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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Forced Migration Studies

Background:

  • Syrian refugees face challenging circumstances impacting their health, including pregnancy outcomes.
  • Pre-war C-section rates in Syria aligned with WHO recommendations.
  • Displacement to Lebanon has altered delivery methods and outcomes for Syrian women.

Purpose of the Study:

  • To determine the C-section rate among Syrian refugees in Lebanon.
  • To identify factors contributing to C-section rates in this population.
  • To compare current rates with pre-war Syrian C-section data.

Main Methods:

  • Retrospective study of 2183 women at a UNHCR-covered government hospital.
  • Analysis of delivery mode, maternal age, parity, day of week, hospital stay, gestational age, infant sex, and infant weight.

Main Results:

  • A dramatic increase in C-section rates observed post-displacement to Lebanon.
  • C-section rates remain lower than those in the Lebanese population.
  • Maternal age, day of week, gestational age, and male infant sex were associated with higher C-section rates.
  • C-sections correlated with longer maternal hospital stays.

Conclusions:

  • C-section rates among Syrian refugees in Lebanon have significantly increased compared to pre-war Syria.
  • The current C-section rate is double the WHO-recommended optimal rate.
  • Further research into contributing factors and interventions is warranted.