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.
  • a Department of Obstetrics and Gynecology, Emek Medical Center, Afula 18101, Israel, Rappaport Faculty of Medicine, Haifa, Israel
  • b Department of Obstetrics and Gynecology, Emek Medical Center, Afula 18101, Israel
  • c Department of Obstetrics and Gynecology, Emek Medical Center, Afula 18101, Israel, Rappaport Faculty of Medicine, Haifa, Israel
  • 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.

Author Keywords

Ethiopians immigrants Operative delivery Intrapartum outcome

Index Keywords

immigrant Israel human controlled study priority journal intrapartum care pH cholestasis female solutio placentae perinatal morbidity postpartum hemorrhage pregnancy Oligohydramnios umbilical cord vacuum extraction Article Ethiopia pregnancy outcome major clinical study adult preeclampsia vaginal delivery ethnicity meconium aspiration retrospective study Birth Weight macrosomia weight gain cesarean section labor pregnancy diabetes mellitus

Link
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