Research Article
BibTex RIS Cite

Mülteci Olmak Erken Term Doğum İçin Risk Faktörü Olabilir Mi?

Year 2020, Volume: 17 Issue: 2, 357 - 359, 25.06.2020
https://doi.org/10.38136/jgon.670375

Abstract

Amaç
Ülkemizde Suriyeli mülteci sayısı ve doğum oranları giderek artmaktadır. Çalışmamızda, hastanemizde mülteci annelerden doğan bebeklerin doğum özelliklerini inceleyip, perinatal bakımın önemini vurgulamayı amaçladık.
Gereçler ve Yöntem
Ekim - Aralık 2018 tarihleri arasında hastanemizde doğum yapan, gestasyon yaşı ≥37 hafta olan Suriyeli ve Türk anne - bebek dosyaları retrospektif olarak incelendi. Hastaların demografik özellikleri kaydedildi. Hastalar gestasyon haftasına göre erken term (37 0/7- 38 6/7 hafta), term ve geç term (39 0/7 – 41 6/7 hafta) olarak gruplandırıldı.
Bulgular
Çalışmaya 96 Suriyeli ve 129 Türk olmak üzere toplam 225 hasta dahil edildi. Yapılan istatistiksel değerlendirmede Suriyeli bebeklerin gestasyon haftası Türklere göre anlamlı olarak daha küçük bulundu (38.2±1.1 vs 39.1±1.4 hafta; p< 0.001). Suriyeli bebeklerin %70’i erken term dönemde doğarken, Türk bebeklerin %57’sinin erken term dönemde doğduğu gözlendi (p<0.001 ). Gebelik süresince Suriyeli annelerin daha az kilo aldığı saptandı (10±4 kg vs 12±5 kg; p= 0.001). Anne yaşı, annelerin vücut kitle indeksi, doğum şekli ve doğum ağırlıkları her iki grupta benzerdi.
Sonuç
Suriyeli annelerde kısıtlı sosyoekonomik imkanlar ve mülteci olmanın getirdiği stres, erken doğum için risk oluşturabilir. Uygun obstetrik takibe ulaşabilmeleri halinde erken term doğumlar ve buna bağlı morbidite ve mortalite oranı azalabilir.

