Department of Obstetrics and Gynecology, University of Health Sciences Tepecik Training and Research Hospital, Izmir, Turkey.
Department of Obstetrics and Gynecology, İzmir Tınaztepe University Faculty of Medicine, Izmir, Turkey.
J Obstet Gynaecol Res. 2021 Apr;47(4):1353-1361. doi: 10.1111/jog.14673. Epub 2021 Jan 25.
In this study, we aim to compare obstetric and perinatal outcomes between Turkish citizens and Syrian refugees who applied to a tertiary center in Izmir.
Demographic characteristics, obstetric and neonatal outcomes of 8103 Syrian refugee pregnant women and 47 151 Turkish citizen pregnant women between January 2013 and December 2018 were retrospectively compared. Our primary aim was to compare the cesarean rates and obstetrical results between two groups and to decide antenatal care secondarily.
Syrian refugee pregnant women are statistically younger (p < 0.001), mean pregnancy duration and mean birth weight is statistically lower (p < 0.001 and p < 0.001, respectively). Adolescent pregnancy rates, preterm birth rates and anemia are statistically higher in refugee group (p < 0.001, p < 0.001, and p < 0.001, respectively). Primary cesarean section rates, combined and triple screening tests application rates, gestational diabetes screening rates are meaningfully lower in refugee group (p < 0.001, p < 0.001, p < 0.001, and p < 0.001, respectively).
Syrian refugees are at risk for inadequate antenatal care, adolescent pregnancy, and adverse pregnancy outcomes. Therefore, care should be given to these risks during pregnancy and childbirth to Syrian refugees.
本研究旨在比较在伊兹密尔的一家三级中心就诊的土耳其公民和叙利亚难民的产科和围产期结局。
回顾性比较了 2013 年 1 月至 2018 年 12 月期间 8103 名叙利亚难民孕妇和 47151 名土耳其公民孕妇的人口统计学特征、产科和新生儿结局。我们的主要目的是比较两组的剖宫产率和产科结果，并次要决定产前护理。
叙利亚难民孕妇的年龄统计上较小（p<0.001），平均妊娠持续时间和平均出生体重统计上较低（p<0.001 和 p<0.001）。难民组的青少年妊娠率、早产率和贫血率统计上较高（p<0.001、p<0.001 和 p<0.001）。初级剖宫产率、联合和三联筛查试验应用率、妊娠期糖尿病筛查率在难民组中明显较低（p<0.001、p<0.001、p<0.001 和 p<0.001）。
叙利亚难民存在产前保健不足、青少年妊娠和不良妊娠结局的风险。因此，在怀孕期间和分娩时应注意这些风险。
