{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:46:38Z","timestamp":1777491998322,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Detail a picture of the current pregnancy and delivery characteristics and outcomes in Northwestern Syria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective observational study, using an electronic health information system, from four healthcare centers in two provinces in Northwestern Syria. We classified the population into two groups: Displaced people are those who live inside refugee camps; and residents are housed outside the camps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We analyzed data from 21\u2009294 pregnant women. Among them 69.6% were displaced. Less than 1% of all care met the standard WHO's antenatal guidelines, and 3.9% met the focused WHO guidelines. Displaced women were more likely to have no antenatal visits (35.8% vs. 25.4%). We found a high rate of anemia (45.8%), prevalence of adolescent pregnancy (20.7%), cesarean\u2010section (25.2%), preterm birth (4.2%), low birth weight (8.3%), and newborn mortality rate within 24\u2009hours of birth (1.2%). Preterm births were more likely to occur in women who had no record of antenatal visits (4.2%) and the prevalence decreased with the increasing number of antenatal visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found huge deficiency in perinatal care among all women in this region. We found high cesarean\u2010section rate, anemia, premature birth, newborn mortality within 24\u2009h of birth, and high adolescent pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14826","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T06:54:23Z","timestamp":1683010463000},"page":"256-264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pregnancy and delivery characteristics and outcomes in Northwestern Syria: A prospective cohort study"],"prefix":"10.1002","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8734-2748","authenticated-orcid":false,"given":"Abdullah Sulieman","family":"Terkawi","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine Stanford University  Palo Alto California USA"},{"name":"Syrian Expatriate Medical Association (SEMA) US, SEMA\u2010US  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Basil","family":"Bakri","sequence":"additional","affiliation":[{"name":"Syrian Expatriate Medical Association (SEMA) US, SEMA\u2010US  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0096-2870","authenticated-orcid":false,"given":"Chighaf","family":"Bakour","sequence":"additional","affiliation":[{"name":"College of Public Health University of South Florida  Tampa Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"United Nations.UN Human Rights Office Estimates More than 306 000 Civilians Were Killed over 10\u2009Years in Syria Conflict.https:\/\/www.ohchr.org\/en\/press\u2010releases\/2022\/06\/un\u2010human\u2010rights\u2010office\u2010estimates\u2010more\u2010306000\u2010civilians\u2010were\u2010killed\u2010over\u201010"},{"key":"e_1_2_10_3_1","unstructured":"UNHCR.Syria Refugee Crisis Explained.https:\/\/www.unrefugees.org\/news\/syria\u2010refugee\u2010crisis\u2010explained\/"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/ajm.AJM_190_18"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/ajm.AJM_184_18"},{"key":"e_1_2_10_6_1","volume-title":"World Health Statistics 2017: Monitoring Health for the SDGs","author":"World Health Organization","year":"2017"},{"key":"e_1_2_10_7_1","unstructured":"Office of Population Affairs (OASH).Trends in Teen Pregnancy and Childbearing.https:\/\/opa.hhs.gov\/adolescent\u2010health\/reproductive\u2010health\u2010and\u2010teen\u2010pregnancy\/trends\u2010teen\u2010pregnancy\u2010and\u2010childbearing"},{"key":"e_1_2_10_8_1","unstructured":"World Health Organization (WHO).Adolescent pregnancy.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/adolescent\u2010pregnancy"},{"key":"e_1_2_10_9_1","unstructured":"The Global Health Observatory.World Health Organization (WHO). Low Birth Weight Prevalence (%).https:\/\/www.who.int\/data\/gho\/data\/indicators\/indicator\u2010details\/GHO\/low\u2010birth\u2010weight\u2010prevalence\u2010(\u2212)"},{"key":"e_1_2_10_10_1","unstructured":"The Global Health Observatory WHO (WHO).Prevalence of Anaemia in Pregnant Women (Aged 15\u201349) (%).https:\/\/www.who.int\/data\/gho\/data\/indicators\/indicator\u2010details\/GHO\/prevalence\u2010of\u2010anaemia\u2010in\u2010pregnant\u2010women\u2010(\u2212)."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/71.5.1280s"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.14826","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T11:04:31Z","timestamp":1739963071000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.14826"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/ijgo.14826"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.14826","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"2022-11-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}