Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel; Rappaport Faculty of Medicine, Haifa, Israel.
Int J Gynaecol Obstet. 2012 Aug;118(2):161-5. doi: 10.1016/j.ijgo.2012.02.018. Epub 2012 May 16.
To compare intrapartum outcome between ethnic Ethiopian women and the general obstetric population in Israel.
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.
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).
Although prepartum and intrapartum care are standardized, Ethiopian women had a less favorable intrapartum outcome.
比较埃塞俄比亚裔女性与以色列普通产科人群的分娩结局。
本回顾性研究评估了 2004 年 1 月至 2011 年 8 月期间在以色列阿富拉一所大学教学医院分娩的所有埃塞俄比亚裔女性的计算机数据。对照组由非埃塞俄比亚裔以色列女性组成，按照在埃塞俄比亚裔女性分娩前后分娩的顺序，以 1:2 的比例匹配。主要结局为剖宫产发生率。
研究期间，576 名埃塞俄比亚裔女性与 1152 名匹配的对照组女性分娩。与对照组女性相比，埃塞俄比亚裔女性发生子痫前期（6.8%比 4.0%，P=0.01）和产后早期出血（4.3%比 1.6%，P=0.003）的发生率更高。调整潜在混杂因素后，埃塞俄比亚裔女性行真空吸引分娩或剖宫产的发生率显著高于对照组女性（比值比，1.68；95%置信区间，1.28-2.20；P=0.002）。包括臂丛神经损伤和脐动脉 pH 值小于 7.1 在内的复合主要围产儿发病率，埃塞俄比亚裔女性的发生率也高于对照组女性（2.3%比 1.1%；P=0.053）。
尽管产前和分娩期护理标准化，但埃塞俄比亚裔女性的分娩结局较差。
