To compare the birth outcomes of refugee pregnant women who have many problems such as language, accommodation and cleanliness with those of Turkish pregnant women.
Materials and Methods:
14052 patients who gave birth over 37 weeks, nulliparous and single pregnancy between 2015-2020 in Kayseri City Hospital were retrospectively analyzed. Maternal age, gestational age, mode of delivery, cervical patency at the time of admission to the hospital for delivery, cesarean indications and neonatal outcomes were compared separately for Turkish and refugee patients.
Pregnant refugees of 3983, 10069 was a citizen of the Republic of Turkey. Average maternal ages; It was 22.5 among refugees and 24.4 among Turks. Average birth weeks was 38.2 for Refugees and 38.7 for Turks. At the time of admission to the hospital for delivery, the cervical opening was 4.1 in refugees and 1.9 in Turks. 18.1% of the refugees had cesarean section and 29.5% of the Turks gave birth by cesarean. Fetal distress was the most common cesarean indications. Cesarean sections performed due to presentation anomaly were less common in Turks, whereas cesarean sections performed due to cephalopelvic disproportion were found more frequently. Average birth weight and height were found to be close to each other. Neonatal intensive care need and stillbirth rates were higher in the Refugee.
When the birth rates were examined, it was seen that the cesarean rates of Turkish citizens were higher. Despite having communication problems during normal birth, the number of normal births was found to be higher in Refugees. At the time of admission to the hospital, it has been observed that the fact that the cervical opening is more in refugees has decreased the rates of normal birth and cesarean section.The need for neonatal intensive care and the high rate of stillbirths among refugees was due to the low follow-up period during the pregnancy period.
Anahtar Kelimeler: Refugees, Delivery, Prengancy