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- Title
Antenatal Bakım Almayan Suriyeli Sığınmacı Gebelerin Maternal ve Neonatal Sonuçlarının Değerlendirilmesi.
- Authors
BEŞER, DİLEK MENEKŞE; SEVEN, BANU; KÜÇÜKÖZKAN, TUNCAY
- Abstract
Objective: We aimed to evaluate the maternal and neonatal outcomes of refugee pregnant women who could not reach antenatal care. Study Design: In this study, 202 refugee pregnant women who were hospitalized in the delivery room of a training and research hospital between January 2013 and January 2015 and were not followed up during their pregnancy were included. Demographic, maternal, and neonatal outcomes of Syrian refugee pregnant women were evaluated. Results: The mean age of the participants was 23.9±4.8 years, the median number of gravida was 3, and the median parity number was 1. The mean laboratory values of pregnant women were as follows; hemoglobin 11.3 g/dl, ferritin 15.1 ng/ml, vitamin B12 179.5 pg/ml, iron 57.1 mcg/dl, folic acid 10 ng/ml, and 25 hydroxy D vitamin (25 OH D) 6.6 ng/ml. Oligohydramnios was detected in 19.3% of the patients, low birth weight for gestational age in 3%, anhydramnios in 2%, and intrauterine growth retardation in 1.5%. The mean birth week of the newborns was 38, the mean birth weight was 3096 g, and the mean height was 48.9 cm. Polycythemia was observed in three of the newborns. Anomalies detected in newborns; neural tube defect (n=1), hypoplastic left heart syndrome (n=1), duodenal atresia (n=1), hydrocele (n=1), ambiguous genitalia (n=1), anencephaly (n=1), facial paralysis (n=1) and esophageal atresia (n=1). As the number of pregnancies of the patients increased, hemoglobin, ferritin, and folic acid values decreased significantly compared to the reference values (p=0.036, p=0.012, p=0.044, respectively), and the 1st and 5th minute Apgar scores of those with low iron values were found to be significantly lower(p=0.000, p=0.002, respectively). In addition, there was a significant positive correlation between the 25 OH vitamin D value and the femur length measured by ultrasound and birth length (p=0.020, p=0.050, respectively). Conclusion: Pregnancy complications and adverse neonatal outcomes are frequently seen in refugee pregnant women due to insufficient care in the antenatal period. Patients should be informed about the maternal and fetal effects of inadequate antenatal care, and they should be provided with easy access to health services.
- Publication
Jinekoloji-Obstetrik & Neonatoloji Tip Dergisi, 2023, Vol 20, Issue 3, p1882
- ISSN
1304-5512
- Publication type
Article
- DOI
10.38136/jgon.1240950