Research Article
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Geç adölesan gebelikler, maternal ve fetal sonuçlar

Year 2017, Volume 2, Issue 3, 22 - 27, 28.12.2017
https://doi.org/10.22391/fppc.327993

Abstract

Giriş: Bu çalışmada Düzce Üniversitesi Araştırma ve Uygulama Hastanesi’nde doğum yapmış adölesan gebeler ile reprodüktif yaş grubunda doğum yapmış hastaları kıyaslayarak maternal ve fetal sonuçları gözden geçirmeyi amaçladık.

Yöntem: Ocak 2015- Mayıs 2017 tarihleri arasında Düzce Üniversitesi Araştırma ve Uygulama Hastanesi Kadın Doğum Kliniğinde doğum yapmış 3223 adet gebeden uygun koşulları taşıyan 183 hastanın verileri retrospektif olarak incelendi. İstatistiksel değerlendirme olarak SPSS 21 programı kullanıldı, p<0,05 değeri istatistiksel olarak anlamlı kabul edildi.

Bulgular: Adölesan çağ gebeliklerinin toplam komplikasyon oranı kontrol grubundan fazla bulunmuştur (p=0,03). Ancak komplikasyonların subgrup analizinde anlamlı bir sonuç bulunamamıştır. Eğitim durumu arttıkça adölesan gebelik oranları azalmaktadır (p=0,01).

Sonuç: Adölesan gebelikler maternal ve fetal komplikasyonları arttırmaktadır. Adölesan gebeliklerin önlenmesi için çalışmalar yapılmalı, gebelik sonuçlarının düzeltilmesi için sosyal destek, eğitim ve düzenli takip yapılmalıdır.

References

  • 1.World Health Organization. The second decade: improving adolescent health and development. WHO, Department of Child and Adolescent Health and Development, Programme Brochure. Geneva; 1998.
  • 2.Hindin MJ, Christiansen CS, Ferguson BJ. Setting research priorities for adolescent sexual and reproductive health in low and middle-incomecountries. Bulletin of the World Health Organization 2013;91:10-18.
  • 3.Martin JA, Hamilton BE, Osterman MJ, et al. Births: final data for 2015. Natl Vital Stat Rep 2017;66:1
  • 4. Türkiye Nüfus ve Sağlık Araştırması, 2013. Hacettepe Üniversitesi Nüfus Etütleri enstitüsü, Ankara Türkiye.
  • 5. Kost K, Maddow-Zimet I. U.S. Teenage Pregnancies, Births And Abortions, 2011: State Trends By Age, Race And Ethnicity. New York (NY): Guttmacher Institute; 2016.
  • 6. Gençcan ÖÜ. 4721 Sayılı Türk Medeni Kanununa göre evlenmeye izin davaları. Yayın Adalet Dergisi 2005, 21; 74-83.
  • 7. Hamilton BE, Martin JA, Osterman MJ, et al. Births: final data for 2014. Natl Vital Stat Rep 2015;64:1–64.
  • 8. K. Traisrisilp, J. Jaiprom, S. Luewan, et al. “Pregnancy outcomes among mothers aged 15 years or less, ”Journal of Obstetrics and Gynaecology Research, vol.41, no.11, pp.1726– 1731, 2015.
  • 9. Keskinoglu P, Bilgic N, Picakciefe M, et al. Original studies perinatal outcomes and risk factors of Turkish adolescent mothers. J Pediatr Adolesc Gynecol. 2007;20:19-24.
  • 10. Phupong V, Suebnukarn K. Obstetric outcomes in nulliparious young adolescents. Southest Asian J Trop Med Public Health 2007;38:141-5. PMid:17539260
  • 11. O. T. Malabarey, J. Balayla, S. L. Klam, et al. “Pregnancies in young adolescent mothers: a population-based study on 37 million births,” Journal of Pediatric and Adolescent Gynecology, vol.25, no.2, pp.98–102, 2012.
  • 12. A. Shrim, S. Ates, A. Mallozzi et al. “Is young maternal age really a risk factor for adverse pregnancy outcome in a canadian tertiary referral hospital?” Journal of Pediatric and Adolescent Gynecology,vol.24,no.4,pp.218–222,2011
  • 13.Ganchimeg T, Ota E, Morisaki N et al. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG 2014; 121: 40–48.
  • 14.Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2012. Sentez Matbaacılık ve Yayıncılık. T.C. Sağlık Bakanlığı Sağlık Araştırmaları Genel Müdürlüğü, Ankara, 2013;54-8.
  • 15.Eure CR, Lindsay MK, Graves WL. Risk of adverse pregnancy outcomes in young adolescent parturients in an inner-city hospital. Am J Obstet Gynecol 2002;186:918-20.
  • 16. Thaithae S, Thato R. Obstetric and perinatal outcomes of teenage pregnancies in Thailand. J Pediatr Adolesc Gynecol 2011;24:342-6.
  • 17. Shuger L. Teen pregnancy and high school dropout: what communities can do to address these issues. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy; 2012
  • 18. World Health Organization. Early marriages, adolescent and young pregnancies: Report by the Secretariat. WHO, Sixty-Fifth World Health Assembly. Geneva; 2012.
  • 19.Adolescent pregnancy, contraception, and sexual activity. Committee Opinion No. 699. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017;129:e142–9.
  • 20. Mason E. Guidelines for preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. Geneva, World Health Organization, 2011:1-8.
  • 21. Young J, Trotman H, Thame M. The impact of antenatal care on pregnancy performance between adolescent girls and older women. West Indian Med J 2007;56:414-2
  • 22. Berenson AB, Wiemann CM, McCombs SL. Adverse peri-natal outcomes in young adolescents. J Reprod Med 1997;42:559-64.

