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COVID-19 Pandemisi Sırasında ve Öncesinde (2014-2022) Yozgat İlinde Meydana Gelen Bebek Ölümlerinin İncelenmesi

Yıl 2026, Cilt: 11 Sayı: 1, 41 - 54, 05.02.2026
https://doi.org/10.35232/estudamhsd.1777705

Öz

Bebek ölümleri, sağlık sistemi ve toplumsal refahın en önemli göstergelerinden biridir. Bu çalışma, Yozgat ilinde COVID-19 pandemisi döneminde meydana gelen bebek ölümlerinin özelliklerini ve önceki yıllarla karşılaştırıldığında olası değişikliklerini incelemeyi amaçlamaktadır. Yozgat İl Bebek Ölümleri Komisyonu verileri, standartlaştırılmış veri toplama formu aracılığıyla ayrıntılı olarak incelenmiştir. İstatistiksel anlamlılık düzeyi alfa=0,05 olarak kabul edilmiştir. Pandemi dönemindeki bebek ölümleri, önceki yıllarla karşılaştırıldığında; bebeğin cinsiyeti, doğum haftası, doğum ağırlığı, annenin gebeliği elde etme yöntemi, doğum şekli, gebelik takibi ve ölümün gerçekleştiği gebelik ayı açısından istatistiksel olarak anlamlı bir fark göstermemiştir. Ancak, yeterli gebelik takibine (≥4 izlem) sahip gebelerin oranı pandemi öncesi döneme göre artmış ve bu artış istatistiksel olarak anlamlı bulunmuştur (p=0,036). Bu bulgu, COVID-19’un sağlık hizmetlerine etkisi dikkate alındığında, riskli gebelik başvurularının da artmış olabileceğini düşündürmektedir. Bebek ölümlerinin yalnızca pandemi dönemi özelinde değil, önceki altı yıl ile karşılaştırmalı olarak incelenmesi olası değişikliklerin ve nedenlerinin daha sağlıklı değerlendirilmesine olanak sağlamıştır. Ulusal ve il düzeyindeki bebek ölümleri göstergelerinin bu bakış açısıyla değerlendirilmesi, bulgular arasındaki tutarlılık veya farklılıkların ortaya konması açısından önem taşımakta ve gelecekte olası pandemi koşullarında sağlık hizmeti planlamalarına katkı sunabilecek niteliktedir.

