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.
Öz
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<0.001, OR: 3.081, 95% CI: 2.544–3.731). Primary school graduates face a 2.757-fold greater risk of adolescent pregnancy than secondary school graduates (p<0.001, OR: 2.757, 95% CI: 2.15–3.536). Syrian nationality is 1.51 times more likely to be associated with late preterm birth in adolescent pregnancies than throughout the term gestational week (p=0.033, OR: 1.51 95% CI: 1.035–2.203). The probability of Syrian nationality in late preterm pregnancies is 1.51 times higher in adolescent women compared to term pregnancies. Ethnicity does not significantly affect the delivery week in adult pregnant women or the total (p>0.050). Among pregnant adolescents, newborns with a low birth weight (LBW) are 2.041 times more likely to be Syrian nationals than infants with ≥ 2500 g. Regardless of the gestational week, infants with LBW are 2.33 times more likely to be Syrian nationals than infants ≥ 2500 g.
Conclusion: Adolescent pregnancy is particularly prevalent among young females with poor levels of education and Syrian adolescent girls. Pregnant adolescent women face a greater risk of obstetric and neonatal problems than pregnant adult women of reproductive age. A country-based assessment of the RTGCS will aid in the development of effective strategies for achieving The World Health Organization (WHO)-recommended CS rates by identifying the factors that contribute to the rise in CS rates.
Anahtar Kelimeler
Adolescent pregnancy pregnancy outcomes refugees cesarean section Robson classification.
Teşekkür
I would like to thank my colleagues for their wonderful collaborations and critical revisions. The authors would like to express their gratitude to Dr. Naci Murat Associated Professor, a lecturer at Samsun Ondokuz Mayis University’s statistics department, for his significant contributions to the statistical analysis of this study.
Kaynakça
- Macleod C. Adolescent pregnancy: A feminist issue. International handbook of adolescent pregnancy 2014: 129-45.
- Treffers P. Adolescent Pregnancy, Issues in Adolescent Health and Development Geneva, Switzerland: The World Health Organization (WHO); 2004 [Available from: http: //apps.who.int/iris/bitstream/handle/10665/42903/9241591455_eng.pdf.
- Turkay U, Aydin U, Caliskan E, Salici M, Terzi H, Astepe B. Comparison of the pregnancy results between adolescent Syrian refugees and local adolescent Turkish citizens who gave birth in our clinic. J Matern Fetal Neonatal Med 2020; 33: 1353-8.
- Wahane A, Ghaisas AS. Analysis of caesarean sections according to Robson's criteria at a tertiary care teaching hospital in central India. Int J Reprod Contracep Obstetr Gynecol 2020; 9: 4221-7.
- Abubeker FA, Gashawbeza B, Gebre TM, et al. Analysis of cesarean section rates using Robson Ten Group Classification System in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study 2020.
- Wojewodzic L, Suchocki S, BE RM. Analysis of cesarean section births according to Robson’s Ten Group Classification in a tertiary hospital over a 6-year period (2010–2015). Ginekologia i Położnictwo-medical project 2016; 4: 9-15; 58-64.
- OECD. Health at a Glance Paris: OECD Publishing; 2019 [Available from: https: //www.oecd-ilibrary.org/content/publication/4dd50c09-en.
- Palacios-Marques AM, Quijada-Cazorla MA, Marcos-Sanmartin J, et al. Rationalisation of the caesarean section rate in a tertiary referral hospital using the Robson classification. J Obstet Gynaecol 2021; 41: 200-6.
- Betran AP, Torloni MR, Zhang JJ, Gulmezoglu AM, Section WHOWGoC. WHO Statement on Caesarean Section Rates. BJOG 2016; 123: 667-70.
- Golbasi C, Vural T, Bayraktar B, Golbasi H, Sahingoz Yildirim AG. Maternal and Neonatal Outcomes of Syrian Adolescent Refugees and Local Adolescent Turkish Citizens: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey. Gynecol Obstetr Reprod Med 2021: 1-9.
- Iliodromiti S, Mackay DF, Smith GC, Pell JP, Nelson SM. Apgar score and the risk of cause-specific infant mortality: a population-based cohort study. Lancet 2014; 384(9956): 1749-55.
- He H, Yu Y, Wang H, Obel CL, Li F, Li J. Five-minute apgar score and the risk of mental disorders during the first four decades of life: a nationwide registry-based cohort study in Denmark. Front Med (Lausanne) 2021; 8: 796544.
- Erdoğan MM. Syrians barometer 2019 Ankara: Orion Bookstore; 2020 [Available from: https://www.unhcr.org/tr/wp-content/uploads/sites/14/2020/09/SB2019-SUMMARY-04092020.pdf.
