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Obstetric And Perinatal Outcome Of Adolescent Pregnant Women Who Delivered In A Training & Research Hospital

Year 2015, Volume: 12 Issue: 6, 213 - 216, 01.12.2015

Abstract

Aim: In this study, we aimed to investigate the obstetric and neonatal outcomes of adolescent pregnant women who give birth in our hospital.Material and Methods: 1267 adolescent pregnant women ≤19 who gave birth in Dr. Sami Ulus Maternity and Womens’ Health Training and Research Hospital between January 2010-May 2015 were retrospectively investigated. Obstetric complications, tpye of delivery, gestational age and birth weight of infants were evaluated. Data from this study was analyzed using SPSS for Windows version 15. 0 soft ware. Frequencis, mean, standard deviation, minimum and maximum values were calculated.Results: The mean age of the study group was17.96±1.09 min14.0-max 19.0 .78.4% of the pregnant women had regular antenatal care where as 21.6% of them had irregular or no antenatal care. The mean gestational age was 38.43±2.16 20-42 weeks . Birth weight of the newborns were between 510 ± 4340 gr with a mean of 3086.70 ±488.40. 11.4 % of the newborns were

References

  • World Health Organization. The second decade: improving adolescent health and development. WHO, Department of Child and Adolescent He- alth and Development, Programme Brochure. Geneva; 1998.
  • Hindin MJ, Christiansen CS, Ferguson BJ. Setting research priorities for adolescent sexual and reproductive health in low and middle-income- countries. Bulletin of the World Health Organization 2013;91:10-18.
  • McIntyre P. Pregnant Adolescents Delivering on Global Promises of Hope. Geneva, WHO Library Cataloguing-in-Publication Data, 2006;4-7.
  • Türkiye Nüfus ve Sağlık Araştırması, 2013. Hacettepe Üniversitesi Nüfus Etütleri enstitüsü, Ankara Türkiye.
  • World Health Organization. Early marriages, adolescent and young preg- nancies: Report by the Secretariat. WHO, Sixty-Fifth World Health As- sembly. Geneva; 2012.
  • Klein JD American Academy of Pediatrics Committee on Adoles- cence. Adolescent pregnancy: current trends and issues. Pediatrics 2005;116:281-286.
  • Şen S, Kavlak O. Çocuk Gelinler: Erken Yaş Evlilikleri ve Adölesan Gebe- liklere Yaklaşım. Aile ve Toplum 2011;12:35-44.
  • Yıldırım Y, Inal MM, Tinar S. Reproductive and obstetric characteristics of adolescen pregnancies in Turkish women. J Pediatr Adolesc Gynecol 2005;18:249-253.
  • Tezcan S, Adali T. Marriage characteristics and reproductive health of adolescents in Turkey:findings from Demographic and Health Surveys 1998 and 2008.Turk J Pediatr 2012;54:273-82.
  • Türkiye Nüfus ve Sağlık Araştırması, 2008. Hacettepe Üniversitesi Nüfus Etütleri enstitüsü, Ankara Türkiye.
  • Treffers PE. Teen age pregnancy, a world wide problem. Ned Tijdschr Geneeskd. 2003 ; 147:2320-5.
  • Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America:C- ross-sectional study. Am J Obstet Gynecol. 2005;192:342-9.
  • Madazlı R. Adolesan Gebelikleri. İstanbul Üniversitesi Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri, Sempozyum Dizisi. 2008;63:51-52.
  • Anderson MS, Hay WW. Intrauterine growth restriction and thes- mall-for-gestational-age infant. In: Neonatology Pathophysiology and Management of the Newborn, 5th ed, Avery GB, Fletcher MA, MacDonald MG (Eds), Lippincott Williams and Wilkins, Philadelphia 1999.
  • deOnis M, Blössner M, Villar J. Levels and patterns of intrauterine growth retardation in developing countries. Eur J ClinNutr. 1998;52:5-15.
  • Melekoğlu R, Evrüke C, Kafadar T, Mısırlıoğlu S, Büyükkurt S, Özgünen FT. Türk Jinekoloji ve Obstetrik Derneği Dergisi 2013;10:213- 9.
  • Azevedo WF, Diniz MB, Fonseca ES, Azevedo LM, Evangelista CB. Comp- lications in adolescent pregnancy: systematic review of the literature. Einstein (Sao Paulo). 2015;9:0.
  • Jeha D, Usta I, Ghulmiyyah L, Nassar A. A review of the risks and con- sequences of adolescent pregnancy. J Neonatal Perinatal Med. 2015 Mar 12.
  • Guimarães AM, Bettiol H, SouzaLd, Gurgel RQ, Almeida ML, Ribeiro ER, Goldaniv MZ, Barbieri MA. Is adolescent pregnancy a risk factor for low birth weight? Rev Saude Publica. 2013;47:11-9.
  • Scholl TO, Hediger ML, Huang J, Johnson FE, Smith W, Ances IG. Young maternal age and parity. Influences on pregnancy outcome. Ann Epide- miol 1992;2:565-75.
  • Zeteroğlu S, Şahin I, Gol K. Cesarean delivery rates in adolescent preg- nancy. Eur J Contracept Reprod Health Care. 2005;10:119-22.
  • Chen YJ, Li CR, Lee SH, Hsu BQ, Wu WY, Kuo CP, Hwang SL, Lee MC. Growthchanges in infantsborn of adolescent mothers: Results of a natio- nal cohort study in Taiwan. Iran J Reprod Med. 2014;12:737-46.
  • Butchon R, Liabsuetrakul T, Mc Neil E, Suchonwanich Y.Birth rates and pregnancy complicationsin adolescent pregnant women giving birth in the hospitals of Thailand. J Med Assoc Thai 2014;97:785-90.
  • Alouini S, Randriambololona D, Randriamboavonjy R. Risk factors of teen age pregnancies, deliveries and post-partum in the department of Loiret. J Gynecol Obstet Biol Reprod (Paris). 2014;8:168-9.
  • Satin AJ, Leveno KJ, Sherman ML, Reedy NJ, Lowe TW, McIntre DD. Maternal you th and pregnancy out comes: middle school versus high school age groups compared with women beyond the teen years. Am J Obstet Gynecol 1994;171:184-7.
  • İmır GA, Çetin M, Balta Ö, Büyükayhan D, Çetin A. Perinatal Outcomes of Adolescent Pregnancies at a University Hospital inTurkey. Journal of the Turkish-German Gynecological Association 2008;9:70-73.
  • Keskinoğlu P, Bilgiç N, Picakciefe M, Giray H, Karakuş N, Günay T. Peri- natal out comes and risk factors of Turkish adolescent mothers. J Pediatr Adolescent Gynecol 2007;20:19-24.

Bir Eğitim ve Araştırma Hastanesinde Doğum Yapan Adölesan Gebelerin Obstetrik ve Perinatal Sonuçları

