Sattarova Shahla, Öncel Mehmet Yekta, Üstün Hüseyin, Karabulut Gencay Sakine, Engür Defne
Division of Neonatology, Department of Pediatrics, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey.
Division of Neonatology, Department of Pediatrics, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey; Division of Neonatology, Department of Pediatrics, İzmir Katip Çelebi University Faculty of Medicine, İzmir, Turkey.
Turk Arch Pediatr. 2023 Sep;58(5):480-484. doi: 10.5152/TurkArchPediatr.2023.23040.
This study aimed to investigate the characteristics of neonates who were aban- doned in a tertiary maternity hospital and to determine the accompanying morbidities.
This hospital-based, retrospective descriptive study was conducted by evaluating the medical records between 2012 and 2019 in a tertiary hospital in İzmir.
During the study period, there were 76 women who left their babies in the hospital following delivery. Median age of the mothers was 23 (range 12-44) years. Among them, 31.5% (n = 24) were below 18 years of age. Seventy-three of the pregnancies (96%) were unwanted, 67 of the mothers were unmarried (88.16%), of which 17 revealed a history of rape (22.36%), and 2 of them were victims of incest (2.63%). Thirty-six (47.36%) neonates were female and 36 of them (47.36%) were delivered by cesarean section. The mean gestational age was 37.3 ± 2.2 weeks and the mean birth weight was 2927 ± 572 g. Twenty-one (27.63%) babies were born prematurely and 15 (19.73%) had low birth weight. Four babies (5.26%) had hypoglycemia, 3 (3.94%) had hyponatremia, 5 (6.57%) had hypocalcemia, and 3 (3.94%) had hypomagnesemia.
Unwanted pregnancies were found to be one of the key reasons for newborn aban- donment and linked to a higher risk of complications for both mother and child. To prevent unintended pregnancy and its negative effects, it is important to ensure that all adolescents have access to high-quality education in a safe and supportive learning environment, school- based health services, and increase access to contraceptive services, including emergency contraception and safe and legal abortion services.
本研究旨在调查在一家三级妇产医院被遗弃新生儿的特征，并确定其伴随的疾病情况。
本研究为基于医院的回顾性描述性研究，通过评估伊兹密尔一家三级医院2012年至2019年期间的病历进行。
在研究期间，有76名女性在分娩后将婴儿留在医院。母亲的中位年龄为23岁（范围12 - 44岁）。其中，31.5%（n = 24）年龄在18岁以下。73例妊娠（96%）为意外妊娠，67名母亲未婚（88.16%），其中17名有强奸史（22.36%），2名是乱伦受害者（2.63%）。36名（47.36%）新生儿为女性，其中36名（47.36%）通过剖宫产分娩。平均孕周为37.3 ± 2.2周，平均出生体重为2927 ± 572克。21名（27.63%）婴儿早产，15名（19.73%）出生体重低。4名婴儿（5.26%）有低血糖，3名（3.94%）有低钠血症，5名（6.57%）有低钙血症，3名（3.94%）有低镁血症。
意外妊娠被发现是新生儿被遗弃的关键原因之一，并且与母婴并发症的较高风险相关。为防止意外妊娠及其负面影响，确保所有青少年在安全和支持性的学习环境中获得高质量教育、校内健康服务，并增加获得避孕服务的机会，包括紧急避孕以及安全合法的堕胎服务非常重要。
