The characteristics of Turkish and refugee neonates and analysis of short-term outcomes

Objective: The aim was to the evaluate Turkish and refugee newborns’ characteristics and analyze the results.
Material and Method: All Turkish and refugee neonates born and followed in University of Health Sciences, Baðcýlar Training and Research Hospital’s neonatal monitoring unit between November 2015 and October 2016 were included to the study. Results: A total of 3109 neonates were included in the study. 62.5% (n=1303) of the Turkish newborns and 55% (n=559) of the refugee newborns were female (p=0.0001). Spontaneous vaginal delivery percentage was 58.3% (n=1213) in Turkish newborns and 57.7% (n=591) in refugees (p=0.001). Neonatal intensive care unit admission rates of refugee newborns were found significantly higher (8.8%) than Turkish neonates (p=0.004). There were no significant differences in birth weights, heights, head circumferences, gestational weeks and cord blood gas analysis and critical congenital heart diseases screening results were similar between the groups. Refugee mother’s antenatal followup rates (38.4%) were lower than Turkish mothers (73.8%) (p<0.0001). Refugee neonates were more frequently diagnosed with hyperbilirubinemia that required phototherapy (p=0.0004) and gestational diabetes diagnosis was detected more often in refugee mothers (p=0.001).
Conclusion: Refugees and Turkish neonates are born with anthropometric similarities. However, refugee newborns are more likely to require neonatal intensive care admission because they are more diagnosed with hyperbilirubinemia requiring phototherapy and they have more frequently gestational diabetes mothers. This may be related to the low antenatal follow-up rates of refugee mothers.

Türk ve mülteci yenidoðanlarýn özellikleri ve kýsa dönem sonuçlarýnýn analizi

Amaç: Türk ve mülteci yenidoðanlarýn özelliklerinin deðerlendirilerek sonuçlarýnýn analizi amaçlandý.
Gereç ve Yöntem: Saðlýk Bilimleri Üniversitesi Baðcýlar Eðitim ve Araþtýrma Hastanesi Yenidoðan izlem ünitesinde Kasým 2015-Ekim 2016 tarihleri arasýnda doðan Türk ve mülteci yenidoðanlar çalýþma kapsamýna alýndý.
Bulgular: Çalýþmaya toplam 3109 bebek dahil edildi. Türk yenidoðanlarýn %62.5 (n=1303)’i kýz; mültecilerin %55 (n=559)’i kýz idi (p=0.0001). Doðumlarýn %58.3’ü Türk yenidoðanlarda (n=1213) normal spontan vajinal iken mülteci bebeklerde %57.7’si (n=591) normal spontan vajinal doðum ile doðmuþ idi (p=0.001). Yenidoðan yoðun bakýma yatýþ oranlarý sýklýðý %.8.8 olarak mülteci bebeklerde Türk bebeklere göre anlamlý olarak yüksek idi (p=0.004). Türk ve mülteci yenidoðanlar için, doðum tartýsý, boyu, baþ çevresi, gebelik haftasý ve kordon kan gazý deðerleri arasýnda anlamlý fark saptanmadý (p>0.05). Kritik konjenital kalp hastalýðý taramasý açýsýndan gruplar arasýnda fark tespit edilmedi. Mülteci annelerde antenatal takip oranlarý (%38.4) Türk annelere göre (%73.8) düþük düzeyde tespit edildi (p<0.0001). Mülteci yenidoðanlarýn daha fazla gebelik diyabetli anne bebeði ve fototerapi gerektiren hiperbilirubinemi tanýsý aldýklarý tespit edildi (p=0.0001 ve p=0.004).
Sonuç: Mülteci ve Türk yenidoðanlarýn antropometrik olarak benzer özellikler ile doðmaktadýr. Ancak mülteci yenidoðanlar daha sýk gebelik diyabetli anne bebeði ve fototerapi gerektiren hiperbilirubinemi tanýsý alarak yenidoðan yoðun bakým gereksinimi duymaktadýr. Bu durum mülteci annelerin düþük antenatal takip oraný ile iliþkili olabilir.