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.

Year 2022, Volume: 5 Issue: 3, 850 - 860, 30.05.2022

Sadık Kükrer , Ayfer Pepekal Kükrer , Sefa Arlıer , Simten Genç , Şebnem Karagün

https://doi.org/10.32322/jhsm.1084388

Abstract

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.

Keywords

Adolescent pregnancy, pregnancy outcomes, refugees, cesarean section, Robson classification.

Thanks

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.

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