Geçirilmiş multipl sezaryen öyküsü bakımından Suriyeli mülteci ve yerleşik Türk vatandaşı gebelerin karşılaştırılması

Abstract

Aim: To compare pregnancy outcomes between pregnant Syrian refugees and Turkish citizens with a history of multiple cesarean sections.Material and Methods: The pregnant women included in this retrospective cohort study were Syrian refugees and resident Turkish citizens with a history of multiple cesarean sections who were admitted between January 1 2017 and August 1 2018 in a tertiary hospital. All data about the demographics, multiple cesarean numbers, emergent/elective cesarean numbers, hematocrit values, and neonatal birth weights were comparatively analyzed between the two groups.Results: The Syrian refugee group had a higher ratio of women with a history of >2 cesarean sections than the Turkish citizen group (23.2% vs 11.1%, p<0.05). The ratio of urgent cesarean section operations were higher in the Syrian refugee group than in the Turkish citizen group (69.6% vs 55.4%, p<0.05). The Syrian refugee group had longer pregnancy duration (39.08±1.01 vs 38.46±1.50 weeks, p<0.001) and lower neonatal birth weights (3117.83±363.36 g vs 3230.93±472.67 g, p<0.05).Conclusion: Our data suggested a significant relationship between a history of >2 cesarean sections and the pregnant Syrian refugees. The Syrian refugees had longer pregnancy duration, lower neonatal birth weights, and a higher rate of emergency cesarean sections. Therefore, we think that complications related to caesarean section may increase gradually over time in Syrian refugee pregnant women.