title: Pregnancy outcomes in Benghazi, Libya, before and during the armed conflict in 2011.
abstract: Stressful life events experienced by pregnant women may lead to adverse obstetric outcomes. This study in Benghazi compared the rates of preterm, low-birth-weight and caesarean-section births at Al-Jamhouria hospital in the months before and during the armed conflict in Libya in 2011. Data were collected on all women admitted to the delivery ward during February to May 2011 (the months of the most active fighting in the city) (n = 7096), and October to December 2010 (the months immediately before the war) (n = 5935). Compared with the preceding months there was a significant rise during the conflict in the rate of deliveries involving preterm (3.6% versus 2.5%) and low-birth-weight (10.1% versus 8.5%) infants and caesarean sections (26.9% versus 25.3%). Psychosocial stress may have been a factor (among others) in an increase in negative pregnancy outcomes, and obstetric hospitals should be aware of these issues in times of war.
authors.affiliation: Faculty of Medicine, Libyan International Medical University, Benghazi, Libya.
authors.forename: Z
authors.initials: Z
authors.lastname: Bodalal
authors.affiliation: Department of Obstetrics and Gynaecology, Al-Jamhouria Hospital, University of Benghazi, Benghazi, Libya.
authors.forename: K
authors.initials: K
authors.lastname: Agnaeber
authors.affiliation: Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
authors.forename: N
authors.initials: N
authors.lastname: Nagelkerke
authors.affiliation: Island Medical Program, University of Victoria, Victoria, British Columbia, Canada.
authors.forename: B
authors.initials: B
authors.lastname: Stirling
authors.affiliation: International Centre for Reproductive Health; Ghent, Belgium.
authors.forename: M
authors.initials: M
authors.lastname: Temmerman
authors.affiliation: International Centre for Reproductive Health, Department of Uro-Gynaecology Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium.
authors.forename: O
authors.initials: O
authors.lastname: Degomme
mesh_terms: D001724:Birth Weight; D002585:Cesarean Section / Q000706:statistics & numerical data; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D008002:Libya / Q000453:epidemiology; D008423:Maternal Age; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome / Q000453:epidemiology*; D013315:Stress, Psychological / Q000150:complications* / Q000453:epidemiology / Q000209:etiology; D014857:Warfare