在土耳其一家三级医院接受治疗的叙利亚和其他难民的新生儿结局。
Neonatal outcomes in Syrian and other refugees treated in a tertiary hospital in Turkey.
机构信息
Division of Neonatology, Department of Pediatrics, University of Health Sciences,Etlik Zübeyde Hanım Women’s Health Teaching and Research Hospital, Ankara, Turkey
Department of Obstetrics and Gynecology, University of Health Sciences,Etlik Zübeyde Hanım Women’s Health Teaching and Research Hospital, Ankara, Turkey
出版信息
Turk J Med Sci. 2019 Jun 18;49(3):815-820. doi: 10.3906/sag-1806-86.
BACKGROUND/AIM: Turkey accepts refugees from many countries, principally Syria. More than 2.7 million refugees live in Turkey.We evaluated the neonatal outcomes of refugees.
MATERIALS AND METHODS
We retrospectively reviewed the clinical and demographic characteristics of refugee infants born in our hospital between August 2013 and September 2016.
RESULTS
Refugees (718 Syrian, 136 Iraqi, 32 Afghani, and 21 of other nationalities) accounted for 907 of 49,413 births. The mean refugee maternal age was lower than that of Turkish women, whereas the gestational age (GA) and birthweight were similar. Refugees required fewer cesarean sections but exhibited greater small- and large-for-GA rates (P < 0.05). Refugee and Turkish infant mortality rates did not differ significantly (0.8 vs. 0.4%). Eighty-nine (12.3%) refugee neonates and 6682 (13.5%) Turkish neonates were admitted to our neonatal intensive care unit (NICU). Jaundice and perinatal asphyxia were significantly more common in refugees, whereas respiratory distress syndrome, GA ≤32 weeks, and infant birthweight <2000 g were more common in Turkish infants. The total NICU admission cost of approximately 450,000 USD was paid by the Turkish government.
CONCLUSION
The numbers of refugees and refugee births continue to grow. The Turkish people and government have provided medical, social, and economic support to date; international assistance is needed.
背景/目的：土耳其接纳了来自许多国家的难民，其中主要是叙利亚人。超过 270 万难民生活在土耳其。我们评估了难民的新生儿结局。
材料和方法
我们回顾性分析了 2013 年 8 月至 2016 年 9 月在我院出生的难民婴儿的临床和人口统计学特征。
结果
难民（718 名叙利亚人、136 名伊拉克人、32 名阿富汗人和 21 名其他国籍）占 49413 名活产儿中的 907 名。难民产妇的平均年龄低于土耳其妇女，而胎龄（GA）和出生体重相似。难民剖宫产率较低，但小 GA 和大 GA 发生率较高（P<0.05）。难民和土耳其婴儿死亡率无显著差异（0.8%对 0.4%）。89 名（12.3%）难民新生儿和 6682 名（13.5%）土耳其新生儿入住我院新生儿重症监护病房（NICU）。黄疸和围产期窒息在难民中更为常见，而呼吸窘迫综合征、GA≤32 周和婴儿出生体重<2000 g 在土耳其婴儿中更为常见。约 45 万美元的新生儿重症监护病房总住院费用由土耳其政府支付。
结论
难民人数和难民出生人数持续增加。迄今为止，土耳其人民和政府提供了医疗、社会和经济支持；需要国际援助。
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