Hastanede doğum sonrasında terkedilen bebeklerinin demografik ve klinik özellikleri – tek merkez deneyimi
Öz
Amaç: Yenidoğan bebeklerin terkedilmesi tüm dünyada hastanelerin hem finansal hem de sosyal açıdan karşılaştığı en büyük sorunlardan biridir. Türkiye şartlarında olduğu gibi, gelişmiş ve gelişmekte olan ülkelerde en önemli bebek terki nedenleri yoksulluk, ebeveyn ölümü, boşanma ve hastalık gibi nedenlerin dışında son dönemlerde annesi tarafından terkedilen bebeklerin babalarının kimliğinin belli olmaması, yasadışı madde (sigara, alkol dahil) kullanımı gibi nedenlere bağlı bebek reddi oranında ciddi artışlar gözlenmektedir. Bu çalışmada doğum sonrası hastanede terkedilen bebeklerin demografik, klinik ve laboratuvar özelliklerini değerlendirerek risk faktörlerini belirlemeyi amaçladık.
Metot: Çalışmaya Eylül 2019 ve Ekim 2021 tarihleri arasında Ankara Şehir Hastanesinde doğan ve annesi tarafından hastanede terk edilerek Sosyal Hizmetler ve Çocuk Esirgeme Kurumuna verilen yenidoğanlar dahil edildi. Hastaların demografik, klinik ve laboratuvar verileri hastane veri sistemi ve hasta dosyalarından alınarak kaydedildi.
Bulgular: Çalışmaya toplam 26 bebek dahil edildi. Bebeklerin annelerinin yarısından fazlası (n:15 (%57)) hastanemizde takipli değildi. Altı annede yasadışı madde, dört annede gebelik boyunca sigara ve alkol kullanımı mevcuttu. En çok kullanılan yasadışı madde ise eroindi 3/6 (%50).
Sonuç: Aile planlaması, eğitim düzeyinin iyileştirilmesi, kamu spotu ve gençlerin cinsel gelişim konusunda eğitimlerinin tamamlanması, sosyal farkındalık yapılması ve Sosyal Hizmetler ve Esirgeme Kurumuyla her zaman irtibatta olunması gerekmektedir.
Anahtar Kelimeler
Terkedilen bebekler Yasadışı Madde kullanımı Sosyal Hizmetler Kurumu
Kaynakça
- 1. Hall ES, Wexelblatt SL, Crowley M, Grow JL, Jasin LR, Klebanoff MA, et al. A multicenter cohort study of treatments and hospital outcomes in neonatal abstinence syndrome. Pediatrics. 2014;134(2):e527-34.
- 2. Mueller J, Sherr L. Abandoned babies and absent policies. Health policy (Amsterdam, Netherlands). 2009;93(2-3):157-64.
- 3. Friedman SH, Horwitz SM, Resnick PJ. Child murder by mothers: a critical analysis of the current state of knowledge and a research agenda. The American journal of psychiatry. 2005;162(9):1578-87.
- 4. Yücel H. , Demirel N. , Baş A. Y. , Ulubaş Işık D. , Kulalı F. , Mollamahmutoğlu L. , Duyan Çamurdan A. A Sociodemographic Analysis of Mothers who Abandoned their Newborn Babies: A Single-Center Study. Türkiye Çocuk Hastalıkları Dergisi. 2021; 15(2): 150-154.
- 5. Şenocak H. KORUNMAYA MUHTAÇ ÇOCUKLARA SAĞLANAN BAKIM YÖNTEMLERİ. Journal of Social Policy Conferences. 2010; 0(51): 177-228.
- 6. Zabina H, Kissin D, Pervysheva E, Mytil A, Dudchenko O, Jamieson D, et al. Abandonment of infants by HIV-positive women in Russia and prevention measures. Reproductive health matters. 2009;17(33):162-70.
- 7. Bailey H, Semenenko I, Pilipenko T, Malyuta R, Thorne C. Factors associated with abandonment of infants born to HIV-positive women: results from a Ukrainian birth cohort. AIDS care. 2010;22(12):1439-48.
- 8. Sherr L, Mueller J, Fox Z. Abandoned babies in the UK - a review utilizing media reports. Child: care, health and development. 2009;35(3):419-30.
- 9. Kunkel KA. Safe-haven laws focus on abandoned newborns and their mothers. Journal of pediatric nursing. 2007;22(5):397-401.
- 10. Scott P, Robinson K, Mongkolrattanothai K, Camp T. Medical evaluation of abandoned infants less than 61 days of age. Hospital pediatrics. 2015;5(5):282-6.
- 11. Revuelta Eugercios BA. Releasing mother's burdens: child abandonment and retrieval in Madrid, 1890-1935. The Journal of interdisciplinary history. 2012;42(4):645-72.
