AI Article Synopsis
- - The study aimed to investigate the reasons behind a higher infant mortality rate in Gaziantep, Turkey, compared to the national average, using data from a sample of infant deaths in 2013.
- - Interviews with mothers of deceased infants revealed key factors, including maternal age, number of children, close marriages, and high rates of cesarean deliveries, with a majority having received prenatal care.
- - The leading causes of infant death identified were congenital abnormalities, prematurity, and respiratory issues, with consanguineous marriage being highlighted as a significant contributing factor to the high mortality rate.
Article Abstract
Objective: To determine the causes of a relatively high infant mortality rate in a Turkish city compared to the nationwide rate.
Methods: The cross-sectional study was conducted at Gaziantep from January to March 2014, and comprised a representative sample of infant deaths that occurred between January and December 2013 in the city of Gaziantep, Turkey. Mothers of the deceased infants were interviewed using a structured questionnaire. Data was analysed using SPSS 22.
Results: Of the 556 deaths, 114(20.5%) cases comprised the sample and their mothers formed the study universe. Of them, 3(2.6%) were aged below 18 years; 22(19.3%) were over 35 years; 20(17.5%) had 4 or more children, and 40(35.0%) had an interval of less than 2 years between two pregnancies. Consanguineous marriage was the case with 49(43.0%) mothers. Overall, 111(97.4%) mothers had received prenatal care. Of the births, 66(57.9%) had occurred in private hospitals and 41(36%) in state hospitals. A total of 77(67.5%) infants had been delivered by caesarean section. The most frequent causes of mortality were congenital abnormalities 33(28.9%), prematurity 29(25.4%), respiratory distress syndrome 24(21.1%) and congenital heart diseases 14(12.3%).
Conclusions: A high rate of consanguineous marriages seemed to be one of the most important causes of the high infant death rate in Gaziantep compared to the rest of Turkey..
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