Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015

Demirci, Hakan; Topak, Nevruz Yıldırım; Ocakoğlu, Gökhan; Gömleksiz, Mehtap Karakulak; Üstünyurt, Emin; Turker, Ayse Ulku

doi:10.1002/ijgo.12088

Cited by 42 publications

(52 citation statements)

References 16 publications

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“…But in our study, this rate was found to be as low as 15%, and there was no statistical difference between the groups. Similarly, two previous studies done in Turkey demonstrated lower Csection rates among nulliparous Syrian patients; 13,14 they reported that their control groups were more likely to show the complications of GDM and preeclampsia. Our hospital is a reference hospital for high-risk pregnancies and older maternal age.…”

Section: Discussionmentioning

confidence: 53%

Obstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Özel

Yaman

Kansu-Celik

et al. 2018

Rev Bras Ginecol Obstet

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Objective The aim of this study was to analyze and compare obstetric and neonatal outcomes between Syrian refugees and ethnic Turkish women. Methods Retrospective, observational study. A total of 576 Syrian refugees and 576 ethnic Turkish women were included in this study, which was conducted between January 2015 and December 2015 at a tertiary maternity training hospital in Ankara, Turkey. The demographic characteristics, obstetric and neonatal outcomes were compared. The primary outcomes were pregnancy outcomes and cesarean rates between the groups Results The mean age was significantly lower in the refugee group (p < 0.001). Mean gravidity, proportion of adolescent pregnancies, proportion of pregnant women aged 12 to 19 years, and number of pregnancies at < 18 years were significantly higher among the refugee women (p < 0.001). Rates of antenatal follow-up, double testing, triple testing, gestational diabetes mellitus (GDM) screening, and iron replacement therapy were significantly lower in the refugee group (p < 0.001). The primary Cesarean section rate was significantly lower in the refugee group (p = 0.034). Pregnancies in the refugee group were more complicated, with higher rates of preterm delivery (< 37 weeks), preterm premature rupture of membranes (PPROM), and low birth weight (< 2,500 g) when compared with the control group (4.2% versus 0.7%, p < 0.001; 1.6% versus 0.2%, p = 0.011; and 12% versus 5.8%, p < 0.001, respectively). Low education level (odds ratio [OR] = 1.7, 95% confidence interval [CI] = 0.5–0.1), and weight gain during pregnancy (OR = 1.7, 95% CI = 0.5–0.1) were found to be significant indicators for preterm birth/PPROM and low birthweight. Conclusion Syrian refugees had increased risks of certain adverse obstetric outcomes, including preterm delivery, PPROM, lower birth weight, and anemia. Several factors may influence these findings; thus, refugee women would benefit from more targeted care during pregnancy and childbirth.

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Section: Discussionmentioning

confidence: 53%

Obstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Özel

Yaman

Kansu-Celik

et al. 2018

Rev Bras Ginecol Obstet

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“…The finding from this study assists nurses in Turkey to be more conscious of individual and social factors that are barriers for prenatal or postpartum refugee mothers. While many of these factors are related to being a refugee more broadly, the need for information in women’s own language is important, as it has been shown that the establishment of special care guides in their own language facilitates access to health services (Correa‐Velez & Ryan, ; Demirci et al, ). At the same time, it is necessary to have a sufficient number of interpreters in hospitals so that women do not feel alone during birth (Büyüktiryaki, Canpolat, Dizdar, Okur, & Şimşek, ).…”

Section: Discussionmentioning

confidence: 99%

Motherhood in the shade of migration: A qualitative study of the experience of Syrian refugee mothers living in Turkey

Körükçü

Aydın

Conway

et al. 2017

Nursing & Health Sciences

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Turkey receives the largest number of Syrian refugees in the world. Some of these refugee women become mothers in Turkey. This paper reports on a qualitative, descriptive study that investigated the experience of seven Syrian women migrants who gave birth in Turkey, and explores their experiences of transition to motherhood in a foreign country. The research identified that aspects of transition can be clustered under five main themes: difficulties during the pregnancy period, giving birth in a foreign country, problems of refugee mothers, milestones in life of refugee mothers, and influence of cultural beliefs of refugee mothers on baby care. Key findings revealed that the women in the study had negative experiences related to being pregnant and having a baby in a foreign country. In addition to identifying challenges associated with migration, such as language barriers, racism, discrimination, poverty, and separation from their culture and family, the study highlighted the fears and difficulties experienced by refugee mothers, the cultural beliefs of refugee women about caring for their babies, and turning points in the life of refugee mothers.

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“…The city of Bursa, in which our study was conducted, is the fifth largest city in Turkey based on population density. Bursa currently hosts over 340,000 Syrian refugees and provides the perfect backdrop for our study [10,12]. We found that 29% of our refugee population preferred condoms as a birth control method while 24% preferred to use oral contraceptive pills (OCP) (Figure 1).…”

Section: Discussionmentioning

confidence: 97%

“…Although the refugee population has a high birth rate, the data about the method of delivery is inconsistent. These inconsistencies arise based on the reported number of cesarean sections among the Syrian refugee population [2,3,9,10]. In one study conducted in Turkey it was shown that the cesarean section rate is higher in Turkish women than in the Syrian refugees [10].…”

Section: Discussionmentioning

confidence: 99%

Understanding of birth control methods behaviors within the Syrian refugee population in Turkey

Çift¹,

Temür²,

Korkmazer³

et al. 2019

Ann Clin Anal Med

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Aim: The majority of Syrian women refugees fall in between the reproductive ages of 15-49 years old. This migration has sparked a trend in studying various topics surrounding birth control, family planning and gynecological needs of this growing population. We aimed to learn the possible reasons for the increased birth rate within the Syrian refugee population and how different factors are contributing to the high number of birth rates. Material and Method: This study was conducted at the Obstetrics and Gynecology Department of the Bursa Yuksek Ihtisas Research and Training Hospital. The questionnaire was administered to 845 patients. Results: The mean age of the participants was 24.05 ± 6.2 and the mean number of children per woman born in Turkey was 1.02. 59.5% (n=491) of our study population did not use any contraception. 48% of the study population wanted to become pregnant again, 40% of them refused to use birth control based on their religious beliefs and 31% of the participants' husbands wanted another child. Discussion: We hope that with our survey results, future studies can be conducted to help the medical community understand more about pregnancy rates within the Syrian refugee population and the reasons for not utilizing birth control methods.

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Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015

Abstract: Cesarean delivery is more common among pregnant Turkish citizens than among Syrian refugees. Other notable differences between the groups were recorded.

Cited by 42 publications

References 16 publications

Obstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Obstetric Outcomes among Syrian Refugees: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey

Motherhood in the shade of migration: A qualitative study of the experience of Syrian refugee mothers living in Turkey

Understanding of birth control methods behaviors within the Syrian refugee population in Turkey

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