Kaynakça

  • General Directorate of Public Health. Perinatal and Infant Mortality Information Form Filling Guide 2022. Available from: https://hsgm.saglik.gov.tr/depo/birimler/cocuk_ergen_db/dokumanlar/Doldurma_ Klavuzu.pdf
  • Turkish Statistical Institute. Children in Statistics, 2022 2022. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Cocuk-2022-49674
  • Bodur S, Durduran Y, Küçükkendirci H, Doğan C. The Relationship of Infant Mortality with Prenatal-Natal Healthcare Utilization and Demographic Characteristics: A Case-Control Study. Dicle Medical Journal. 2009;36(4):288-93.
  • UNICEF. The Impact of the COVID-19 Pandemic on Children 2022. Available from: https://www.unicef.org/turkiye/documents/covid-19-salg%C4%B1n%C4%B1n%C4%B1n-%C3%A7ocuklar-%C3%BCzerindeki-etkileri
  • Sadeghloo T, Mikhak H. Analyzing the impacts and experiences of children in disaster. International Journal of Disaster Risk Reduction. 2022;76:103000.
  • Chmielewska B, Barratt I, Townsend R, Kalafat E, van der Meulen J, Gurol-Urganci I, et al. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. The Lancet Global Health. 2021;9(6):e759-e72.
  • Maza-Arnedo F, Paternina-Caicedo A, Sosa CG, Mucio B de, Rojas-Suarez J, Say L, et al. Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths. The Lancet Regional Health–Americas. 2022;12.
  • TTB T, and HASUDER,. Current Status Assessment of COVID-19 Vaccination During Pregnancy by TTB, TJOD, and HASUDER 2022. Available from: https://www.ttb.org.tr/haber_goster.php?Guid=909cdc60-0fd4-11ec-94d8-6894aead55a3
  • Republic of Turkey Ministry of Health. COVID-19 Vaccination in Pregnant Women 2021 [cited at 2024 Apr 2]. Available from: https://covid19asi.saglik.gov.tr/Eklenti/41526/0/gebeliktecovid19asilariafis50x70cmpdf.pdf?_ tag1=91C44E1A7CA4A2D5717F1079B7F2A3721 C81784B
  • Republic of Turkey Ministry of Health. Mask, distance, and hygiene. Now is the time to unite in precaution 2022. Available from: https://covid19. saglik.gov.tr/TR-73286/maske-mesafe-ve-temizlik-simdi-tedbirde-birlik-olma-zamani.html
  • Turkish Statistical Institute. Central Distribution System 2023. Available from: https://biruni.tuik.gov. tr/medas/
  • Turkish Statistical Institute. Yozgat Population. 2022.
  • Yozgat Governorship. Provincial Directorate of Environment, Urbanization and Climate Change 2023 [cited at 2024 Apr 2]. Available from: https://yozgat.csb.gov.tr/ilimiz-cografyasi-i-2341
  • Güler Ç, Akın L. Fundamentals of Public Health, 2nd Edition, 3. Hacettepe Publications. 2012;1841.
  • Blencowe H, Cousens S, Chou D. Born Too Soon: The global epidemiology of 15 million preterm births. Reproductive Health. 2013;10(1):S2.
  • Özgen D, Şahin S. Characteristics of Mothers of Low Birth Weight Infants. Journal of Human Rhythm. 2016;2(2):73-7.
  • Republic of Turkey Ministry of Health. Antenatal Care Monitoring Protocol Circular 2023. Available from: https://www.saglik.gov.tr/TR,11104/dogum-oncesi-bakim-izlem-protokolu-genelgesi-2008--13. html
  • Republic of Turkey Ministry of Health. Minister Koca Evaluated Turkey’s 1-Year Struggle Against COVID-19. 2020.
  • Akova İ, Güneş Bal Ş, Arslaner S, Uygun T, Hasta S. Investigation of Infant Mortality and Causes in Sivas, Turkey. ESTUDAM Public Health Journal. 2022;7(3):436-43.
  • Çatak B, Öner C. Are the Main Causes of Infant Mortality Changing? A Registry-Based Cross-Sectional Study. Turkish Journal Of Family Medicine And Primary Care. 2019;13(3):311-7.
  • Yılmaz M, Bayraktar F. Evaluation of Perinatal and Infant Mortality Data in Düzce Between 2014-2017. ESTUDAM Public Health Journal. 2020;5(1):35-42.
  • Theodore H, Tulchinsky V, Elena A. New Public Health: Elsevier Academic Press; 2019.
  • Republic of Turkey Ministry of Health. Health Statistics Yearbook, 2021. 2021.
  • Republic of Turkey Ministry of Health. Health Statistics Yearbook 2020. 2020. Available from: https://dosyasb.saglik.gov.tr/Eklenti/43399,siy2020-tur-26052022pdf.pdf?0
  • Townsend R, Chmielewska B, Barratt I, Kalafat E, van der Meulen J, Gurol-Urganci I, et al. Global changes in maternity care provision during the COVID-19 pandemic: a systematic review and meta-analysis. EClinicalMedicine. 2021;37.
  • Öz E, Küçükkelepçe O, Almış H, Parlak ME, Kurt O. Evaluation of infant deaths during Covid-19 pandemic in Adıyaman, a southeastern province of Turkey 2020.
  • Turkish Statistical Institute. Central Distribution System, Child Statistics - Health. 2022.
  • Karaçam Z, Kizilca-Çakaloz D, Güneş-Öztürk G, Çoban A.Maternal and perinatal outcomes of pregnancy associated with COVID-19: systematic review and meta-analysis. European Journal of Midwifery. 2022;6.
  • World Health Organization. Newborn Mortality 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021.
  • Shukla VV, Rahman AKMF, Shen X, Black A, Arora N, Lal CV, et al. Trends in fetal and neonatal outcomes during the COVID-19 pandemic in Alabama. Pediatric research. 2023;94(2):756-61.

