Evidence map›Paper›PMID 40171364›Full record

ArticleCureus2025

Caesarean Section Rates Among Syrian Refugees in Lebanon.

Mahmoud El Hussein, Mariana El Helou, Charif Khaled, Jad Kassem, Sara Rachid, Jean Claude Estephan, Cima Hamieh

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mahmoud El HusseinEmergency Medicine, Lariboisière Hospital, Paris, FRA.
Mariana El HelouEmergency Medicine, Lebanese American University (LAU) Medical Center, Beirut, LBN.
Charif KhaledGeneral Surgery, Geitawi Hospital, Beirut, LBN.
Jad KassemCardiology, American University of Beirut, Beirut, LBN.
Sara RachidFamily Medicine, Rafik Hariri University Hospital, Beirut, LBN.
Jean Claude EstephanAnesthesia, Notre Dame de Secours, Beirut, LBN.
Cima HamiehFamily Medicine, Lebanese American University (LAU) Medical Center-Rizk Hospital, Beirut, LBN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDeliveries can be complicated by many factors, especially if women are not well followed up. Syrian refugees, for the last decade, have had to go through unbearable circumstances, which have affected their health. This is evident in the pregnancy data when we look at the delivery methods and outcomes. The caesarian section (C-section) rate among Syrians before the civil war was as per the WHO recommendation; this rate, however, changed enormously for the Syrian refugees in Lebanon. This study aims to determine the C-section rate among Syrian refugees in Lebanon, identify contributing factors, and compare it to pre-war Syrian rates. STUDY

designThis retrospective study featuring a sample size of 2183 women was conducted in a government hospital, where refugees are hospitalized under the coverage of the United Nations High Commissioner for Refugees ( UNHCR). The studied variables include the mode of delivery, maternal age, parity, day of the week, maternal hospital stay, gestational age, sex of the baby, and weight of the baby.

resultsThe C-section rate increased dramatically after the displacement of the refugees to Lebanon. This increase, however, is significantly lower than the rate among the Lebanese population. The main variables associated with an elevated C-section rate were maternal age (p-value <0.0001), day of the week (p-value <0.0001), gestational age (p-value <0.0001), and male babies (p-value = 0.024). Furthermore, C-section was associated with a longer hospital stay.

conclusionThe C-section rate among Syrian refugees in Lebanon increased dramatically compared to the C-section rate in the Syrian population before the war. This increase is double the optimal rate recommended by the WHO.

Indexed as

c-sectionmiddle-eastrefugee carestatistial analysiswomen and health

Identifiers

PMID40171364
PMCPMC11959200

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.