Late adolescent pregnancies, maternal and fetal outcomes

Aşkı Ellibeş Kaya; Alper Başbuğ; Cemil İşık Sönmez; Ceren Barut; Yunus Şengün; Mete Çağlar

doi:10.22391/fppc.327993

Araştırma Makalesi

Geç adölesan gebelikler, maternal ve fetal sonuçlar

Yıl 2017, Cilt: 2 Sayı: 3, 22 - 27, 28.12.2017

Aşkı Ellibeş Kaya Alper Başbuğ Cemil İşık Sönmez Ceren Barut Yunus Şengün Mete Çağlar

https://doi.org/10.22391/fppc.327993

Cited By: 5

Öz

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.

Anahtar Kelimeler

adölesan, gebelik, komplikasyon

Kaynakça

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

Yıl 2017, Cilt: 2 Sayı: 3, 22 - 27, 28.12.2017

Aşkı Ellibeş Kaya Alper Başbuğ Cemil İşık Sönmez Ceren Barut Yunus Şengün Mete Çağlar

https://doi.org/10.22391/fppc.327993

Cited By: 5

Öz

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.

Anahtar Kelimeler

adolescent, pregnancy, complication

Kaynakça

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.

Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Sağlık Kurumları Yönetimi
Bölüm	Araştırma Makalesi (Original Article)
Yazarlar	Aşkı Ellibeş Kaya 0000-0001-9191-0832 Alper Başbuğ 0000-0003-1825-9849 Cemil İşık Sönmez 0000-0001-7854-3804 Ceren Barut 0000-0003-4748-7541 Yunus Şengün 0000-0002-6371-2967 Mete Çağlar 0000-0002-2738-4054
Yayımlanma Tarihi	28 Aralık 2017
Gönderilme Tarihi	12 Temmuz 2017
Kabul Tarihi	15 Ağustos 2017
Yayımlandığı Sayı	Yıl 2017Cilt: 2 Sayı: 3

Kaynak Göster

APA	Kaya, A. E., Başbuğ, A., Sönmez, C. İ., Barut, C., vd. (2017). Late adolescent pregnancies, maternal and fetal outcomes. Family Practice and Palliative Care, 2(3), 22-27. https://doi.org/10.22391/fppc.327993
AMA	Kaya AE, Başbuğ A, Sönmez Cİ, Barut C, Şengün Y, Çağlar M. Late adolescent pregnancies, maternal and fetal outcomes. Fam Pract Palliat Care. Aralık 2017;2(3):22-27. doi:10.22391/fppc.327993
Chicago	Kaya, Aşkı Ellibeş, Alper Başbuğ, Cemil İşık Sönmez, Ceren Barut, Yunus Şengün, ve Mete Çağlar. “Late Adolescent Pregnancies, Maternal and Fetal Outcomes”. Family Practice and Palliative Care 2, sy. 3 (Aralık 2017): 22-27. https://doi.org/10.22391/fppc.327993.
EndNote	Kaya AE, Başbuğ A, Sönmez Cİ, Barut C, Şengün Y, Çağlar M (01 Aralık 2017) Late adolescent pregnancies, maternal and fetal outcomes. Family Practice and Palliative Care 2 3 22–27.
IEEE	A. E. Kaya, A. Başbuğ, C. İ. Sönmez, C. Barut, Y. Şengün, ve M. Çağlar, “Late adolescent pregnancies, maternal and fetal outcomes”, Fam Pract Palliat Care, c. 2, sy. 3, ss. 22–27, 2017, doi: 10.22391/fppc.327993.
ISNAD	Kaya, Aşkı Ellibeş vd. “Late Adolescent Pregnancies, Maternal and Fetal Outcomes”. Family Practice and Palliative Care 2/3 (Aralık 2017), 22-27. https://doi.org/10.22391/fppc.327993.
JAMA	Kaya AE, Başbuğ A, Sönmez Cİ, Barut C, Şengün Y, Çağlar M. Late adolescent pregnancies, maternal and fetal outcomes. Fam Pract Palliat Care. 2017;2:22–27.
MLA	Kaya, Aşkı Ellibeş vd. “Late Adolescent Pregnancies, Maternal and Fetal Outcomes”. Family Practice and Palliative Care, c. 2, sy. 3, 2017, ss. 22-27, doi:10.22391/fppc.327993.
Vancouver	Kaya AE, Başbuğ A, Sönmez Cİ, Barut C, Şengün Y, Çağlar M. Late adolescent pregnancies, maternal and fetal outcomes. Fam Pract Palliat Care. 2017;2(3):22-7.