Examination of Infant Deaths Occurring in Yozgat Province During the COVID-19 Pandemic and Before (2014-2022)

Yıl 2026, Cilt: 11 Sayı: 1, 41 - 54, 05.02.2026
https://doi.org/10.35232/estudamhsd.1777705

Öz

Infant mortality is a critical indicator of the health system and social well-being. This study aimed to examine the characteristics and any changes of infant deaths in Yozgat province, during the COVID-19 pandemic compared with the preceding years. Yozgat Province Infant Mortality Commission data were examined in detail through a standardized data collection form. The limit of statistical significance was accepted as (alpha) 0.05. When the number of infant deaths during the COVID-19 pandemic period was evaluated by corresponding values of the pre-pandemic years, no statistically significant association was found with infants’ gender, birth week, birth weight, mothers’ method of conception, delivery method, pregnancy follow-up and the gestational month of infant’s death. The proportion of pregnant women with adequate pregnancy follow-up (i.e., 4 and above) increased compared to the pre-COVID-19 period and this increase was statistically significant (p = 0.036). It is noteworthy that the number of applications for possible risky pregnancies could have increased during the pandemic period, considering the impact of COVID-19 on health care services. Thus, it was valuable to interpret infant deaths in Yozgat province by comparing them with the previous 6 years, instead of examining them only during the pandemic period, with regards to possible changes, and examining their causes. Examining the national and provincial infant mortality indices from this perspective, with comparisons, would be a valuable practice in terms of consistency or heterogeneity of findings for better preparation against future pandemic-related service delivery planning.

Etik Beyan

XXXXXXX University Non-invasive Clinical Research Ethics Committee and XXXXXXX Provincial Health Directorate Scientific Research Advisory Board for their contribution to the realization of the research.