References

  • KAYNAKLAR
  • 1. Türkiyedeki Suriyeli Sayısı. Erişim Tarihi: Aralık 2019. Available from: https://multeciler.org.tr › turkiyedeki-suriyeli-sayisi
  • 2. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2018 Türkiye Nüfus ve Sağlık Arştırması. Erişim Tarihi: 2018. Available from: www.hips.hacettepe.edu.tr › tnsa2018 >sunum >TNS 2018 sonuçları
  • 3. World Health Organization. Maternal, Newborn, Child and Adolescent Health: Stillbirth. Accessed: September 29,2016. Available from: http://www.who.int/maternal_child_adolescent/epidemiology/stillbirth/en/
  • 4. Demirci H, Yildirim Topak N, Ocakoglu G, Karakulak Gomleksiz M, Ustunyurt E, Ulku Turker A. Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015. Int J Gynaecol Obstet. 2017; 137(01):63–66.
  • 5. Ozel S, Yaman S, Kansu-Celik H, Hancerliogullari N, Balci N, Engin-Ustun Y. Obstetric Outcomes among Syrian Refugees:A Comparative Study at a Tertiary Care Maternity Hospital in Turkey. Rev Bras Ginecol Obstet. 2018; 40(11):673-79.
  • 6. Büyüktiryaki M, Canpolat FE, Alyamaç Dizdar E, Okur N, Kadıoğlu Şimşek G. Neonatal outcomes of Syrian refugees delivered in a tertiary hospital in Ankara, Turkey. Confl Health. 2015;9:38.
  • 7. Çelik İH, Arslan Z, Ulubaş Işık D, Tapısız ÖL, Mollamahmutoğlu L, Baş AY ve ark. Neonatal outcomes in Syrian and other refugees treated in a tertiary hospital in Turkey. Turk J Med Sci. 2019; 49(3):815-20.
  • 8. Alnuaimi K, Kassab M, Ali R, Mohammad K, Shattnawi K. Pregnancy outcomes among Syrian refugee and Jordanian women: a comparative study. Int Nurs Rev. 2017; 64(4):584- 92.
  • 9. Malin M, Gissler M. Maternal care and birth outcomes among ethnic minority women in Finland. BMC Public Health. 2009; 9:84.
  • 10. McAlister BS, Tietze M, Northam S. Early term birth: the impact of practice patterns on rates and outcomes. West J Nurs Res. 2013; 35(8):1026-42.
  • 11. Garrow JS, Webster J.Quetelet's index (W/H2) as a measure of fatness. Int J Obes. 1985; 9(2):147-53.
  • 12. Lubchenco LO, Hansman C, Boyd E. Intrauterine growth in length and head circumference as estimated from live births at gestational ages from 26 to 42 weeks. Pediatrics. 1966; 37: 403-08.
  • 13. Fleischman AR, Oinuma M, Clark SL. Rethinking the definition of "term pregnancy". Obstet Gynecol. 2010; 116:136-39.
  • 14. Committee on Practice Bulletins — Obstetrics, The American College of Obstetricians and Gynecologists. Practice bulletin no. 130: prediction and prevention of preterm birth. Obstet Gynecol. 2012; 120(4):964–73.
  • 15. Newnham JP, Dickinson JE, Hart RJ, Pennell CE, Arrese CA, Keelan JA. Strategies to prevent preterm birth. Front Immunol. 2014; 5:584.
  • 16. Peconga EK, Høgh Thøgersen M. Post-traumatic stress disorder, depression, and anxiety in adult Syrian refugees: What do we know? Scand J Public Health. 2019:1403494819882137.
  • 17. Abu-Saad K, Fraser D. Maternal nutrition and birth outcomes. Epidemiol Rev. 2010;32:5-25.
  • 18. Villalonga-Olives E, Kawachi I, von Steinbüchel N. Pregnancy and birth outcomes among ımmigrant women in the US and Europe: a systematic review. J ImmigrMinor Health. 2017; 19(06):1469–87.
  • 19. Kanmaz AG, İnan AH, Beyan E, Özgür S, Budak A. Obstetric Outcomes of Syrian Refugees and Turkish Citizens. Arch Iran Med. 2019; 22(9):482-88.
  • 20. Wanigaratne S, Cole DC, Bassil K, Hyman I, Moineddin R, Urquia ML.The influence of refugee status and secondary migration on preterm birth. J Epidemiol Community Health. 2016; 70(6):622-28.
  • 21. Huster KM, Patterson N, Schilperoord M, Spiegel P. Cesarean sections among Syrian refugees in Lebanon from December 2012/January 2013 to June 2013: probable causes and recommendations. Yale Journal of Biology and Medicine. 2014; 87(3): 269-88.
  • 22. Alnuaimi K, Kassab M, Ali R, Mohammad K, Shattnawi K. Pregnancy outcomes among Syrian refugee and Jordanian women: a comparative study. Int Nurs Rev. 2017; 64(4):584- 92.
  • 23. Karbancioglu Canturk F, Songur Dagli S, Canturk M. Analysis Of Perinatal Outcomes Of Syrian Refugees In The Province Of Kirsehir. Ahi Evran Med J. 2019; 1(3):6-11.
  • 24. Arslan E, Demirkaya HU, Erdoğan F, Gücüyener N, Gülflen B. Erken term bebeklerde morbidite ve emzirme süresinin araştırılması. Marmara Medical Journal. 2013; 26(S1):MP-307.
  • 25. Bastek JA, Sammel MD, Paré E, Srinivas SK, Posencheg MA, Elovitz MA. Adverse neonatal outcomes: examining the risks between preterm, late preterm, and term infants. Am J Obstet Gynecol. 2008; 199:367.e1-8.
  • 26. United Nations Population Fund. Maternal Health. 2016. Accessed: March 15, 2017. Available from: https://www.unfpa.org/maternal-health.
  • 27. AFAD. Republic of Turkey Prime Ministry Disaster and Emergency Management Presidency. Syrian Refugees in Turkey, 2013: Field Survey Results. Ankara, Turkey: AFAD;2013.
  • 28. Erenel H, Aydogan Mathyk B, Sal V, Ayhan I, Karatas S, Koc Bebek A. Clinical characteristics and pregnancy outcomes of Syrian refugees: a case–control study in a tertiary care hospital in Istanbul, Turkey. Arch Gynecol Obstet. 2017; 295(1):45-50.
Year 2020, Volume: 17 Issue: 2, 357 - 359, 25.06.2020
https://doi.org/10.38136/jgon.670375