Late adolescent pregnancies, maternal and fetal outcomes

Year 2017, Volume 2, Issue 3, 22 - 27, 28.12.2017
https://doi.org/10.22391/fppc.327993

Abstract

Introduction: In our study, we aimed to review the maternal and fetal outcomes by comparing adolescent and reproductive age pregnancies in Düzce University Training and Research Hospital.

Methods: A retrospective study conducted with 183 patients out of 3223 who gave birth at Düzce University Research and Practice Hospital Obstetrics and Gynecology Clinic, between 01.01.2015 and 31.05.2017. SPSS 21 program for statistical evaluation were used, a value of p <0.05 was considered statistically significant.

Results: The total complication rate of adolescent age pregnancies was higher than control group (p=0.03). No significant result was found in subgroup analysis. As educational status increases, adolescent pregnancy rates decrease (p=0.01).

Conclusion: Adolescent pregnancies increase maternal and fetal complications. Adolescent pregnancies should be prevented, social support, training and regular follow-up should be done to improve pregnancy outcomes.

References

  • 1.World Health Organization. The second decade: improving adolescent health and development. WHO, Department of Child and Adolescent Health and Development, Programme Brochure. Geneva; 1998.
  • 2.Hindin MJ, Christiansen CS, Ferguson BJ. Setting research priorities for adolescent sexual and reproductive health in low and middle-incomecountries. Bulletin of the World Health Organization 2013;91:10-18.
  • 3.Martin JA, Hamilton BE, Osterman MJ, et al. Births: final data for 2015. Natl Vital Stat Rep 2017;66:1
  • 4. Türkiye Nüfus ve Sağlık Araştırması, 2013. Hacettepe Üniversitesi Nüfus Etütleri enstitüsü, Ankara Türkiye.
  • 5. Kost K, Maddow-Zimet I. U.S. Teenage Pregnancies, Births And Abortions, 2011: State Trends By Age, Race And Ethnicity. New York (NY): Guttmacher Institute; 2016.
  • 6. Gençcan ÖÜ. 4721 Sayılı Türk Medeni Kanununa göre evlenmeye izin davaları. Yayın Adalet Dergisi 2005, 21; 74-83.
  • 7. Hamilton BE, Martin JA, Osterman MJ, et al. Births: final data for 2014. Natl Vital Stat Rep 2015;64:1–64.
  • 8. K. Traisrisilp, J. Jaiprom, S. Luewan, et al. “Pregnancy outcomes among mothers aged 15 years or less, ”Journal of Obstetrics and Gynaecology Research, vol.41, no.11, pp.1726– 1731, 2015.
  • 9. Keskinoglu P, Bilgic N, Picakciefe M, et al. Original studies perinatal outcomes and risk factors of Turkish adolescent mothers. J Pediatr Adolesc Gynecol. 2007;20:19-24.
  • 10. Phupong V, Suebnukarn K. Obstetric outcomes in nulliparious young adolescents. Southest Asian J Trop Med Public Health 2007;38:141-5. PMid:17539260
  • 11. O. T. Malabarey, J. Balayla, S. L. Klam, et al. “Pregnancies in young adolescent mothers: a population-based study on 37 million births,” Journal of Pediatric and Adolescent Gynecology, vol.25, no.2, pp.98–102, 2012.