Destekleyen Kurum

-

Teşekkür

-

Kaynakça

  • General Directorate of Public Health. Perinatal and Infant Mortality Information Form Filling Guide 2022. Available from: https://hsgm.saglik.gov.tr/depo/birimler/cocuk_ergen_db/dokumanlar/Doldurma_ Klavuzu.pdf
  • Turkish Statistical Institute. Children in Statistics, 2022 2022. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Cocuk-2022-49674
  • Bodur S, Durduran Y, Küçükkendirci H, Doğan C. The Relationship of Infant Mortality with Prenatal-Natal Healthcare Utilization and Demographic Characteristics: A Case-Control Study. Dicle Medical Journal. 2009;36(4):288-93.
  • UNICEF. The Impact of the COVID-19 Pandemic on Children 2022. Available from: https://www.unicef.org/turkiye/documents/covid-19-salg%C4%B1n%C4%B1n%C4%B1n-%C3%A7ocuklar-%C3%BCzerindeki-etkileri
  • Sadeghloo T, Mikhak H. Analyzing the impacts and experiences of children in disaster. International Journal of Disaster Risk Reduction. 2022;76:103000.
  • Chmielewska B, Barratt I, Townsend R, Kalafat E, van der Meulen J, Gurol-Urganci I, et al. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. The Lancet Global Health. 2021;9(6):e759-e72.
  • Maza-Arnedo F, Paternina-Caicedo A, Sosa CG, Mucio B de, Rojas-Suarez J, Say L, et al. Maternal mortality linked to COVID-19 in Latin America: Results from a multi-country collaborative database of 447 deaths. The Lancet Regional Health–Americas. 2022;12.
  • TTB T, and HASUDER,. Current Status Assessment of COVID-19 Vaccination During Pregnancy by TTB, TJOD, and HASUDER 2022. Available from: https://www.ttb.org.tr/haber_goster.php?Guid=909cdc60-0fd4-11ec-94d8-6894aead55a3
  • Republic of Turkey Ministry of Health. COVID-19 Vaccination in Pregnant Women 2021 [cited at 2024 Apr 2]. Available from: https://covid19asi.saglik.gov.tr/Eklenti/41526/0/gebeliktecovid19asilariafis50x70cmpdf.pdf?_ tag1=91C44E1A7CA4A2D5717F1079B7F2A3721 C81784B
  • Republic of Turkey Ministry of Health. Mask, distance, and hygiene. Now is the time to unite in precaution 2022. Available from: https://covid19. saglik.gov.tr/TR-73286/maske-mesafe-ve-temizlik-simdi-tedbirde-birlik-olma-zamani.html
  • Turkish Statistical Institute. Central Distribution System 2023. Available from: https://biruni.tuik.gov. tr/medas/
  • Turkish Statistical Institute. Yozgat Population. 2022.
  • Yozgat Governorship. Provincial Directorate of Environment, Urbanization and Climate Change 2023 [cited at 2024 Apr 2]. Available from: https://yozgat.csb.gov.tr/ilimiz-cografyasi-i-2341
  • Güler Ç, Akın L. Fundamentals of Public Health, 2nd Edition, 3. Hacettepe Publications. 2012;1841.
  • Blencowe H, Cousens S, Chou D. Born Too Soon: The global epidemiology of 15 million preterm births. Reproductive Health. 2013;10(1):S2.
  • Özgen D, Şahin S. Characteristics of Mothers of Low Birth Weight Infants. Journal of Human Rhythm. 2016;2(2):73-7.
  • Republic of Turkey Ministry of Health. Antenatal Care Monitoring Protocol Circular 2023. Available from: https://www.saglik.gov.tr/TR,11104/dogum-oncesi-bakim-izlem-protokolu-genelgesi-2008--13. html
  • Republic of Turkey Ministry of Health. Minister Koca Evaluated Turkey’s 1-Year Struggle Against COVID-19. 2020.
  • Akova İ, Güneş Bal Ş, Arslaner S, Uygun T, Hasta S. Investigation of Infant Mortality and Causes in Sivas, Turkey. ESTUDAM Public Health Journal. 2022;7(3):436-43.
  • Çatak B, Öner C. Are the Main Causes of Infant Mortality Changing? A Registry-Based Cross-Sectional Study. Turkish Journal Of Family Medicine And Primary Care. 2019;13(3):311-7.
  • Yılmaz M, Bayraktar F. Evaluation of Perinatal and Infant Mortality Data in Düzce Between 2014-2017. ESTUDAM Public Health Journal. 2020;5(1):35-42.
  • Theodore H, Tulchinsky V, Elena A. New Public Health: Elsevier Academic Press; 2019.
  • Republic of Turkey Ministry of Health. Health Statistics Yearbook, 2021. 2021.
  • Republic of Turkey Ministry of Health. Health Statistics Yearbook 2020. 2020. Available from: https://dosyasb.saglik.gov.tr/Eklenti/43399,siy2020-tur-26052022pdf.pdf?0
  • Townsend R, Chmielewska B, Barratt I, Kalafat E, van der Meulen J, Gurol-Urganci I, et al. Global changes in maternity care provision during the COVID-19 pandemic: a systematic review and meta-analysis. EClinicalMedicine. 2021;37.
  • Öz E, Küçükkelepçe O, Almış H, Parlak ME, Kurt O. Evaluation of infant deaths during Covid-19 pandemic in Adıyaman, a southeastern province of Turkey 2020.
  • Turkish Statistical Institute. Central Distribution System, Child Statistics - Health. 2022.
  • Karaçam Z, Kizilca-Çakaloz D, Güneş-Öztürk G, Çoban A.Maternal and perinatal outcomes of pregnancy associated with COVID-19: systematic review and meta-analysis. European Journal of Midwifery. 2022;6.
  • World Health Organization. Newborn Mortality 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021.
  • Shukla VV, Rahman AKMF, Shen X, Black A, Arora N, Lal CV, et al. Trends in fetal and neonatal outcomes during the COVID-19 pandemic in Alabama. Pediatric research. 2023;94(2):756-61.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Toplum Çocuk Sağlığı
Bölüm Araştırma Makalesi
Yazarlar

Şeyma Aliye Kara 0000-0002-7924-1602

Hanife Ece Erik 0000-0002-0707-0306

Banu Çakır 0000-0001-6645-6527

Gönderilme Tarihi 3 Eylül 2025
Kabul Tarihi 12 Ocak 2026
Yayımlanma Tarihi 5 Şubat 2026
Yayımlandığı Sayı Yıl 2026 Cilt: 11 Sayı: 1

Kaynak Göster

Vancouver 1.Kara ŞA, Erik HE, Çakır B. Examination of Infant Deaths Occurring in Yozgat Province During the COVID-19 Pandemic and Before (2014-2022). ESTÜDAM Halk Sağlığı Dergisi [Internet]. 01 Şubat 2026;11(1):41-54. Erişim adresi: https://izlik.org/JA37KY24HB

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