International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2012
Comparison of intrapartum outcome among immigrant women from Ethiopia and the general obstetric population in Israel.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Salim Raed, Mfra Ali, Garmi Gali, Shalev Eliezer
Аннотация
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.
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.