- 12. Jain R GA, Narnoli S (2020) Haematological Changes in Alcohol and Substance Use Disorders- An Overview. Int Arch Subst Abuse Rehabil 2:006. doi.org/10.23937/2690-263X/1710006.
- 13. Bradley D. Perspectives on newborn abandonment. Pediatric emergency care. 2003;19(2):108-11.
Demographic and clinical characteristics of infants abandoned after delivery in the hospital – single center experience
Öz
Introduction and Objectives: Abandonment of newborn babies is one of the biggest problems faced by hospitals all over the world, both financially and socially. As in the conditions of Turkey, the most important causes of infant abandonment in developed and developing countries, apart from the reasons such as poverty, parental death, divorce, and illness, are the unidentified fathers of babies abandoned by their mothers in the last period, and the use of illegal substances (including cigarettes, alcohol), significant increases in rejection rates are observed.
In this study, we aimed to determine the risk factors by evaluating the demographic, clinical and laboratory characteristics of babies who were abandoned in the hospital after birth.
Methods: Newborns born in Ankara City Hospital between September 2019 and October 2021 and abandoned by their mother in the hospital and given to the Social Services and Child Protection Agency were included in the study. Demographic, clinical and laboratory data of the patients were recorded from the hospital data system and patient files.
Results: A total of 26 infants were included in the study. More than half of the mothers of the babies (n: 15 (57%)) were not followed up in our hospital. There was illicit substance use in six mothers, and smoking and alcohol use during pregnancy in four mothers. The most commonly used illegal substance was heroin 3/6 (50%).
Conclusion: Family planning, improvement of education level, completion of public service announcement and training of young people on sexual development, social awareness should be made, and it is necessary to always be in contact with the Social Services and Protection Agency.
Anahtar Kelimeler
Abandoned babies Illegal Substance use Social Services Agency
Kaynakça
- 1. Hall ES, Wexelblatt SL, Crowley M, Grow JL, Jasin LR, Klebanoff MA, et al. A multicenter cohort study of treatments and hospital outcomes in neonatal abstinence syndrome. Pediatrics. 2014;134(2):e527-34.
- 2. Mueller J, Sherr L. Abandoned babies and absent policies. Health policy (Amsterdam, Netherlands). 2009;93(2-3):157-64.
- 3. Friedman SH, Horwitz SM, Resnick PJ. Child murder by mothers: a critical analysis of the current state of knowledge and a research agenda. The American journal of psychiatry. 2005;162(9):1578-87.
- 4. Yücel H. , Demirel N. , Baş A. Y. , Ulubaş Işık D. , Kulalı F. , Mollamahmutoğlu L. , Duyan Çamurdan A. A Sociodemographic Analysis of Mothers who Abandoned their Newborn Babies: A Single-Center Study. Türkiye Çocuk Hastalıkları Dergisi. 2021; 15(2): 150-154.
- 5. Şenocak H. KORUNMAYA MUHTAÇ ÇOCUKLARA SAĞLANAN BAKIM YÖNTEMLERİ. Journal of Social Policy Conferences. 2010; 0(51): 177-228.
- 6. Zabina H, Kissin D, Pervysheva E, Mytil A, Dudchenko O, Jamieson D, et al. Abandonment of infants by HIV-positive women in Russia and prevention measures. Reproductive health matters. 2009;17(33):162-70.
- 7. Bailey H, Semenenko I, Pilipenko T, Malyuta R, Thorne C. Factors associated with abandonment of infants born to HIV-positive women: results from a Ukrainian birth cohort. AIDS care. 2010;22(12):1439-48.
- 8. Sherr L, Mueller J, Fox Z. Abandoned babies in the UK - a review utilizing media reports. Child: care, health and development. 2009;35(3):419-30.
- 9. Kunkel KA. Safe-haven laws focus on abandoned newborns and their mothers. Journal of pediatric nursing. 2007;22(5):397-401.
- 10. Scott P, Robinson K, Mongkolrattanothai K, Camp T. Medical evaluation of abandoned infants less than 61 days of age. Hospital pediatrics. 2015;5(5):282-6.
- 11. Revuelta Eugercios BA. Releasing mother's burdens: child abandonment and retrieval in Madrid, 1890-1935. The Journal of interdisciplinary history. 2012;42(4):645-72.
- 12. Jain R GA, Narnoli S (2020) Haematological Changes in Alcohol and Substance Use Disorders- An Overview. Int Arch Subst Abuse Rehabil 2:006. doi.org/10.23937/2690-263X/1710006.
- 13. Bradley D. Perspectives on newborn abandonment. Pediatric emergency care. 2003;19(2):108-11.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Çocuk Sağlığı ve Hastalıkları |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Aralık 2022 |
| Gönderilme Tarihi | 10 Şubat 2022 |
| Kabul Tarihi | 5 Mayıs 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 19 Sayı: 4 |