  • 12. A. Shrim, S. Ates, A. Mallozzi et al. “Is young maternal age really a risk factor for adverse pregnancy outcome in a canadian tertiary referral hospital?” Journal of Pediatric and Adolescent Gynecology,vol.24,no.4,pp.218–222,2011
  • 13.Ganchimeg T, Ota E, Morisaki N et al. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG 2014; 121: 40–48.
  • 14.Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2012. Sentez Matbaacılık ve Yayıncılık. T.C. Sağlık Bakanlığı Sağlık Araştırmaları Genel Müdürlüğü, Ankara, 2013;54-8.
  • 15.Eure CR, Lindsay MK, Graves WL. Risk of adverse pregnancy outcomes in young adolescent parturients in an inner-city hospital. Am J Obstet Gynecol 2002;186:918-20.
  • 16. Thaithae S, Thato R. Obstetric and perinatal outcomes of teenage pregnancies in Thailand. J Pediatr Adolesc Gynecol 2011;24:342-6.
  • 17. Shuger L. Teen pregnancy and high school dropout: what communities can do to address these issues. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy; 2012
  • 18. World Health Organization. Early marriages, adolescent and young pregnancies: Report by the Secretariat. WHO, Sixty-Fifth World Health Assembly. Geneva; 2012.
  • 19.Adolescent pregnancy, contraception, and sexual activity. Committee Opinion No. 699. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017;129:e142–9.
  • 20. Mason E. Guidelines for preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. Geneva, World Health Organization, 2011:1-8.
  • 21. Young J, Trotman H, Thame M. The impact of antenatal care on pregnancy performance between adolescent girls and older women. West Indian Med J 2007;56:414-2
  • 22. Berenson AB, Wiemann CM, McCombs SL. Adverse peri-natal outcomes in young adolescents. J Reprod Med 1997;42:559-64.

Details

Primary Language English
Subjects Health Care Sciences and Services
Published Date Dec 2017
Journal Section Original Research
Authors

Aşkı Ellibeş KAYA (Primary Author)
DÜZCE ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, KADIN HASTALIKLARI VE DOĞUM ANABİLİM DALI
0000-0001-9191-0832
Türkiye


Alper BAŞBUĞ
DÜZCE ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, KADIN HASTALIKLARI VE DOĞUM ANABİLİM DALI
0000-0003-1825-9849
Türkiye


Cemil İşık SÖNMEZ
DÜZCE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI
0000-0001-7854-3804
Türkiye


Ceren BARUT This is me
DÜZCE ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, KADIN HASTALIKLARI VE DOĞUM ANABİLİM DALI
0000-0003-4748-7541
Türkiye


Yunus ŞENGÜN This is me
DÜZCE ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI
0000-0002-6371-2967
Türkiye


Mete ÇAĞLAR
DÜZCE ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, KADIN HASTALIKLARI VE DOĞUM ANABİLİM DALI
0000-0002-2738-4054
Türkiye