Abstract

References

  • KAYNAKLAR
  • 1. Türkiyedeki Suriyeli Sayısı. Erişim Tarihi: Aralık 2019. Available from: https://multeciler.org.tr › turkiyedeki-suriyeli-sayisi
  • 2. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2018 Türkiye Nüfus ve Sağlık Arştırması. Erişim Tarihi: 2018. Available from: www.hips.hacettepe.edu.tr › tnsa2018 >sunum >TNS 2018 sonuçları
  • 3. World Health Organization. Maternal, Newborn, Child and Adolescent Health: Stillbirth. Accessed: September 29,2016. Available from: http://www.who.int/maternal_child_adolescent/epidemiology/stillbirth/en/
  • 4. Demirci H, Yildirim Topak N, Ocakoglu G, Karakulak Gomleksiz M, Ustunyurt E, Ulku Turker A. Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015. Int J Gynaecol Obstet. 2017; 137(01):63–66.
  • 5. Ozel S, Yaman S, Kansu-Celik H, Hancerliogullari N, Balci N, Engin-Ustun Y. Obstetric Outcomes among Syrian Refugees:A Comparative Study at a Tertiary Care Maternity Hospital in Turkey. Rev Bras Ginecol Obstet. 2018; 40(11):673-79.
  • 6. Büyüktiryaki M, Canpolat FE, Alyamaç Dizdar E, Okur N, Kadıoğlu Şimşek G. Neonatal outcomes of Syrian refugees delivered in a tertiary hospital in Ankara, Turkey. Confl Health. 2015;9:38.
  • 7. Çelik İH, Arslan Z, Ulubaş Işık D, Tapısız ÖL, Mollamahmutoğlu L, Baş AY ve ark. Neonatal outcomes in Syrian and other refugees treated in a tertiary hospital in Turkey. Turk J Med Sci. 2019; 49(3):815-20.
  • 8. Alnuaimi K, Kassab M, Ali R, Mohammad K, Shattnawi K. Pregnancy outcomes among Syrian refugee and Jordanian women: a comparative study. Int Nurs Rev. 2017; 64(4):584- 92.
  • 9. Malin M, Gissler M. Maternal care and birth outcomes among ethnic minority women in Finland. BMC Public Health. 2009; 9:84.
  • 10. McAlister BS, Tietze M, Northam S. Early term birth: the impact of practice patterns on rates and outcomes. West J Nurs Res. 2013; 35(8):1026-42.
  • 11. Garrow JS, Webster J.Quetelet's index (W/H2) as a measure of fatness. Int J Obes. 1985; 9(2):147-53.
  • 12. Lubchenco LO, Hansman C, Boyd E. Intrauterine growth in length and head circumference as estimated from live births at gestational ages from 26 to 42 weeks. Pediatrics. 1966; 37: 403-08.
  • 13. Fleischman AR, Oinuma M, Clark SL. Rethinking the definition of "term pregnancy". Obstet Gynecol. 2010; 116:136-39.
  • 14. Committee on Practice Bulletins — Obstetrics, The American College of Obstetricians and Gynecologists. Practice bulletin no. 130: prediction and prevention of preterm birth. Obstet Gynecol. 2012; 120(4):964–73.
  • 15. Newnham JP, Dickinson JE, Hart RJ, Pennell CE, Arrese CA, Keelan JA. Strategies to prevent preterm birth. Front Immunol. 2014; 5:584.
  • 16. Peconga EK, Høgh Thøgersen M. Post-traumatic stress disorder, depression, and anxiety in adult Syrian refugees: What do we know? Scand J Public Health. 2019:1403494819882137.
