P.
Bishara, Leila
Wagenpfeil, Gudrun
Solomayer, Erich-Franz
Haj Hamoud, Bashar
Language: English
Title: International Journal of Gynaecology and Obstetrics
Volume: 163
Issue: 2
Pages: 430-437
Publisher/Platform: Wiley
Year of Publication: 2023
Free key words: birth asphyxia
cesarean section
Syrian civil war
vaginal delivery
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: Objective: To assess differences in obstetric practices between Syrian war refugees (SRs) and non-Syrian nonrefugees (NSRs) in a tertiary care provider in Germany. Methods: This was a retrospective study of SRs (n= 356) and NSRs (n= 5836) giving birth between January 2015 and December 2018. Data on medical history, birth mode, complications, and neonatal parameters was extracted. Group differences were evaluated using Mann–Whitney and χ2 test. Logistic regression models were fitted to investigate the association of refugee status with mode of birth in conditions associated with increased risk of cesarean section (CS). Results: SRs had higher rates of adolescent pregnancies (1.7% versus 0.6%, P= 0.020) but fewer maternal diseases compared with NSRs (1.7% versus 3.9%, P= 0.035). The rate of CS was higher in the NSR group (43.9% versus 36%, P= 0.003), as well as the rates of premature rupture of membranes (P= 0.006) and steroid administration for lung maturation (P= 0.012). Cases of umbilical artery pH ≤7.0 were more common in SRs (0.4% versus 1.1%, P= 0.027). Women with previous CS had similar odds of CS in the current pregnancy irrespective of study group (odds ratio, 0.94 [95% confidence interval, 0.50–1.75]). Conclusion: SR women had lower rates of CS but higher rates of adolescent pregnancies and neonatal pH ≤7.0 at birth compared with NSR women.
DOI of the first publication: 10.1002/ijgo.15030
URL of the first publication:
Link to this record: urn:nbn:de:bsz:291--ds-415378
ISSN: 1879-3479
Date of registration: 31-Jan-2024
Description of the related object: Supporting Information
Related object:
Faculty: M - Medizinische Fakultät
Department: M - Frauenheilkunde
M - Medizinische Biometrie, Epidemiologie und medizinische Informatik
Professorship: M - Prof. Dr. E.-F. Solomayer
M - Prof. Dr. Stefan Wagenpfeil
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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