{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T20:08:20Z","timestamp":1776456500287,"version":"3.51.2"},"reference-count":9,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,4,28]],"date-time":"2015-04-28T00:00:00Z","timestamp":1430179200000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2015,7]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To report the first 6\u00a0months of experience of a nongovernmental\u2010organization\u2010managed obstetric care unit in a war refugee camp, with problems encountered and solutions implemented.<\/jats:p><\/jats:sec>Design<\/jats:title>Prospective observational study of the maternity activity of Gyn\u00e9cologie Sans Fronti\u00e8res (GSF<\/jats:styled-content>).<\/jats:p><\/jats:sec>Setting<\/jats:title>GSF<\/jats:styled-content>'s maternity unit, in Zaatari camp (Jordan).<\/jats:p><\/jats:sec>Population<\/jats:title>All pregnant women among Syrian refugees who came to the unit for delivery.<\/jats:p><\/jats:sec>Methods<\/jats:title>The GSF<\/jats:styled-content>'s maternity unit is a light structure built with three tents, permitting low\u2010risk pregnancy care and childbirth. Emergency cesarean deliveries were performed in the\u00a0Moroccan army field hospital. High\u2010risk pregnancies were transferred to Al\u00a0Mafraq or Amman Hospital (Jordan) after assessment.<\/jats:p><\/jats:sec>Main outcome measures<\/jats:title>Delivery characteristics, indications for referral.<\/jats:p><\/jats:sec>Results<\/jats:title>From September 2012 to February 2013, 371 women attended the unit and 299 delivered in it. Delivery rates increased from 5\/month to 112\/month over the period. Mean gestational age at birth was 39+3<\/jats:sup> gestational weeks (SD\u00a0=\u00a01.9). Median birthweight was 3100\u00a0g (25\u201375% interquartile range 2840\u20133430\u00a0g). Spontaneous vaginal deliveries were dominant and the major maternal complication was postpartum hemorrhage (n<\/jats:italic>\u00a0=\u00a013). Eighty\u2010two women were referred to Al Mafraq or Amman hospitals, mainly for preterm labor (32%) and congenital malformations (11%). We managed one case of stillbirth. Maternal mortality did not occur.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Despite the difficulties of war, high\u2010risk pregnant women were properly identified, permitting referrals when required. Cooperation with other nongovernmental organizations, including the United Nations High Commissioner for Refugees, was essential for the management of situations at risk of complications and to contain perinatal and maternal mortality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12638","type":"journal-article","created":{"date-parts":[[2015,3,29]],"date-time":"2015-03-29T07:06:44Z","timestamp":1427612804000},"page":"755-759","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Humanitarian obstetric care for refugees of the Syrian war. The first 6\u00a0months of experience of Gyn\u00e9cologie Sans Fronti\u00e8res in Zaatari Refugee Camp (Jordan)"],"prefix":"10.1111","volume":"94","author":[{"given":"Hanane","family":"Bouchghoul","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Hospital Group Piti\u00e9\u2010Salp\u00eatri\u00e8re AP\u2010HP Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Hornez","sequence":"additional","affiliation":[{"name":"6th Forward Surgical Team Military Teaching Hospital PERCY Clamart France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Duval\u2010Arnould","sequence":"additional","affiliation":[{"name":"Gyn\u00e9cologie Sans Fronti\u00e8res Faculty of Pharmacy University of Nantes Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henri\u2010Jean","family":"Philippe","sequence":"additional","affiliation":[{"name":"Gyn\u00e9cologie Sans Fronti\u00e8res Faculty of Pharmacy University of Nantes Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacky","family":"Nizard","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hospital Group Piti\u00e9\u2010Salp\u00eatri\u00e8re AP\u2010HP Paris France"},{"name":"University of Sorbonne UPMC University of Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,28]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Syria Protests Erupt Over Arab League Membership Vote Government Calls For Urgent Summit. Available online at:http:\/\/www.huffingtonpost.com\/2011\/11\/13\/syria-protests-arab-league-vote_n_1090878.html(accessed 15 June 2014)."},{"key":"e_1_2_8_3_1","unstructured":"Syria: Refugee Numbers Top 500 000 U.N. Refugee Agency Reports (PHOTOS). Available online at:http:\/\/www.huffingtonpost.com\/2012\/12\/11\/syrian-refugees-crisis_n_2275484.html(accessed 15 June 2014)."},{"key":"e_1_2_8_4_1","volume-title":"Operational highlights and situation update total active Syrians registered with UNHCR in Jordan Number of Syrians waiting to be registered with UNHCR","author":"Weekly Report Public Health and Nutrition Za'atri Camp Report Date February 15th 2013 HIS Week 6 1","year":"2013"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2011.01.002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443610600720071"},{"key":"e_1_2_8_7_1","volume-title":"Interventions for improving maternal and newborn health","author":"WHO","year":"2009"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000239783"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11476-0"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-4-43"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faogs.12638","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faogs.12638","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.12638","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T11:01:00Z","timestamp":1695553260000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.12638"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4,28]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1111\/aogs.12638"],"URL":"https:\/\/doi.org\/10.1111\/aogs.12638","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4,28]]},"assertion":[{"value":"2014-10-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-03-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-04-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}