Raed Salim1, Ali Mfra, Gali Garmi, Eliezer Shalev. 1. Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel; Rappaport Faculty of Medicine, Haifa, Israel. salim_ra@clalit.org.il
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.
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 Erbpalsy 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.
Authors: M L Urquia; R H Glazier; A J Gagnon; L H Mortensen; A-M Nybo Andersen; T Janevic; S Guendelman; D Thornton; F Bolumar; I Río Sánchez; R Small; M-A Davey; A Hjern Journal: BJOG Date: 2014-04-24 Impact factor: 6.531