Öz
Aim
This study aims to evaluate the maternal and fetal outcomes of adolescent pregnant women who gave birth in the Gynecology and Obstetrics Clinic of Ağrı Training and Research Hospital.
Materials and Methods
The study was conducted as a retrospective study. The automation system of Ağrı Training and Research Hospital was used to conduct the study, and the data of 1560 patients who gave birth between January 1, 2018, and December 31, 2022, were examined retrospectively. 263 patients were excluded from the study due to missing data. The patients were divided into two groups: early adolescence and late adolescence. 84 patients in the early adolescence group and 1213 patients in the late adolescence group were included.
Results
A statistical difference was detected between the groups regarding age, gravida, and parity (p<0.05). There was no statistically significant difference between the groups regarding birth weight, birth weeks, first and fifth-minute Apgar values, type of birth, and stillbirth or preterm birth rates. Nulliparity rates were significantly higher in the early adolescent group.
Conclusion
Adolescent pregnancies are high-risk pregnancies with increased risks of pregnancy complications, including maternal and infant death. Therefore, studies to reduce adolescent pregnancy rates are essential for all societies.
Anahtar Kelimeler
Kaynakça
- 1. World Health Organization. Adolescent Pregnancy. Fact Sheets 2018 12/2018. Available online: https://wwwwhoint/news-room/fact-sheets/detail/adolescent-pregnancy accessed on 14 December 2018).
- 2. Organization WH. Adolescent pregnancy. 2004.
- 3. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: a W orld H ealth O rganization multicountry study. BJOG: An International Journal of Obstetrics & Gynaecology. 2014;121:40-8.
- 4. Kassa GM, Arowojolu A, Odukogbe A, Yalew AW. Prevalence and determinants of adolescent pregnancy in Africa: a systematic review and meta-analysis. Reproductive health. 2018;15(1):1-17.
- 5. Sama C-B, Ngasa SN, Dzekem BS, Choukem S-P. Prevalence, predictors and adverse outcomes of adolescent pregnancy in sub-Saharan Africa: a protocol of a systematic review. Systematic reviews. 2017;6(1):1-6.
- 6. Kost K, Maddow-Zimet I. US teenage pregnancies, births and abortions, 2011: National trends by age, race and ethnicity. 2016.
- 7. Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. New England journal of medicine. 1995;332(17):1113-8.
- 8. de Vienne CM, Creveuil C, Dreyfus M. Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2009;147(2):151-6.
- 9. Medhi R, Das B, Das A, Ahmed M, Bawri S, Rai S. Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in North East India. Adolescent health, medicine and therapeutics. 2016:37-42.
- 10. Vieira CL, Coeli CM, Pinheiro RS, Brandao ER, Camargo Jr K, Aguiar FP. Modifying effect of prenatal care on the association between young maternal age and adverse birth outcomes. Journal of pediatric and adolescent gynecology. 2012;25(3):185-9.
- 11. Torvie AJ, Callegari LS, Schiff MA, Debiec KE. Labor and delivery outcomes among young adolescents. American journal of obstetrics and gynecology. 2015;213(1):95. e1-. e8.
- 12. Lewis LN, Hickey M, Doherty DA, Skinner SR. How do pregnancy outcomes differ in teenage mothers? A Western Australian study. Medical Journal of Australia. 2009;190(10):537-41.
- 13. Zhang T, Wang H, Wang X, Yang Y, Zhang Y, Tang Z, et al. The adverse maternal and perinatal outcomes of adolescent pregnancy: a cross sectional study in Hebei, China. BMC pregnancy and childbirth. 2020;20(1):1-10.
- 14. Karataşlı V, Kanmaz AG, İnan AH, Budak A, Beyan E. Maternal and neonatal outcomes of adolescent pregnancy. Journal of gynecology obstetrics and human reproduction. 2019;48(5):347-50.
- 15. Agbor VN, Mbanga CM, Njim T. Adolescent deliveries in rural Cameroon: an 8-year trend, prevalence and adverse maternofoetal outcomes. Reproductive health. 2017;14:1-8.
- 16. Smid M, Martins S, Whitaker AK, Gilliam M. Correlates of pregnancy before age 15 compared with pregnancy between the ages of 15 and 19 in the United States. Obstetrics & Gynecology. 2014;123(3):578 83.
- 17. Adashi EY, Gutman R. Delayed childbearing as a growing, previously unrecognized contributor to the national plural birth excess. Obstetrics & Gynecology. 2018;132(4):999-1006.
- 18. Ozdemirci S, Kasapoglu T, Cirik DA, Yerebasmaz N, Kayikcioglu F, Salgur F. Is late adolescence a real risk factor for an adverse outcome of pregnancy? The Journal of Maternal-Fetal & Neonatal Medicine. 2016;29(20):3391-4.
- 19. Brosens I, Muter J, Gargett CE, Puttemans P, Benagiano G, Brosens JJ. The impact of uterine immaturity on obstetrical syndromes during adolescence. American Journal of Obstetrics and Gynecology. 2017;217(5):546-55.
Öz
Amaç
Bu çalışmanın amacı, Ağrı Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniğinde doğum yapan adölesan gebelerin maternal ve fetal sonuçlarını değerlendirmektir.