- Vural T, Golbasi C, Bayraktar B, Golbasi H, Yildirim AGS. Are Syrian refugees at high risk for adverse pregnancy outcomes? A comparison study in a tertiary center in Turkey. J Obstet Gynaecol Res 2021; 47: 1353-61.
- Demirci H, Yildirim Topak N, Ocakoglu G, Karakulak Gomleksiz M, Ustunyurt E, Ulku Turker A. Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015. Int J Gynaecol Obstet 2017; 137: 63-6.
- Erenel H, Aydogan Mathyk B, Sal V, Ayhan I, Karatas S, Koc Bebek A. Clinical characteristics and pregnancy outcomes of Syrian refugees: a case-control study in a tertiary care hospital in Istanbul, Turkey. Arch Gynecol Obstet 2017; 295: 45-50.
- Cetinkaya S. The reasons why women prefer c-sections, their knowledge, behavior and attitudes towards abortion. Open J Obstetr Gynecol 2020; 10: 221-36.
- Ozel S, Yaman S, Kansu-Celik H, Hancerliogullari N, Balci N, Engin-Ustun Y. Obstetric outcomes among syrian refugees: a comparative study at a tertiary care maternity hospital in Turkey. Rev Bras Ginecol Obstet 2018; 40: 673-9.
- Turkay U, Aydin U, Salici M, et al. Comparison of pregnant Turkish women and Syrian refugees: does living as a refugee have an unfavorable effect on pregnancy outcomes? Int J Gynaecol Obstet 2020; 149: 160-5.
- Santas G, Santas F. Trends of caesarean section rates in Turkey. J Obstet Gynaecol 2018; 38: 658-62.
- Sayili U, Ozgur C, Bulut Gazanfer O, Solmaz A. Comparison of clinical characteristics and pregnancy and neonatal outcomes between turkish citizens and syrian refugees with high-risk pregnancies. J Immigr Minor Health 2021.
- Eide KT, Morken NH, Baeroe K. Maternal reasons for requesting planned cesarean section in Norway: a qualitative study. BMC Pregnancy Childbirth 2019; 19: 102.
- Vogel JP, Betrán AP, Vindevoghel N, et al. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. The Lancet Global Health 2015; 3: e260-e70.
- Tontus HO, Nebioglu S. Improving the caesarean decision by robson classification: a population-based study by 5,323,500 livebirth data. Ann Glob Health 2020; 86: 101.
- Lefèvre M, editor Physician induced demand for C-sections: does the convenience incentive matter? Biennal conference of the American Society of heamth economists; 2014 2014/06/22-2014/06/25; Los Angeles, USA.
- Birge O, Serin AN, Kayar İ. Prevalence and cesarean rates of immigrant adolescent pregnancies. Int J Reprod Contracept Obstet Gynecol 2021; 10: 1292.
- Karacam Z, Kizilca Cakaloz D, Demir R. The impact of adolescent pregnancy on maternal and infant health in Turkey: Systematic review and meta-analysis. J Gynecol Obstet Hum Reprod 2021; 50: 102093.
- Yussif AS, Lassey A, Ganyaglo GY, Kantelhardt EJ, Kielstein H. The long-term effects of adolescent pregnancies in a community in Northern Ghana on subsequent pregnancies and births of the young mothers. Reprod Health 2017; 14: 178.
- Alnuaimi K, Kassab M, Ali R, Mohammad K, Shattnawi K. Pregnancy outcomes among Syrian refugee and Jordanian women: a comparative study. Int Nurs Rev 2017; 64: 584-92.
- Organization WH. Standards for improving quality of maternal and newborn care in health facilities 2016.
- Di Renzo GC, Spano F, Giardina I, Brillo E, Clerici G, Roura LC. Iron deficiency anemia in pregnancy. Womens Health (Lond) 2015; 11: 891-900.
- Genc S, Ciftci MA, Cingillioğlu B, et al. Adverse obstetric outcomes in early and late adolescent pregnancy. J Experiment Clin Med 2022; 39: 237-44.
- Korencan S, Pinter B, Grebenc M, Verdenik I. The outcomes of pregnancy and childbirth in adolescents in Slovenia. Zdr Varst 2017; 56: 268-75.
- Moraes AN, Likwa RN, Nzala SH. A retrospective analysis of adverse obstetric and perinatal outcomes in adolescent pregnancy: the case of Luapula Province, Zambia. Matern Health Neonatol Perinatol 2018; 4: 20.
- Cutland CL, Lackritz EM, Mallett-Moore T, et al. Low birth weight: case definition & guidelines for data collection, analysis, and presentation of maternal immunization safety data. Vaccine 2017; 35: 6492-500.