Publication Date December 28, 2017
Application Date July 12, 2017
Acceptance Date August 15, 2017
Published in Issue Year 2017, Volume 2, Issue 3

Cite

Bibtex @research article { fppc327993, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {Yusuf Haydar ERTEKİN}, year = {2017}, volume = {2}, pages = {22 - 27}, doi = {10.22391/fppc.327993}, title = {Late adolescent pregnancies, maternal and fetal outcomes}, key = {cite}, author = {Kaya, Aşkı Ellibeş and Başbuğ, Alper and Sönmez, Cemil İşık and Barut, Ceren and Şengün, Yunus and Çağlar, Mete} }
APA Kaya, A. E. , Başbuğ, A. , Sönmez, C. İ. , Barut, C. , Şengün, Y. & Çağlar, M. (2017). Late adolescent pregnancies, maternal and fetal outcomes . Family Practice and Palliative Care , 2 (3) , 22-27 . DOI: 10.22391/fppc.327993
MLA Kaya, A. E. , Başbuğ, A. , Sönmez, C. İ. , Barut, C. , Şengün, Y. , Çağlar, M. "Late adolescent pregnancies, maternal and fetal outcomes" . Family Practice and Palliative Care 2 (2017 ): 22-27 <http://www.fppc.com.tr/en/pub/issue/31091/327993>
Chicago Kaya, A. E. , Başbuğ, A. , Sönmez, C. İ. , Barut, C. , Şengün, Y. , Çağlar, M. "Late adolescent pregnancies, maternal and fetal outcomes". Family Practice and Palliative Care 2 (2017 ): 22-27
RIS TY - JOUR T1 - Late adolescent pregnancies, maternal and fetal outcomes AU - Aşkı Ellibeş Kaya , Alper Başbuğ , Cemil İşık Sönmez , Ceren Barut , Yunus Şengün , Mete Çağlar Y1 - 2017 PY - 2017 N1 - doi: 10.22391/fppc.327993 DO - 10.22391/fppc.327993 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 22 EP - 27 VL - 2 IS - 3 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/fppc.327993 UR - https://doi.org/10.22391/fppc.327993 Y2 - 2017 ER -
EndNote %0 Family Practice and Palliative Care Late adolescent pregnancies, maternal and fetal outcomes %A Aşkı Ellibeş Kaya , Alper Başbuğ , Cemil İşık Sönmez , Ceren Barut , Yunus Şengün , Mete Çağlar %T Late adolescent pregnancies, maternal and fetal outcomes %D 2017 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 2 %N 3 %R doi: 10.22391/fppc.327993 %U 10.22391/fppc.327993
ISNAD Kaya, Aşkı Ellibeş , Başbuğ, Alper , Sönmez, Cemil İşık , Barut, Ceren , Şengün, Yunus , Çağlar, Mete . "Late adolescent pregnancies, maternal and fetal outcomes". Family Practice and Palliative Care 2 / 3 (December 2017): 22-27 . https://doi.org/10.22391/fppc.327993
AMA Kaya A. E. , Başbuğ A. , Sönmez C. İ. , Barut C. , Şengün Y. , Çağlar M. Late adolescent pregnancies, maternal and fetal outcomes. Fam Pract Palliat Care. 2017; 2(3): 22-27.
Vancouver Kaya A. E. , Başbuğ A. , Sönmez C. İ. , Barut C. , Şengün Y. , Çağlar M. Late adolescent pregnancies, maternal and fetal outcomes. Family Practice and Palliative Care. 2017; 2(3): 22-27.
IEEE A. E. Kaya , A. Başbuğ , C. İ. Sönmez , C. Barut , Y. Şengün and M. Çağlar , "Late adolescent pregnancies, maternal and fetal outcomes", Family Practice and Palliative Care, vol. 2, no. 3, pp. 22-27, Dec. 2017, doi:10.22391/fppc.327993

Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505

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