对土耳其境内叙利亚难民的妊娠和新生儿结局进行全面评估。

A comprehensive evaluation of pregnancy and newborn outcomes in Syrian refugees in Turkey.

机构信息

Department of Gynecology and Obstetrics, Başkent University Konya Practice and Research Hospital, Konya, Turkey.

Department of Gynecology and Obstetrics, Konya City Hospital, Konya, Turkey.

出版信息

BMC Pregnancy Childbirth. 2024 Jan 2;24(1):3. doi: 10.1186/s12884-023-06168-2.

DOI:10.1186/s12884-023-06168-2

PMID:38166924

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10759474/

Abstract

BACKGROUND

The research was conducted to evaluate the birth and newborn outcomes of Syrian immigrant women according to maternal age groups and Vitamin D use.

METHODS

It was conducted retrospectively using the birth records of 2,866 Syrian migrant women, who had given birth at a tertiary center between January 2016 and May 2020. Demographic features, obstetric and neonatal outcomes were analyzed according to age groups and Vitamin D use.

RESULTS

The mean age of the patients included in the study was 26.22 ± 5.90, the mean gestational age at birth was 38.06 ± 2.1 weeks, and the mean newborn birth weight was 3.151 g. The mean hemoglobin value of the patients was 11.55 ± 1.54. While most of the patients were taking iron supplements (80.59%), Vitamin D (Vit D) supplement intake was 38.31%. The mean number of antenatal follow-ups was 3.40 ± 1.65. While the most common delivery method was normal vaginal delivery (61.93%), cesarean section rates were found to be 38.07%. The need for blood transfusion was significantly lower in the group that had received Vitamin D than that in the group that had not received it (2.00% vs. 8.94% p < 0.001). The rate of preterm birth was found to be 5.74% in the group that had received Vitamin D and 9.28% in the group that had not received it, which was significantly higher (p < 0.001).

CONCLUSIONS

We have seen that maternal and fetal outcomes can be improved with hospital follow-up and adequate vitamin supplements in refugee pregnant women.

摘要

背景

本研究旨在评估根据产妇年龄组和维生素 D 使用情况，叙利亚移民妇女的分娩和新生儿结局。

方法

本研究采用回顾性方法，分析了 2016 年 1 月至 2020 年 5 月在一家三级中心分娩的 2866 名叙利亚移民妇女的分娩记录。根据年龄组和维生素 D 使用情况分析人口统计学特征、产科和新生儿结局。

结果

研究纳入患者的平均年龄为 26.22±5.90 岁，出生时的平均孕龄为 38.06±2.1 周，平均新生儿出生体重为 3.151g。患者的平均血红蛋白值为 11.55±1.54。虽然大多数患者都在服用铁补充剂（80.59%），但维生素 D（Vit D）补充剂的摄入量为 38.31%。平均产前随访次数为 3.40±1.65。虽然最常见的分娩方式是正常阴道分娩（61.93%），但剖宫产率为 38.07%。与未接受维生素 D 的患者相比，接受维生素 D 的患者需要输血的比例显著降低（2.00%比 8.94%，p<0.001）。接受维生素 D 的患者早产率为 5.74%，未接受维生素 D 的患者早产率为 9.28%，差异有统计学意义（p<0.001）。