- Kabir A, Rashid MM, Hossain K, Khan A, Sikder SS, Gidding HF. Women's empowerment is associated with maternal nutrition and low birth weight: evidence from Bangladesh Demographic Health Survey. BMC Womens Health 2020; 20: 93.
- Woelile TA, Kibret GT, Workie HM, et al. Survival status and predictors of mortality among low-birth-weight neonates admitted to the Neonatal Intensive Care Unit at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia, 2020. Pediatric Health Med Ther 2021; 12: 451-66.
- World Health O. Adolescent pregnancy: factsheet Geneva: World Health Organization; 2014 [Available from: https: //apps.who.int/iris/handle/10665/112320.
Öz
Kaynakça
- Macleod C. Adolescent pregnancy: A feminist issue. International handbook of adolescent pregnancy 2014: 129-45.
- Treffers P. Adolescent Pregnancy, Issues in Adolescent Health and Development Geneva, Switzerland: The World Health Organization (WHO); 2004 [Available from: http: //apps.who.int/iris/bitstream/handle/10665/42903/9241591455_eng.pdf.
- Turkay U, Aydin U, Caliskan E, Salici M, Terzi H, Astepe B. Comparison of the pregnancy results between adolescent Syrian refugees and local adolescent Turkish citizens who gave birth in our clinic. J Matern Fetal Neonatal Med 2020; 33: 1353-8.
- Wahane A, Ghaisas AS. Analysis of caesarean sections according to Robson's criteria at a tertiary care teaching hospital in central India. Int J Reprod Contracep Obstetr Gynecol 2020; 9: 4221-7.
- Abubeker FA, Gashawbeza B, Gebre TM, et al. Analysis of cesarean section rates using Robson Ten Group Classification System in a tertiary teaching hospital, Addis Ababa, Ethiopia: a cross-sectional study 2020.
- Wojewodzic L, Suchocki S, BE RM. Analysis of cesarean section births according to Robson’s Ten Group Classification in a tertiary hospital over a 6-year period (2010–2015). Ginekologia i Położnictwo-medical project 2016; 4: 9-15; 58-64.
- OECD. Health at a Glance Paris: OECD Publishing; 2019 [Available from: https: //www.oecd-ilibrary.org/content/publication/4dd50c09-en.
- Palacios-Marques AM, Quijada-Cazorla MA, Marcos-Sanmartin J, et al. Rationalisation of the caesarean section rate in a tertiary referral hospital using the Robson classification. J Obstet Gynaecol 2021; 41: 200-6.
- Betran AP, Torloni MR, Zhang JJ, Gulmezoglu AM, Section WHOWGoC. WHO Statement on Caesarean Section Rates. BJOG 2016; 123: 667-70.
- Golbasi C, Vural T, Bayraktar B, Golbasi H, Sahingoz Yildirim AG. Maternal and Neonatal Outcomes of Syrian Adolescent Refugees and Local Adolescent Turkish Citizens: A Comparative Study at a Tertiary Care Maternity Hospital in Turkey. Gynecol Obstetr Reprod Med 2021: 1-9.
- Iliodromiti S, Mackay DF, Smith GC, Pell JP, Nelson SM. Apgar score and the risk of cause-specific infant mortality: a population-based cohort study. Lancet 2014; 384(9956): 1749-55.
- He H, Yu Y, Wang H, Obel CL, Li F, Li J. Five-minute apgar score and the risk of mental disorders during the first four decades of life: a nationwide registry-based cohort study in Denmark. Front Med (Lausanne) 2021; 8: 796544.
- Erdoğan MM. Syrians barometer 2019 Ankara: Orion Bookstore; 2020 [Available from: https://www.unhcr.org/tr/wp-content/uploads/sites/14/2020/09/SB2019-SUMMARY-04092020.pdf.
- Vural T, Golbasi C, Bayraktar B, Golbasi H, Yildirim AGS. Are Syrian refugees at high risk for adverse pregnancy outcomes? A comparison study in a tertiary center in Turkey. J Obstet Gynaecol Res 2021; 47: 1353-61.
- Demirci H, Yildirim Topak N, Ocakoglu G, Karakulak Gomleksiz M, Ustunyurt E, Ulku Turker A. Birth characteristics of Syrian refugees and Turkish citizens in Turkey in 2015. Int J Gynaecol Obstet 2017; 137: 63-6.
- Erenel H, Aydogan Mathyk B, Sal V, Ayhan I, Karatas S, Koc Bebek A. Clinical characteristics and pregnancy outcomes of Syrian refugees: a case-control study in a tertiary care hospital in Istanbul, Turkey. Arch Gynecol Obstet 2017; 295: 45-50.
- Cetinkaya S. The reasons why women prefer c-sections, their knowledge, behavior and attitudes towards abortion. Open J Obstetr Gynecol 2020; 10: 221-36.
