Analysis Of Perinatal Outcomes Of Syrian Refugees In The Province Of Kirsehir

Abstract

Purpose: To determine antenatal and perinatal outcomes of Syrian refugees delivered in our hospital at 2017 and to compare their results with Turkish parturients. Also to make a contribution to studies made for refugees’ access to health services by determining their obstetric problems.

Materıals and Method: Medical files of patients delivered at our hospital in 2017 were retrospectively assessed. 152 Syrian refugees and 196 Turkish parturient were included in the study. Age, parity, maternal hemoglobin at delivery , HbsAg, number of admissions to antenatal policlinics, cesarean indications, delivery mode, neonatal birth weight, Apgar scores were recorded.

Results: There was no hospital records of 71(46,7%) of 152 refugees until birth. All Turkish parturients admitted to hospital at least twice at antenatal period. The mean age of refugees was significantly lower , the mean parity number and adolescent pregnancy rate was significantly higher in refugees. The mean gestational week at delivery and neonatal birth weight were significantly lower. Preterm labor and low birth weight rate were significantly higher in study group. The 1st minute Apgar scores were significantly lower in study group. Maternal anemia rate was significantly higher in refugees. The cesarean delivery rate and primary cesarean rate were significantly higher in control group.

Conclusion: There is a statistically significant difference between Syrian refugees and Turkish citizens in terms of number of admissions to hospital at antenatal period and perinatal outco

Keywords

• Syrian Refugees,Antenatal Visits,Perinatal Outcomes

Kırşehir İlindeki Suriyeli Mültecilerin Perinatal Sonuçlarının Değerlendirilmesi

Abstract

Amaç: Hastanemizde 2017 yılında doğum yapan Suriyeli mültecilerin antenatal ve perinatal durumlarını inceleyerek Türk gebelerle karşılaştırmak ve bu gebelerin riskli durumlarını saptayarak sağlık kurumlarına erişimleri ve hizmet kullanımları için yapılan çalışmalara katkı sağlamaktır.

Araçlar ve Yöntem: 2017 yılında hastanemizde doğum yapan mülteci gebelerin dosyaları retrospektif olarak incelenmiştir, 152 mülteci gebe çalışma grubunda yer almıştır. Aynı yıl içinde doğum yapan 196 Türk gebe kontrol grubunda yer almıştır. Bu gebelerin yaşı, gebelik sayısı, doğum sırasındaki hemoglobin düzeyi, HbsAg taşıyıcılığı, antenatal takip sayısı, doğum şekli, sezaryen endikasyonu, doğum sırasındaki gebelik haftası, bebek doğum ağırlığı, bebeğin Apgar skorları değerlendirmeye alınmıştır.

Bulgular: 152 mülteci gebenin 71 tanesinin (%46.7) doğuma kadar hiç hastane kaydı yoktu. Kontrol grubundaki 196 Türk gebe arasında takipsiz gebe yoktu. Mülteci grubuyla kontrol grubu karşılaştırıldığında; mülteci grubun yaş ortalaması anlamlı olarak daha düşük, ortalama parite sayısı anlamlı olarak daha yüksekti. Adölesan gebelik oranı mültecilerde anlamlı olarak daha yüksekti. Mülteci grupta doğumda gebelik haftası ve ortalama bebek doğum ağırlığı anlamlı olarak daha düşüktü, preterm doğum oranı ve düşük doğum ağırlıklı bebek oranı anlamlı olarak daha yüksekti. Mülteci grupta 1. dakika Apgar skoru ve 5. dakika Apgar skoru <7 olan bebek sayısı anlamlı olarak daha yüksekti. Mülteci grupta anemi oranı anlamlı olarak daha yüksekti. Kontrol grubunda sezaryenle doğum oranı ve primer sezaryen oranı anlamlı olarak daha yüksekti.

Sonuç: Mülteci gebelerle Türk gebelerin antenatal takip sayılarında ve perinatal sonuçlarında anlamlı farklılıklar vardır. Mülteci gebelerin daha düzenli takiplerinin ve tedavilerinin yapılması hem anne hem de bebek sağlığı için önemlidir. 

Keywords

• Suriyeli Mülteci,Antenatal Takip,Perinatal Sonuç

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