  • 17. Abu-Saad K, Fraser D. Maternal nutrition and birth outcomes. Epidemiol Rev. 2010;32:5-25.
  • 18. Villalonga-Olives E, Kawachi I, von Steinbüchel N. Pregnancy and birth outcomes among ımmigrant women in the US and Europe: a systematic review. J ImmigrMinor Health. 2017; 19(06):1469–87.
  • 19. Kanmaz AG, İnan AH, Beyan E, Özgür S, Budak A. Obstetric Outcomes of Syrian Refugees and Turkish Citizens. Arch Iran Med. 2019; 22(9):482-88.
  • 20. Wanigaratne S, Cole DC, Bassil K, Hyman I, Moineddin R, Urquia ML.The influence of refugee status and secondary migration on preterm birth. J Epidemiol Community Health. 2016; 70(6):622-28.
  • 21. Huster KM, Patterson N, Schilperoord M, Spiegel P. Cesarean sections among Syrian refugees in Lebanon from December 2012/January 2013 to June 2013: probable causes and recommendations. Yale Journal of Biology and Medicine. 2014; 87(3): 269-88.
  • 22. Alnuaimi K, Kassab M, Ali R, Mohammad K, Shattnawi K. Pregnancy outcomes among Syrian refugee and Jordanian women: a comparative study. Int Nurs Rev. 2017; 64(4):584- 92.
  • 23. Karbancioglu Canturk F, Songur Dagli S, Canturk M. Analysis Of Perinatal Outcomes Of Syrian Refugees In The Province Of Kirsehir. Ahi Evran Med J. 2019; 1(3):6-11.
  • 24. Arslan E, Demirkaya HU, Erdoğan F, Gücüyener N, Gülflen B. Erken term bebeklerde morbidite ve emzirme süresinin araştırılması. Marmara Medical Journal. 2013; 26(S1):MP-307.
  • 25. Bastek JA, Sammel MD, Paré E, Srinivas SK, Posencheg MA, Elovitz MA. Adverse neonatal outcomes: examining the risks between preterm, late preterm, and term infants. Am J Obstet Gynecol. 2008; 199:367.e1-8.
  • 26. United Nations Population Fund. Maternal Health. 2016. Accessed: March 15, 2017. Available from: https://www.unfpa.org/maternal-health.
  • 27. AFAD. Republic of Turkey Prime Ministry Disaster and Emergency Management Presidency. Syrian Refugees in Turkey, 2013: Field Survey Results. Ankara, Turkey: AFAD;2013.
  • 28. Erenel H, Aydogan Mathyk B, Sal V, Ayhan I, Karatas S, Koc Bebek A. Clinical characteristics and pregnancy outcomes of Syrian refugees: a case–control study in a tertiary care hospital in Istanbul, Turkey. Arch Gynecol Obstet. 2017; 295(1):45-50.
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Paediatrics
Journal Section Research Articles
Authors

Esin Okman 0000-0002-0846-4032

Esra Özmen This is me 0000-0002-3368-1514

Merve Küçükoğlu Keser 0000-0001-5350-6329

Evrim Alyamac Dizdar 0000-0001-8956-0917

Fatma Sarı 0000-0003-4643-7622

Publication Date June 25, 2020
Submission Date January 4, 2020
Acceptance Date April 13, 2020
Published in Issue Year 2020 Volume: 17 Issue: 2

Cite

Vancouver Okman E, Özmen E, Küçükoğlu Keser M, Alyamac Dizdar E, Sarı F. Mülteci Olmak Erken Term Doğum İçin Risk Faktörü Olabilir Mi?. JGON. 2020;17(2):357-9.