International Journal of Gynecology and Obstetrics
Volume 118, Issue 2, 2012, Pages 161-165
Comparison of intrapartum outcome among immigrant women from Ethiopia and the general obstetric population in Israel (Article)
Salim R.* ,
Mfra A. ,
Garmi G. ,
Shalev E.
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a
Department of Obstetrics and Gynecology, Emek Medical Center, Afula 18101, Israel, Rappaport Faculty of Medicine, Haifa, Israel
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b
Department of Obstetrics and Gynecology, Emek Medical Center, Afula 18101, Israel
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c
Department of Obstetrics and Gynecology, Emek Medical Center, Afula 18101, Israel, Rappaport Faculty of Medicine, Haifa, Israel
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d
Department of Obstetrics and Gynecology, Emek Medical Center, Afula 18101, Israel, Rappaport Faculty of Medicine, Haifa, Israel
Abstract
Objective: To compare intrapartum outcome between ethnic Ethiopian women and the general obstetric population in Israel. Methods: In a retrospective study, computerized data from all Ethiopian women who delivered between January 2004 and August 2011 at a university teaching hospital in Afula, Israel, were assessed. The control group comprised non-Ethiopian Israeli women, who were matched at a ratio of 1:2 on the basis of deliveries that took place immediately before and after delivery by an Ethiopian woman. The primary outcome was incidence of operative delivery. Results: During the study period, 576 Ethiopian women delivered along with 1152 matched control women. Ethiopian women had a higher incidence of pre-eclampsia (6.8% versus 4.0%, P = 0.01) and early postpartum hemorrhage (4.3% versus 1.6%, P = 0.003) than control women. After adjustment for potential confounders, the incidence of vacuum or cesarean delivery was significantly higher among Ethiopian than among control women (odds ratio, 1.68; 95% confidence interval, 1.28-2.20; P = 0.002). The incidence of composite major perinatal morbidity, including Erb palsy and cord pH less than 7.1, tended to be higher among Ethiopian women than among control women (2.3% versus 1.1%; P = 0.053). Conclusion: Although prepartum and intrapartum care are standardized, Ethiopian women had a less favorable intrapartum outcome. © 2012 International Federation of Gynecology and Obstetrics.
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863304734&doi=10.1016%2fj.ijgo.2012.02.018&partnerID=40&md5=fc2502623ff1ddbfaf2c8f3d6472c843
DOI: 10.1016/j.ijgo.2012.02.018
ISSN: 00207292
Cited by: 11
Original Language: English