Year 2015, Volume: 12 Issue: 6, 213 - 216, 01.12.2015

Abstract

Giriş: Bu çalışmada hastanemizde doğum yapan adölesan gebelerin obstetrik ve neonatal sonuçlarını incelemeyi amaçladık.Gereç ve Yöntemler: Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesinde Ocak 2010-Mayıs 2015 tarihleri arasında doğum yapmış olan adölesan ≤19 yaş 1267gebenin dosyaları retrospektif olarak incelendi. Obstetrik komplikasyonlar, doğum şekilleri, bebeklerin doğum haftaları ve doğum ağırlıkları değerlendirildi. İstatistiksel analizler için SPSS-15 programı kullanıldı. Frekanslar, ortalama, standart sapma, minimum ve maksimum değerler hesaplandı.Bulgular: Çalışmaya dahil edilen gebelerin yaş ortalaması 17.96±1.09 min14.0-max 19.0 idi. Adolesan gebelerin %78,4’ü yeterli antenatal bakım almışken, %21,6’sının ya hiç antenatal takip almadığı ya da takiplerinin yetersiz olduğu saptandı. Ortalama doğum haftası 38.43±2.16 20- 42 hafta , ortalama doğum ağırlığı ise 3086.70±488.40 510- 4340 gram olarak saptandı. 2500 gram altında doğan bebek oranı %9 olarak saptandı. Gebelerin %11,4’ünün 37 hafta altında doğum yaptığı saptandı. Sezaryen oranı %34,7 olup en sık sezaryen endikasyonu fetal distresti. %33,4’ünde obstetrik komplikasyon saptanmış olup, en sık izlenen komplikasyon preterm doğumdu %11,4 . Erken membran rüptürü %6,7 , amniyotik sıvı anormallikleri %5,1 , intrauterin gelişme geriliği %4,7 , preeklampsi %2,1 , plasenta previa %2,6 ve plasenta dekolmanı %0,2 ise saptanan diğer komplikasyonlardı.Sonuç: Adölesan gebelerde perinatal komplikasyonların yüksek oranda görülmesi, bu gebelerde maternal-perinatal morbidite ve mortalite riskinin artmış olduğunu göstermektedir. Bu gebelikleri azaltmak ve perinatal komplikasyonları en aza indirmek için daha geniş kapsamlı çalışmalar yapılmalıdır.

