Turk Jinekoloji ve Obstetrik Dernegi Dergisi
Volume 16, Issue 3, 2019, Pages 174-179

Predictors of adverse maternal and perinatal outcomes in a refugee population from an active conflict country, Syria [Suriyeli mülteci gebelerde maternal ve perinatal komplikasyonların belirleyicileri] (Article) (Open Access)

Tuncer S.F.* , Timur B. , Yalvaç E.S. , Mollamahmutoğlu L.
  • a University of Health Sciences, Etlik Zübeyde Hanım Women’s Diseases Training and Research Hospital, Clinic of Obsttetrics and Gynecology, Ankara, Turkey
  • b University of Health Sciences, Etlik Zübeyde Hanım Women’s Diseases Training and Research Hospital, Clinic of Obsttetrics and Gynecology, Ankara, Turkey
  • c University of Health Sciences, Etlik Zübeyde Hanım Women’s Diseases Training and Research Hospital, Clinic of Obsttetrics and Gynecology, Ankara, Turkey
  • d University of Health Sciences, Etlik Zübeyde Hanım Women’s Diseases Training and Research Hospital, Clinic of Obsttetrics and Gynecology, Ankara, Turkey

Abstract

Objective: To elucidate predictors of adverse maternal and perinatal outcomes in refugees emigrating from an active conflict region (Syria). Materials and Methods: This study included Syrian pregnant women who gave birth in Etlik Zübeyde Hanım Training and Research Hospital between 2013 and 2016. Adverse perinatal outcomes were defined as preterm labor, premature rupture of membranes, early membrane rupture, intrauterine growth retardation, hypertension, perinatal excites, and erythrocyte-transfused cases. Factors associated with those adverse outcomes were assessed using multiple logistic regression analysis. Results: Having an active smoking habit [odds ratio (OR): 2.647, 95% confidence interval (CI): 1.767-3.965; p<0.001], obesity (OR: 2.272, 95% CI: 1.396-3.699; p=0.001), and adolescent age (OR: 1.732, 95% CI: 1.204-2.491; p=0.003) were found to be the most important predictors of adverse maternal and perinatal outcomes. Eighty of 129 (62%) smokers, 45 of 81 (55.65%) obese individuals, and 91 of 169 adolescents (53.8%) had adverse maternal and perinatal outcomes. Conclusion: Prevention strategies for obesity, smoking, and adolescent pregnancies should be implemented primarily to reduce maternal and antenatal adverse outcomes. Pregnant women with these risk factors in a refugee community emigrating from a conflict-zone nation should be followed up closely. © 2019 by Turkish Society of Obstetrics and Gynecology.

Author Keywords

immigrants Pregnancy Perinatal outcome Refugees Syrian Maternal outcome

Index Keywords

Maternal Age premature fetus membrane rupture Syrian Arab Republic predictive value intrauterine growth retardation human perinatal period prenatal period obesity premature labor neonatal intensive care unit Young Adult Adolescent maternal hypertension female membrane rupture early membrane rupture risk factor pulse rate fetus weight intrauterine blood transfusion Apgar score adverse outcome pathway adolescent pregnancy echography Article adult hemoglobin pregnant woman breathing rate retrospective study Birth Weight body mass smoking habit gestational age social conflict Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073791824&doi=10.4274%2ftjod.galenos.2019.98752&partnerID=40&md5=4c540834f09d6ef7ca9cd86967ea7fa7
DOI: 10.4274/tjod.galenos.2019.98752
ISSN: 1307699X
Original Language: English