Gereç ve Yöntem
Çalışma retrospektif bir çalışma olarak yapıldı. Çalışmanın yapılması için Ağrı Eğitim ve Araştırma Hastanesi otomasyon sisteminden faydalanıldı ve 01 ocak 2018 ile 31 aralık 2022 tarihleri arasında doğum yapan 1560 hastanın verileri retrospektif olarak incelendi. Eksik veri nedeniyle 263 hasta çalışma dışı bırakıldı. Hastalar, erken adölesan ve geç adölesan dönem olmak üzere 2 gruba ayrıldı. Erken adölesan dönem grubunda 84, geç adölesan dönem grubuna 1213 hasta dahil edildi.
Bulgular
Gruplar arasında yaş, gravida ve parite açısından değerlendrildiğinde istatistiksel fark saptandı (p<0.05). Gruplar arasında doğum kiloları, doğum haftaları, birinci ve beşinci dakika Apgar değerleri, doğum türü, ölü doğum veya erken doğum oranları açısından istatistiksel anlamlı fark saptanmadı. Nulliparite oranları anlamlı derecede erken adölesan grubunda daha fazlaydı.
Sonuç
Adölesan gebelikler, anne ve bebek ölümü de dahil olmak üzere gebelik komplikasyonları risklerinin arttığı riskli gebeliklerdir. Bu yüzden, adölesan gebelik oranlarının azaltılması için yapılacak olan çalışmalar tüm toplumlar için zaruridir.
Anahtar Kelimeler
Kaynakça
- 1. World Health Organization. Adolescent Pregnancy. Fact Sheets 2018 12/2018. Available online: https://wwwwhoint/news-room/fact-sheets/detail/adolescent-pregnancy accessed on 14 December 2018).
- 2. Organization WH. Adolescent pregnancy. 2004.
- 3. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: a W orld H ealth O rganization multicountry study. BJOG: An International Journal of Obstetrics & Gynaecology. 2014;121:40-8.
- 4. Kassa GM, Arowojolu A, Odukogbe A, Yalew AW. Prevalence and determinants of adolescent pregnancy in Africa: a systematic review and meta-analysis. Reproductive health. 2018;15(1):1-17.
- 5. Sama C-B, Ngasa SN, Dzekem BS, Choukem S-P. Prevalence, predictors and adverse outcomes of adolescent pregnancy in sub-Saharan Africa: a protocol of a systematic review. Systematic reviews. 2017;6(1):1-6.
- 6. Kost K, Maddow-Zimet I. US teenage pregnancies, births and abortions, 2011: National trends by age, race and ethnicity. 2016.
- 7. Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. New England journal of medicine. 1995;332(17):1113-8.
- 8. de Vienne CM, Creveuil C, Dreyfus M. Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2009;147(2):151-6.
- 9. Medhi R, Das B, Das A, Ahmed M, Bawri S, Rai S. Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in North East India. Adolescent health, medicine and therapeutics. 2016:37-42.
- 10. Vieira CL, Coeli CM, Pinheiro RS, Brandao ER, Camargo Jr K, Aguiar FP. Modifying effect of prenatal care on the association between young maternal age and adverse birth outcomes. Journal of pediatric and adolescent gynecology. 2012;25(3):185-9.
- 11. Torvie AJ, Callegari LS, Schiff MA, Debiec KE. Labor and delivery outcomes among young adolescents. American journal of obstetrics and gynecology. 2015;213(1):95. e1-. e8.
- 12. Lewis LN, Hickey M, Doherty DA, Skinner SR. How do pregnancy outcomes differ in teenage mothers? A Western Australian study. Medical Journal of Australia. 2009;190(10):537-41.
- 13. Zhang T, Wang H, Wang X, Yang Y, Zhang Y, Tang Z, et al. The adverse maternal and perinatal outcomes of adolescent pregnancy: a cross sectional study in Hebei, China. BMC pregnancy and childbirth. 2020;20(1):1-10.
- 14. Karataşlı V, Kanmaz AG, İnan AH, Budak A, Beyan E. Maternal and neonatal outcomes of adolescent pregnancy. Journal of gynecology obstetrics and human reproduction. 2019;48(5):347-50.
- 15. Agbor VN, Mbanga CM, Njim T. Adolescent deliveries in rural Cameroon: an 8-year trend, prevalence and adverse maternofoetal outcomes. Reproductive health. 2017;14:1-8.
- 16. Smid M, Martins S, Whitaker AK, Gilliam M. Correlates of pregnancy before age 15 compared with pregnancy between the ages of 15 and 19 in the United States. Obstetrics & Gynecology. 2014;123(3):578 83.
- 17. Adashi EY, Gutman R. Delayed childbearing as a growing, previously unrecognized contributor to the national plural birth excess. Obstetrics & Gynecology. 2018;132(4):999-1006.
- 18. Ozdemirci S, Kasapoglu T, Cirik DA, Yerebasmaz N, Kayikcioglu F, Salgur F. Is late adolescence a real risk factor for an adverse outcome of pregnancy? The Journal of Maternal-Fetal & Neonatal Medicine. 2016;29(20):3391-4.
- 19. Brosens I, Muter J, Gargett CE, Puttemans P, Benagiano G, Brosens JJ. The impact of uterine immaturity on obstetrical syndromes during adolescence. American Journal of Obstetrics and Gynecology. 2017;217(5):546-55.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Kadın Hastalıkları ve Doğum |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Eylül 2024 |
| Gönderilme Tarihi | 10 Aralık 2023 |
| Kabul Tarihi | 24 Ocak 2024 |
| Yayımlandığı Sayı | Yıl 2024 |