Retrospective Analysis of Newborn Baby Transports in Ankara
Abstract
Background: The first hours after birth are when the most support is needed. The safest method is considered intrauterine transport. However, postpartum transport is also inevitable. Developing in neonatal care must also be applied to transport issues. This study aims to evaluate the neonatal transports performed in Ankara province.
Methods: We evaluated 7649 newborn transports performed by Ankara Emergency Medical Services (EMS) between 2017 and 2021. We evaluated cases in the EMS database named ASOS. We compared the relationship between transport numbers and the Turkish Statistical Institute(TUİK) annual birth data.
Results: Between 2017 and 2021, Ankara EMS performed a total of 7649 newborn transports. Of all transports, 7030 (91.9%) were by ground ambulances, 369 (4.8%) were by neonatal ambulances, 135 (1.8%) were by helicopter ambulances, and 115 (1.5%) were by air ambulances. Of all cases, 1058 (13.8%) occurred between 00:00 and 07:59, 4465 (58.4%) between 08:00 and 15:59, and 2126 (27.8%) between 16:00 and 23:59 hours period. When the birth numbers of the TUİK and the number of transported cases were considered, there was a positive relationship at the r=0.714 level and was statistically significant (p<0.05). Approximately 50% (R2=0.509) of the variation in transport numbers can be explained by birth numbers.
Conclusion: The number of these transports, their regional distribution, and demand peak hours can be estimated by processing historical data. Estimates will guide more planned and efficient systems.
Keywords
Newborn transports , Prehospital emergency medicine , Neonatal intensive care
Kaynakça
- Zenciroğlu A. Doğum odasında yenidoğan bakımı ve yenidoğanın ilk muayenesi. In: Zenciroğlu A, Özbaş S, editors. Temel yenidoğan bakımı. Ankara: T.C. Sağlık Bakanlığı; 2019. p. 11-33.
- Salihoğlu Ö, Akkuş CH, Hatipoğlu S. Yenidoğan yoğun bakım ünitesi standartları. Med J Bakırköy. 2011;7:45-2.
- Eskiocak M, Selçuk GE. Türkiye’de Sağlık Bakanlığı tarafından bildirilen bebek ölüm hızları üzerine eleştirel bir değerlendirme. Turk J Public Health. 2014; p.207-216.
- UNICEF & World Health Organization. Levels and trends child mortality - report 2023. Estimates Developed by the United Nations Inter-Agency Group for Child Mortality Estimation. USA: UNICEF; 2023.
- Halk Sağlığı Genel Müdürlüğü. Bebek ve çocuk ölümleri. 2023. Available at: https://hsgm.saglik.gov.tr/depo/birimler/cocukergensagligidb/Dokumanlar/Istatistikler/Bebek_ve_Cocuk_Olumleri.pdf. Accessed March 20, 2025.
- Tarı AK. Dünyada ve Türkiye’de yenidoğan transportu. J Nurs Res Dev. 2006;3:24-2.
- Narlı N, Kırımi E, Uslu S. Yenidoğan bebeğin güvenli nakli rehberi. Ankara: Türk Neonatoloji Derneği. Turk Arch Pediatr. 2018;53:18-1.
- García del Real N, et al. Importancia del transporte pediátrico y neonatal especializado. Situación actual en España: Hacia un futuro más equitativo y universal. An Pediatr (English Edition). 2021;95:485-6.
- World Health Organization (WHO). Coronavirus disease (COVID-19) pandemic. 2024. Available at: https://www.who.int/europe/emergencies/situations/covid-19. Accessed December 28, 2024.
- Çatal Y, Altıntop İ. COVID-19 Pandemisi’nin acil servis başvuruları üzerine etkisi. J Ankara Üniv Fac Med. 2022;75:421-3.