Comparative evaluation of neonatal and obstetrics outcomes of labour between Iranian and Afghan ethnicities

Beigi, Aboutaleb; Mazinanian, Alireza; Ashrafinia, Mansour; Baratloo, Alireza; Safari, Saeed

Comparative evaluation of neonatal and obstetrics outcomes of labour between Iranian and Afghan ethnicities

Document Type : Original Article

Authors

Aboutaleb Beigi ¹

Alireza Mazinanian ¹

Mansour Ashrafinia ²

Alireza Baratloo ³

Saeed Safari ³

¹ Arash Hospital, Tehran University of Medical Sciences, Tehran, Iran

² Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

³ Emergency Medicine Department, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Objective: There are major differences in neonatal and obstetrics outcomes of labour among different ethnicities. The present study compared the neonatal and obstetrics outcomes of labour between the Iranian and Afghan ethnicities.

Methods: Neonatal and obstetrics problems were evaluated in Iranian and Afghan pregnant women, who had referred to Arash Educational/Treatment Center for labour during a year.

Results: 3020 (93.7%) Iranian and 202 (63%) Afghan women were evaluated. There were no significant differences between the two ethnicities in relation to a need for Neonatal Intensive Care Unit (NICU), the rate of live births, infant birth weight, congenital anomalies and premature births (P>0.05). The rate of Caesarian section was higher in Iranian women (P=0.001).

Conclusion: It seems that the differences in neonatal problems and outcomes of labour obstetrics between Iranians and Afghans can be attributed to different cultural, economic, and social conditions in comparison to different ethnicities.

Keywords

Neonatal problems

Outcomes of labour

Ethnic differences

Subjects

OB/GYN

1. Bryant AS, Worjoloh A, Caughey AB, Washington AE. Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants. Am J Obstet Gynecol 2010; 202(4): 335-43.

2. Ravelli AC, Tromp M, Eskes M, Droog JC, van der Post JA, Jager KJ, et al. Ethnic differences in stillbirth and early neonatal mortality in The Netherlands. J Epidemiol Community Health 2011; 65(8): 696-701.

3. Hsieh WS, Hsieh CJ, Jeng SF, Liao HF, Su YN, Lin SJ, et al. Favorable neonatal outcomes among immigrants in Taiwan: evidence of healthy immigrant mother effect. J Womens Health (Larchmt) 2011; 20(7): 1083-90.

4. Collins JW Jr, Wu SY, David RJ. Differing intergenerational birth weights among the descendants of US-born and foreign-born Whites and African Americans in Illinois. Am J Epidemiol 2002; 155(3): 210-6.

5. Emanuel I, Leisenring W, Williams MA, Kimpo C, Estee S, O’Brien W, et al. The Washington State intergenerational study of birth outcomes: methodology and some comparisons of maternal birthweight and infant birthweight and gestation in four ethnic groups. Paediatr Perinat Epidemiol 1999; 13(3): 352-69.

6. Heinonen S, Saarikoski S. Reproductive risk factors, pregnancy characteristics and obstetric outcome in female doctors. BJOG 2002; 109(3): 261-4.

7. Ghods AJ, Nasrollahzadeh D, Kazemeini M. Afghan refugees in Iran model renal transplantation program: ethical considerations. Transplant Proc 2005; 37(2): 565-7.

8. Acharya PP, Alpass F. Birth outcomes across ethnic groups of women in Nepal. Health Care Women Int 2004; 25(1): 40-54.

9. Dott MM, Orakail N, Ebadi H, Hernandez F, MacFarlane K, Riley PL, et al. Implementing a facility-based maternal and perinatal health care surveillance system in Afghanistan. J Midwifery Womens Health 2005; 50(4): 296-300.

10. Leslie JC, Galvin SL, Diehl SJ, Bennett TA, Buescher PA. Infant mortality, low birth weight, and prematurity among Hispanic, white, and African American women in North Carolina. Am J Obstet Gynecol 2003; 188(5): 1238-40