References

  • World Health Organization. The second decade: improving adolescent health and development. WHO, Department of Child and Adolescent He- alth and Development, Programme Brochure. Geneva; 1998.
  • Hindin MJ, Christiansen CS, Ferguson BJ. Setting research priorities for adolescent sexual and reproductive health in low and middle-income- countries. Bulletin of the World Health Organization 2013;91:10-18.
  • McIntyre P. Pregnant Adolescents Delivering on Global Promises of Hope. Geneva, WHO Library Cataloguing-in-Publication Data, 2006;4-7.
  • Türkiye Nüfus ve Sağlık Araştırması, 2013. Hacettepe Üniversitesi Nüfus Etütleri enstitüsü, Ankara Türkiye.
  • World Health Organization. Early marriages, adolescent and young preg- nancies: Report by the Secretariat. WHO, Sixty-Fifth World Health As- sembly. Geneva; 2012.
  • Klein JD American Academy of Pediatrics Committee on Adoles- cence. Adolescent pregnancy: current trends and issues. Pediatrics 2005;116:281-286.
  • Şen S, Kavlak O. Çocuk Gelinler: Erken Yaş Evlilikleri ve Adölesan Gebe- liklere Yaklaşım. Aile ve Toplum 2011;12:35-44.
  • Yıldırım Y, Inal MM, Tinar S. Reproductive and obstetric characteristics of adolescen pregnancies in Turkish women. J Pediatr Adolesc Gynecol 2005;18:249-253.
  • Tezcan S, Adali T. Marriage characteristics and reproductive health of adolescents in Turkey:findings from Demographic and Health Surveys 1998 and 2008.Turk J Pediatr 2012;54:273-82.
  • Türkiye Nüfus ve Sağlık Araştırması, 2008. Hacettepe Üniversitesi Nüfus Etütleri enstitüsü, Ankara Türkiye.
  • Treffers PE. Teen age pregnancy, a world wide problem. Ned Tijdschr Geneeskd. 2003 ; 147:2320-5.
  • Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America:C- ross-sectional study. Am J Obstet Gynecol. 2005;192:342-9.
  • Madazlı R. Adolesan Gebelikleri. İstanbul Üniversitesi Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri, Sempozyum Dizisi. 2008;63:51-52.
  • Anderson MS, Hay WW. Intrauterine growth restriction and thes- mall-for-gestational-age infant. In: Neonatology Pathophysiology and Management of the Newborn, 5th ed, Avery GB, Fletcher MA, MacDonald MG (Eds), Lippincott Williams and Wilkins, Philadelphia 1999.
  • deOnis M, Blössner M, Villar J. Levels and patterns of intrauterine growth retardation in developing countries. Eur J ClinNutr. 1998;52:5-15.
  • Melekoğlu R, Evrüke C, Kafadar T, Mısırlıoğlu S, Büyükkurt S, Özgünen FT. Türk Jinekoloji ve Obstetrik Derneği Dergisi 2013;10:213- 9.
  • Azevedo WF, Diniz MB, Fonseca ES, Azevedo LM, Evangelista CB. Comp- lications in adolescent pregnancy: systematic review of the literature. Einstein (Sao Paulo). 2015;9:0.
  • Jeha D, Usta I, Ghulmiyyah L, Nassar A. A review of the risks and con- sequences of adolescent pregnancy. J Neonatal Perinatal Med. 2015 Mar 12.
  • Guimarães AM, Bettiol H, SouzaLd, Gurgel RQ, Almeida ML, Ribeiro ER, Goldaniv MZ, Barbieri MA. Is adolescent pregnancy a risk factor for low birth weight? Rev Saude Publica. 2013;47:11-9.
  • Scholl TO, Hediger ML, Huang J, Johnson FE, Smith W, Ances IG. Young maternal age and parity. Influences on pregnancy outcome. Ann Epide- miol 1992;2:565-75.
  • Zeteroğlu S, Şahin I, Gol K. Cesarean delivery rates in adolescent preg- nancy. Eur J Contracept Reprod Health Care. 2005;10:119-22.
  • Chen YJ, Li CR, Lee SH, Hsu BQ, Wu WY, Kuo CP, Hwang SL, Lee MC. Growthchanges in infantsborn of adolescent mothers: Results of a natio- nal cohort study in Taiwan. Iran J Reprod Med. 2014;12:737-46.
  • Butchon R, Liabsuetrakul T, Mc Neil E, Suchonwanich Y.Birth rates and pregnancy complicationsin adolescent pregnant women giving birth in the hospitals of Thailand. J Med Assoc Thai 2014;97:785-90.
  • Alouini S, Randriambololona D, Randriamboavonjy R. Risk factors of teen age pregnancies, deliveries and post-partum in the department of Loiret. J Gynecol Obstet Biol Reprod (Paris). 2014;8:168-9.
  • Satin AJ, Leveno KJ, Sherman ML, Reedy NJ, Lowe TW, McIntre DD. Maternal you th and pregnancy out comes: middle school versus high school age groups compared with women beyond the teen years. Am J Obstet Gynecol 1994;171:184-7.
  • İmır GA, Çetin M, Balta Ö, Büyükayhan D, Çetin A. Perinatal Outcomes of Adolescent Pregnancies at a University Hospital inTurkey. Journal of the Turkish-German Gynecological Association 2008;9:70-73.
  • Keskinoğlu P, Bilgiç N, Picakciefe M, Giray H, Karakuş N, Günay T. Peri- natal out comes and risk factors of Turkish adolescent mothers. J Pediatr Adolescent Gynecol 2007;20:19-24.
There are 27 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Elif Yılmaz This is me

Zehra Vural Yılmaz

Özlem Yazıcı Işıtan This is me

Mehmet Fatih Karslı This is me

İsmail Burak Gültekin This is me

Banu Seven This is me

Osman Fadıl Kara This is me

Tuncay Küçüközkan This is me

Publication Date December 1, 2015
Published in Issue Year 2015 Volume: 12 Issue: 6

Cite

Vancouver Yılmaz E, Yılmaz ZV, Yazıcı Işıtan Ö, Karslı MF, Gültekin İB, Seven B, Kara OF, Küçüközkan T. Bir Eğitim ve Araştırma Hastanesinde Doğum Yapan Adölesan Gebelerin Obstetrik ve Perinatal Sonuçları. JGON. 2015;12(6):213-6.