Comparison of Clinical Characteristics and Pregnancy and Neonatal Outcomes Between Turkish Citizens and Syrian Refugees with High-Risk Pregnancies

Sayılı, Uğurcan; Ozgur, Cigdem; Gazanfer, Oznur Bulut; Solmaz, Abdullah

doi:10.1007/s10903-021-01288-3

Cited by 8 publications

(8 citation statements)

References 26 publications

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“…Another study investigating specifically SR women with high‐risk pregnancies was in line with our results showing an ≈50% decreased rate of CS compared with native Turkish patients ( P < 0.001) 20 . Additional data from Turkey, which received a large part of SRs in the beginning of the war, confirmed the lower odds of CS 21 …”

Section: Discussionsupporting

confidence: 84%

“…5 Another study investigating specifically SR women with high-risk pregnancies was in line with our results showing an ≈50% decreased rate of CS compared with native Turkish patients (P < 0.001). 20 Additional data from Turkey, which received a large part of SRs in the beginning of the war, confirmed the lower odds of CS. 21 Our study provides additional data regarding specific conditions, where delivery mode is controversial and, thus, dependent on the health care provider-patient relationship.…”

Section: Discussionmentioning

confidence: 81%

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Obstetric practice differences between Syrian refugees and non‐Syrian nonrefugee gravidae: A retrospective cross‐sectional study

Kasoha,

Nigdelis,

Bishara

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo assess differences in obstetric practices between Syrian war refugees (SRs) and non‐Syrian nonrefugees (NSRs) in a tertiary care provider in Germany.MethodsThis was a retrospective study of SRs (n = 356) and NSRs (n = 5836) giving birth between January 2015 and December 2018. Data on medical history, birth mode, complications, and neonatal parameters was extracted. Group differences were evaluated using Mann–Whitney and χ2 test. Logistic regression models were fitted to investigate the association of refugee status with mode of birth in conditions associated with increased risk of cesarean section (CS).ResultsSRs had higher rates of adolescent pregnancies (1.7% versus 0.6%, P = 0.020) but fewer maternal diseases compared with NSRs (1.7% versus 3.9%, P = 0.035). The rate of CS was higher in the NSR group (43.9% versus 36%, P = 0.003), as well as the rates of premature rupture of membranes (P = 0.006) and steroid administration for lung maturation (P = 0.012). Cases of umbilical artery pH ≤7.0 were more common in SRs (0.4% versus 1.1%, P = 0.027). Women with previous CS had similar odds of CS in the current pregnancy irrespective of study group (odds ratio, 0.94 [95% confidence interval, 0.50–1.75]).ConclusionSR women had lower rates of CS but higher rates of adolescent pregnancies and neonatal pH ≤7.0 at birth compared with NSR women.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 81%

Obstetric practice differences between Syrian refugees and non‐Syrian nonrefugee gravidae: A retrospective cross‐sectional study

Kasoha,

Nigdelis,

Bishara

et al. 2023

Intl J Gynecology & Obste

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“…In the < 20 age group, the 1st minute mean APGAR score (6.91 ± 0.69) was signi cantly lower than that in the other age groups (p < 0.001). While neonatal NICU admission rates were higher in the < 20 age group (7.1%) than in the other two groups (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)4.49% and > 35, 4.20%), there was no signi cant difference (p = 0.12).…”

Section: Resultsmentioning

confidence: 86%

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

Dirican,

Korucu

2023

Preprint

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Background The study was conducted to evaluate the obstetric and neonatal outcomes of Syrian migrant women in a tertiary centre. 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 3.151g. 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.

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“…This difference is due to the different regional distribution and socio-cultural levels of Syrian refugees. In a similar study, Sayili et al (21) found that Syrian refugees had a considerably greater parity than Turkish citizens (p=0.010) and a significantly shorter first gestational age (p=0.034).…”

Section: Discussionmentioning

confidence: 83%

Evaluation of obstetric and neonatal outcomes and cesarean section rates of Syrian and Turkish adolescent pregnant women according to the Robson ten group classification system.

KÜKRER

Kükrer

Arlıer

et al. 2022

Journal of Health Sciences and Medicine

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Aim: Our research has two purposes. To begin with, we sought to determine whether there were any differences in maternal and newborn outcomes between Syrian adolescent and adult pregnant women living in Turkey after the Syrian civil war and Turkish adolescent and adult pregnant women. Second, we wanted to examine and compare the rates of cesarean section (CS) and spontaneous vaginal delivery (SVD) in adolescent and adult pregnant women using the Robson ten group classification system (RTGCS). Material and Method: Our study investigated data from a retrospective cross-sectional study of 1823 Turkish and Syrian pregnant women who gave birth between September 2020 and August 2021 in a tertiary reference hospital in Turkey's Mediterranean area. Our study enrolled 838 pregnant adolescent girls between the ages of 13 and 19 and 985 pregnant adult women between the ages of 20 and 47. Results: The probability of adolescent pregnancy is 3.081 times greater among Syrian refugees than among Turkish natives (p

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Comparison of Clinical Characteristics and Pregnancy and Neonatal Outcomes Between Turkish Citizens and Syrian Refugees with High-Risk Pregnancies

Cited by 8 publications

References 26 publications

Obstetric practice differences between Syrian refugees and non‐Syrian nonrefugee gravidae: A retrospective cross‐sectional study

Obstetric practice differences between Syrian refugees and non‐Syrian nonrefugee gravidae: A retrospective cross‐sectional study

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

Evaluation of obstetric and neonatal outcomes and cesarean section rates of Syrian and Turkish adolescent pregnant women according to the Robson ten group classification system.

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