Department of Obstetrics and Gynecology, University of Health Sciences Derince Training and Research Hospital, Kocaeli, Turkey.
Department of Obstetrics and Gynecology, Medikal Park Hospital, Kocaeli, Turkey.
J Matern Fetal Neonatal Med. 2020 Apr;33(8):1353-1358. doi: 10.1080/14767058.2018.1519016. Epub 2018 Sep 25.
Adolescence is the transition period from childhood to adulthood; the World Health Organization has defined it as the ages between 10 and 19. Approximately 11% of all births in the world are by adolescent mothers. Pregnant adolescent refugees who have been forced to emigrate due to civil wars raging on in their native countries often face difficult social life conditions, have little or no access to hospitals, and experience language barriers and poor nutritional status have been found to experience poor maternal and obstetric outcomes. These include an increase in cesarean births, premature births, intrauterine growth retardation, and low-birth-weight infant rates. The purpose of the article was to share with you the comparative results of the adolescent pregnancies among the immigrants and among the local adolescents who gave birth between January 2016 and July 2017 in Kocaeli Derince Training and Research Hospital Gynecology Clinic in Kocaeli, Turkey. Its materials and method is a comparative study planned retrospectively between 67 adolescent Syrian refugees and 188 adolescent Turkish locals who gave birth between January 2016 and July 2017. The demographic data, obstetric outcomes, hospitalization durations, and neonatal outcomes of the patients were compared between the groups. Results, no statistically significant difference was found between pregnancy numbers, normal birth rates, cesarean sections and interventional birth rates, nullipara-multipara birth rates, or premature birth rates (<37 weeks) of the pregnant Turkish adolescents and pregnant immigrant adolescents ( > .05). The number of days these patients were hospitalized was found to be lower among Syrian immigrants than among the Turkish locals and statistically significant ( = .045 and < .05, respectively). In addition, an analysis of the birth rates of low-birth-weight infants revealed that said rates were higher among the Syrian refugees than the Turkish local and statistically borderline significant ( = .049, < .05, respectively). Between January 2016 and July 2017, a total of 8,570 live births were performed in our clinic. In our study of the 255 patients under the age of 19 who gave live births, 188 were Turkish and 67 were Syrian refugees. The average age of Turkish mothers under 19 was found to be 17.30 ± 1.01 years and the average age of immigrant mothers was found to be 17.27 ± 0.82 years. In conclusion, adolescent pregnancies are more common among Syrian refugees. Adolescent pregnancies are at risk for obstetric and neonatal outcomes. Therefore, studies should be done to prevent these pregnancies.
青春期是从儿童期到成年期的过渡时期；世界卫生组织将其定义为 10 至 19 岁之间的年龄。全世界大约有 11%的婴儿是由青少年母亲所生。由于他们的祖国正处于内战之中，被迫移民的青少年难民往往面临着艰难的社会生活条件，很少或根本无法获得医院的服务，并面临语言障碍和营养状况不佳等问题，因此她们经历不良的母婴和产科结局的风险较高。这些结局包括剖宫产率、早产率、宫内生长迟缓率和低出生体重儿率的增加。本文的目的是与您分享 2016 年 1 月至 2017 年 7 月在土耳其科贾埃利代尔西恩培训和研究医院妇科诊所分娩的移民青少年妊娠和当地青少年妊娠的比较结果。其材料和方法是在科贾埃利代尔西恩培训和研究医院妇科诊所对 2016 年 1 月至 2017 年 7 月期间分娩的 67 名叙利亚难民青少年和 188 名土耳其当地青少年进行回顾性比较研究。对两组患者的人口统计学数据、产科结局、住院时间和新生儿结局进行了比较。结果，在土耳其青少年和移民青少年（>0.05）的妊娠次数、正常分娩率、剖宫产率和干预性分娩率、初产妇-多产妇分娩率或早产率（<37 周）之间，没有发现统计学上的显著差异。与土耳其本地人相比，叙利亚移民患者的住院天数较少，且具有统计学意义（=0.045 和 <0.05）。此外，对低出生体重儿的出生率进行分析后发现，叙利亚难民的这一比例高于土耳其本地人，且具有统计学边缘意义（=0.049，<0.05）。2016 年 1 月至 2017 年 7 月，我们诊所共进行了 8570 例活产。在我们对 255 名 19 岁以下分娩的患者的研究中，188 名是土耳其人，67 名是叙利亚难民。发现土耳其 19 岁以下母亲的平均年龄为 17.30±1.01 岁，移民母亲的平均年龄为 17.27±0.82 岁。总之，青少年妊娠在叙利亚难民中更为常见。青少年妊娠存在产科和新生儿结局的风险。因此，应该开展研究来预防这些妊娠。
