{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T17:21:01Z","timestamp":1771608061319,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:00:00Z","timestamp":1692662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess differences in obstetric practices between Syrian war refugees (SRs) and non\u2010Syrian nonrefugees (NSRs) in a tertiary care provider in Germany.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study of SRs (<jats:italic>n<\/jats:italic>\u2009=\u2009356) and NSRs (<jats:italic>n<\/jats:italic>\u2009=\u20095836) giving birth between January 2015 and December 2018. Data on medical history, birth mode, complications, and neonatal parameters was extracted. Group differences were evaluated using Mann\u2013Whitney and \u03c7<jats:sup>2<\/jats:sup> test. Logistic regression models were fitted to investigate the association of refugee status with mode of birth in conditions associated with increased risk of cesarean section (CS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>SRs had higher rates of adolescent pregnancies (1.7% versus 0.6%, <jats:italic>P<\/jats:italic>\u2009=\u20090.020) but fewer maternal diseases compared with NSRs (1.7% versus 3.9%, <jats:italic>P<\/jats:italic>\u2009=\u20090.035). The rate of CS was higher in the NSR group (43.9% versus 36%, <jats:italic>P<\/jats:italic>\u2009=\u20090.003), as well as the rates of premature rupture of membranes (<jats:italic>P<\/jats:italic>\u2009=\u20090.006) and steroid administration for lung maturation (<jats:italic>P<\/jats:italic>\u2009=\u20090.012). Cases of umbilical artery pH \u22647.0 were more common in SRs (0.4% versus 1.1%, <jats:italic>P<\/jats:italic>\u2009=\u20090.027). Women with previous CS had similar odds of CS in the current pregnancy irrespective of study group (odds ratio, 0.94 [95% confidence interval, 0.50\u20131.75]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SR women had lower rates of CS but higher rates of adolescent pregnancies and neonatal pH \u22647.0 at birth compared with NSR women.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15030","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T08:46:49Z","timestamp":1692694009000},"page":"430-437","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Obstetric practice differences between Syrian refugees and non\u2010Syrian nonrefugee gravidae: A retrospective cross\u2010sectional study"],"prefix":"10.1002","volume":"163","author":[{"given":"Mariz","family":"Kasoha","sequence":"first","affiliation":[{"name":"Department of Gynecology, Obstetrics and Reproductive Medicine Saarland University Hospital  Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3865-6833","authenticated-orcid":false,"given":"Meletios P.","family":"Nigdelis","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Obstetrics and Reproductive Medicine Saarland University Hospital  Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Bishara","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Obstetrics and Reproductive Medicine Saarland University Hospital  Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gudrun","family":"Wagenpfeil","sequence":"additional","affiliation":[{"name":"Institute of Medical Biometry, Epidemiology and Medical Informatics Saarland University  Saarbr\u00fccken Saarland Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erich\u2010Franz","family":"Solomayer","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Obstetrics and Reproductive Medicine Saarland University Hospital  Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bashar","family":"Haj\u00a0Hamoud","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Obstetrics and Reproductive Medicine Saarland University Hospital  Homburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,22]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Refugees UNHC for Global Trends. 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