Araştırma Makalesi

Perinatal outcomes in adolescent pregnancies: A retrospective cohort study

Cilt: 65 Sayı: 2 10 Haziran 2026
PDF İndir
TR EN

Perinatal outcomes in adolescent pregnancies: A retrospective cohort study

Öz

Aim: Adolescent pregnancy remains a major global public health concern, particularly in low- and middle-income regions. Biological immaturity combined with social vulnerability predisposes adolescent mothers to adverse maternal and perinatal outcomes. This study aimed to evaluate the sociodemographic characteristics, antenatal care patterns, and obstetric and neonatal outcomes of adolescent pregnancies compared with adult pregnancies. Materials and Methods: This retrospective cohort study included 1,060 mothers who delivered at a tertiary referral center in western Türkiye between 2018 and 2023. Women aged ≤19 years were classified as adolescents and compared with adults aged 20–34 years. Demographic features, antenatal care utilization, and neonatal outcomes were obtained from hospital records. Categorical variables were analyzed using chi-square tests and continuous variables with Student’s t-test. Results: Of the cohort, 660 were adolescents and 400 were adults. Adolescents presented significantly later for antenatal care (p < 0.001) and had fewer antenatal visits. First-trimester screening uptake was extremely low in adolescents, with 89.5% receiving no screening (p < 0.001). Adolescents had higher cesarean delivery rates (p < 0.001). Overall pregnancy complications were more frequent in adolescents (p < 0.001), with fetal growth restriction significantly higher (6.4% vs. 1.3%). Preterm birth occurred more often among adolescents (p = 0.016). Neonates of adolescent mothers had significantly lower 1- and 5-minute APGAR scores, and low 5-minute APGAR (<7) was more common (p < 0.001). Conclusions: Adolescent pregnancy is associated with delayed and inadequate antenatal care, poor screening uptake, higher obstetric complication rates, increased cesarean delivery, and worse neonatal condition at birth.

Anahtar Kelimeler

Kaynakça

  1. Adolescent pregnancy. Accessed December 9, 2025. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
  2. Golbasi C, Vural T, Bayraktar B, Golbasi H, Yildirim AGS. Maternal and Neonatal Outcomes of Syrian Adolescent Refugees and Local Adolescent Turkish Citizens: A Comparative Study at a Tertiary Care Maternity Hospital in Türkiye. Gynecology Obstetrics & Reproductive Medicine. 2022;28(2):135-143. doi:10.21613/GORM.2021.1186
  3. Chen XK, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol. 2007;36(2):368-373. doi:10.1093/IJE/DYL284
  4. Tevyaw TOL, Monti PM. Motivational enhancement and other brief interventions for adolescent substance abuse: Foundations, applications and evaluations. Addiction. 2004;99(SUPPL. 2):63-75. doi:10.1111/J.1360-0443.2004.00855.X;WGROUP:STRING:PUBLICATION
  5. Maheshwari M V, Khalid N, Patel PD, Alghareeb R, Hussain A. Maternal and Neonatal Outcomes of Adolescent Pregnancy: A Narrative Review. Published online 2022. doi:10.7759/cureus.25921
  6. Wenling H, Jiangli D, Aiqun H, Wei Z, Huanqing H, Sidi C. Analysis of the relationship between the quality of antenatal care examinations and the incidence of preterm birth and low birth weight. BMC Public Health 2024 24:1. 2024;24(1):3134-. doi:10.1186/S12889-024-19967-9
  7. West K, Shamim A, Mehra S, Labrique A, Jama HA, 2014 undefined. Effect of maternal multiple micronutrient vs iron–folic acid supplementation on infant mortality and adverse birth outcomes in rural Bangladesh: the JiVitA-3. jamanetwork.com. Accessed December 18, 2025. https://jamanetwork.com/journals/jama/article-abstract/2084892
  8. Finlay J, Özaltin E, open DCB, 2011 undefined. The association of maternal age with infant mortality, child anthropometric failure, diarrhoea and anaemia for first births: evidence from 55 low-and middle-income. bmjopen.bmj.comJE Finlay, E Özaltin, D CanningBMJ open, 2011•bmjopen.bmj.com. doi:10.1136/bmjopen-2011-000226

Ayrıntılar

Birincil Dil

İngilizce

Konular

Cerrahi (Diğer)

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

10 Haziran 2026

Gönderilme Tarihi

21 Ocak 2026

Kabul Tarihi

25 Mart 2026

Yayımlandığı Sayı

Yıl 2026 Cilt: 65 Sayı: 2

Kaynak Göster

APA
Uçar, İ., Yaprak, E., Kantarcı, S., Karabulut, A., Baykuş, B., İleri, A., & Özeren, M. (2026). Perinatal outcomes in adolescent pregnancies: A retrospective cohort study. Ege Tıp Dergisi, 65(2), 329-335. https://doi.org/10.19161/etd.1865019
AMA
1.Uçar İ, Yaprak E, Kantarcı S, vd. Perinatal outcomes in adolescent pregnancies: A retrospective cohort study. ETD. 2026;65(2):329-335. doi:10.19161/etd.1865019
Chicago
Uçar, İlker, Esra Yaprak, Sercan Kantarcı, vd. 2026. “Perinatal outcomes in adolescent pregnancies: A retrospective cohort study”. Ege Tıp Dergisi 65 (2): 329-35. https://doi.org/10.19161/etd.1865019.
EndNote
Uçar İ, Yaprak E, Kantarcı S, Karabulut A, Baykuş B, İleri A, Özeren M (01 Haziran 2026) Perinatal outcomes in adolescent pregnancies: A retrospective cohort study. Ege Tıp Dergisi 65 2 329–335.
IEEE
[1]İ. Uçar vd., “Perinatal outcomes in adolescent pregnancies: A retrospective cohort study”, ETD, c. 65, sy 2, ss. 329–335, Haz. 2026, doi: 10.19161/etd.1865019.
ISNAD
Uçar, İlker - Yaprak, Esra - Kantarcı, Sercan - Karabulut, Alaattin - Baykuş, Batuhan - İleri, Alper - Özeren, Mehmet. “Perinatal outcomes in adolescent pregnancies: A retrospective cohort study”. Ege Tıp Dergisi 65/2 (01 Haziran 2026): 329-335. https://doi.org/10.19161/etd.1865019.
JAMA
1.Uçar İ, Yaprak E, Kantarcı S, Karabulut A, Baykuş B, İleri A, Özeren M. Perinatal outcomes in adolescent pregnancies: A retrospective cohort study. ETD. 2026;65:329–335.
MLA
Uçar, İlker, vd. “Perinatal outcomes in adolescent pregnancies: A retrospective cohort study”. Ege Tıp Dergisi, c. 65, sy 2, Haziran 2026, ss. 329-35, doi:10.19161/etd.1865019.
Vancouver
1.İlker Uçar, Esra Yaprak, Sercan Kantarcı, Alaattin Karabulut, Batuhan Baykuş, Alper İleri, Mehmet Özeren. Perinatal outcomes in adolescent pregnancies: A retrospective cohort study. ETD. 01 Haziran 2026;65(2):329-35. doi:10.19161/etd.1865019

Ege Tıp Dergisi, makalelerin Atıf-Gayri Ticari-Aynı Lisansla Paylaş 4.0 Uluslararası (CC BY-NC-SA 4.0) lisansına uygun bir şekilde paylaşılmasına izin verir.