- Ozel S, Yaman S, Kansu-Celik H, Hancerliogullari N, Balci N, Engin-Ustun Y. Obstetric outcomes among syrian refugees: a comparative study at a tertiary care maternity hospital in Turkey. Rev Bras Ginecol Obstet 2018; 40: 673-9.
- Turkay U, Aydin U, Salici M, et al. Comparison of pregnant Turkish women and Syrian refugees: does living as a refugee have an unfavorable effect on pregnancy outcomes? Int J Gynaecol Obstet 2020; 149: 160-5.
- Santas G, Santas F. Trends of caesarean section rates in Turkey. J Obstet Gynaecol 2018; 38: 658-62.
- Sayili U, Ozgur C, Bulut Gazanfer O, Solmaz A. Comparison of clinical characteristics and pregnancy and neonatal outcomes between turkish citizens and syrian refugees with high-risk pregnancies. J Immigr Minor Health 2021.
- Eide KT, Morken NH, Baeroe K. Maternal reasons for requesting planned cesarean section in Norway: a qualitative study. BMC Pregnancy Childbirth 2019; 19: 102.
- Vogel JP, Betrán AP, Vindevoghel N, et al. Use of the Robson classification to assess caesarean section trends in 21 countries: a secondary analysis of two WHO multicountry surveys. The Lancet Global Health 2015; 3: e260-e70.
- Tontus HO, Nebioglu S. Improving the caesarean decision by robson classification: a population-based study by 5,323,500 livebirth data. Ann Glob Health 2020; 86: 101.
- Lefèvre M, editor Physician induced demand for C-sections: does the convenience incentive matter? Biennal conference of the American Society of heamth economists; 2014 2014/06/22-2014/06/25; Los Angeles, USA.
- Birge O, Serin AN, Kayar İ. Prevalence and cesarean rates of immigrant adolescent pregnancies. Int J Reprod Contracept Obstet Gynecol 2021; 10: 1292.
- Karacam Z, Kizilca Cakaloz D, Demir R. The impact of adolescent pregnancy on maternal and infant health in Turkey: Systematic review and meta-analysis. J Gynecol Obstet Hum Reprod 2021; 50: 102093.
- Yussif AS, Lassey A, Ganyaglo GY, Kantelhardt EJ, Kielstein H. The long-term effects of adolescent pregnancies in a community in Northern Ghana on subsequent pregnancies and births of the young mothers. Reprod Health 2017; 14: 178.
- Alnuaimi K, Kassab M, Ali R, Mohammad K, Shattnawi K. Pregnancy outcomes among Syrian refugee and Jordanian women: a comparative study. Int Nurs Rev 2017; 64: 584-92.
- Organization WH. Standards for improving quality of maternal and newborn care in health facilities 2016.
- Di Renzo GC, Spano F, Giardina I, Brillo E, Clerici G, Roura LC. Iron deficiency anemia in pregnancy. Womens Health (Lond) 2015; 11: 891-900.
- Genc S, Ciftci MA, Cingillioğlu B, et al. Adverse obstetric outcomes in early and late adolescent pregnancy. J Experiment Clin Med 2022; 39: 237-44.
- Korencan S, Pinter B, Grebenc M, Verdenik I. The outcomes of pregnancy and childbirth in adolescents in Slovenia. Zdr Varst 2017; 56: 268-75.
- Moraes AN, Likwa RN, Nzala SH. A retrospective analysis of adverse obstetric and perinatal outcomes in adolescent pregnancy: the case of Luapula Province, Zambia. Matern Health Neonatol Perinatol 2018; 4: 20.
- Cutland CL, Lackritz EM, Mallett-Moore T, et al. Low birth weight: case definition & guidelines for data collection, analysis, and presentation of maternal immunization safety data. Vaccine 2017; 35: 6492-500.
- Kabir A, Rashid MM, Hossain K, Khan A, Sikder SS, Gidding HF. Women's empowerment is associated with maternal nutrition and low birth weight: evidence from Bangladesh Demographic Health Survey. BMC Womens Health 2020; 20: 93.
- Woelile TA, Kibret GT, Workie HM, et al. Survival status and predictors of mortality among low-birth-weight neonates admitted to the Neonatal Intensive Care Unit at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Ethiopia, 2020. Pediatric Health Med Ther 2021; 12: 451-66.
- World Health O. Adolescent pregnancy: factsheet Geneva: World Health Organization; 2014 [Available from: https: //apps.who.int/iris/handle/10665/112320.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Orijinal Makale |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Mayıs 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 5 Sayı: 3 |
Kaynak Göster
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
Dahil olduğumuz İndeksler (Dizinler) ve Platformlar sayfanın en altındadır.
Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamıştır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/2316/file/4905/show
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