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Perinatal and Neonatal Outcomes of Refugee Infants in a Tertiary Hospital in Turkey

Background Worldwide, the immigration problem has been increasing due to conflicts. In recent years, Turkey accepted more than 3.8 million refugees from many countries, principally Syria. Aims In this study, we aimed to evaluate the prenatal features and neonatal outcomes of refugees and Turkish con...

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Autores principales: Vardar, Gonca, Ozek, Eren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560563/
https://www.ncbi.nlm.nih.gov/pubmed/37814765
http://dx.doi.org/10.7759/cureus.44917
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author Vardar, Gonca
Ozek, Eren
author_facet Vardar, Gonca
Ozek, Eren
author_sort Vardar, Gonca
collection PubMed
description Background Worldwide, the immigration problem has been increasing due to conflicts. In recent years, Turkey accepted more than 3.8 million refugees from many countries, principally Syria. Aims In this study, we aimed to evaluate the prenatal features and neonatal outcomes of refugees and Turkish controls hospitalized in a tertiary neonatal intensive care unit in Turkey. Materials and methods This retrospective case-control study included comparative data related to populations based on whether they were refugees or not. Their perinatal and neonatal "outcomes" were compared. Results Among the 254 analyzed neonates, 127 were born to refugee mothers, and 127 controls were born to non-refugee Turkish mothers. The refugee rate in our hospitalized neonates was nine, a young mother’s age (p=0.010) with a higher rate of adolescent pregnancies at OR 2.78 (95% CI 0.96-8.05) (p=0.032), and consanguineous marriage at OR 0.57 (95% CI 0.32-1.02) (p=0.031) in comparison to non-refugees. The incidence of ABO incompatibility-related hemolytic jaundice (p=0.013) was higher in the refugees. The rate of formula feeding in the first month of life was significantly higher at OR 0.49 (95% CI 0.25-0.92) (p=0.027) in neonates born to refugee mothers. Despite lower perinatal care rates in refugees at OR 7.23 (95%CI 4.12-12.69) (<0.001), preterm morbidities did not differ between refugees and non-refugee preterm infants ≤32 gestational age (p>0.05). Conclusion The importance of breast milk must be strongly encouraged to initiate and promote exclusive breastfeeding for the infants of refugees. Race is still an important risk factor for ABO incompatibility-related hemolytic jaundice. Providing high-quality healthcare is sufficient to prevent worse outcomes in refugee neonates.
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spelling pubmed-105605632023-10-09 Perinatal and Neonatal Outcomes of Refugee Infants in a Tertiary Hospital in Turkey Vardar, Gonca Ozek, Eren Cureus Pediatrics Background Worldwide, the immigration problem has been increasing due to conflicts. In recent years, Turkey accepted more than 3.8 million refugees from many countries, principally Syria. Aims In this study, we aimed to evaluate the prenatal features and neonatal outcomes of refugees and Turkish controls hospitalized in a tertiary neonatal intensive care unit in Turkey. Materials and methods This retrospective case-control study included comparative data related to populations based on whether they were refugees or not. Their perinatal and neonatal "outcomes" were compared. Results Among the 254 analyzed neonates, 127 were born to refugee mothers, and 127 controls were born to non-refugee Turkish mothers. The refugee rate in our hospitalized neonates was nine, a young mother’s age (p=0.010) with a higher rate of adolescent pregnancies at OR 2.78 (95% CI 0.96-8.05) (p=0.032), and consanguineous marriage at OR 0.57 (95% CI 0.32-1.02) (p=0.031) in comparison to non-refugees. The incidence of ABO incompatibility-related hemolytic jaundice (p=0.013) was higher in the refugees. The rate of formula feeding in the first month of life was significantly higher at OR 0.49 (95% CI 0.25-0.92) (p=0.027) in neonates born to refugee mothers. Despite lower perinatal care rates in refugees at OR 7.23 (95%CI 4.12-12.69) (<0.001), preterm morbidities did not differ between refugees and non-refugee preterm infants ≤32 gestational age (p>0.05). Conclusion The importance of breast milk must be strongly encouraged to initiate and promote exclusive breastfeeding for the infants of refugees. Race is still an important risk factor for ABO incompatibility-related hemolytic jaundice. Providing high-quality healthcare is sufficient to prevent worse outcomes in refugee neonates. Cureus 2023-09-08 /pmc/articles/PMC10560563/ /pubmed/37814765 http://dx.doi.org/10.7759/cureus.44917 Text en Copyright © 2023, Vardar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatrics
Vardar, Gonca
Ozek, Eren
Perinatal and Neonatal Outcomes of Refugee Infants in a Tertiary Hospital in Turkey
title Perinatal and Neonatal Outcomes of Refugee Infants in a Tertiary Hospital in Turkey
title_full Perinatal and Neonatal Outcomes of Refugee Infants in a Tertiary Hospital in Turkey
title_fullStr Perinatal and Neonatal Outcomes of Refugee Infants in a Tertiary Hospital in Turkey
title_full_unstemmed Perinatal and Neonatal Outcomes of Refugee Infants in a Tertiary Hospital in Turkey
title_short Perinatal and Neonatal Outcomes of Refugee Infants in a Tertiary Hospital in Turkey
title_sort perinatal and neonatal outcomes of refugee infants in a tertiary hospital in turkey
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560563/
https://www.ncbi.nlm.nih.gov/pubmed/37814765
http://dx.doi.org/10.7759/cureus.44917
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