Adverse obstetric outcomes in early and late adolescent pregnancy

Authors : Simten GENÇ, Mehmet Ali ÇİFTÇİ, Başak CINGILLIOĞLU, Erhan AKTÜRK, Orhan SAHIN, Sadık KÜKRER, Arzu YURCİ, Veli MİHMANLI

Pages : 237-244

View : 58 | Download : 13

Publication Date : 2022-01-01

Article Type : Research Paper

Abstract :Adolescent pregnant women should be considered as a high risk patient group. The aim of our study is to compare pregnancies in adolescent with adult age group pregnancies and to evaluate maternal and fetal obstetric outcomes. Patients were admitted to Gynecology Department of Okmeydani Training and Research Hospital between January 1, 2015 and December 31, 2019. Pregnant women were divided into 3 groups as Group 1 insert ignore into journalissuearticles values(aged ≤16 years: n: 280);, Group 2 insert ignore into journalissuearticles values(aged 17-19 years; n: 956); and Group 3 insert ignore into journalissuearticles values(aged 25-35 years; n: 656);. Demographic characteristics of the patients and maternal and obstetric outcomes were recorded.In adolescent age groups,numbers of gravida, parity and abortus, and gestational age, fetal weight, and rates of cesarean delivery were found to be significantly lower relative to age group of 25-35 years Adolescents aged ≤16 years had a significantly lower risk than adults as for preeclampsia insert ignore into journalissuearticles values(AOR: 9,23 insert ignore into journalissuearticles values(6,36-11,82); p=0,001);,had a significantly higher risk than adults as for low birth weight insert ignore into journalissuearticles values(AOR: 4,75 insert ignore into journalissuearticles values(2,26-9,21); p=0,001);. and prematurity insert ignore into journalissuearticles values(AOR: 7,54 insert ignore into journalissuearticles values(5,12-9,43); p=0,001);. Adolescents aged 17-19 years had a significantly higher risk than adults regarding small for gestational age insert ignore into journalissuearticles values(AOR: 4,48 insert ignore into journalissuearticles values(1,89-10,67); p=0,001);, oligohidramnios insert ignore into journalissuearticles values(AOR: 2,29 insert ignore into journalissuearticles values(1,16-4,54); p=0,017);, prematurity insert ignore into journalissuearticles values(AOR: 4,97 insert ignore into journalissuearticles values(3,1-7,97); p=0,0001); and LBW insert ignore into journalissuearticles values(AOR: 2,14 insert ignore into journalissuearticles values(2,71-9,74); p=0,0001);.Our study was conducted with a large pregnant group, Since pregnant women in adolescent group are closely associated with preterm birth, delivery of small for gestational age and low birth weight infants, it is important to improve health services to reduce adverse pregnancy outcomes.
Keywords : Adolescent pregnancy, adverse pregnancy outcomes, low birth weight, preterm delivery, teenage pregnancy

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