Adolescent Pregnancy and Its Problems

  • Savaş Karakuş Departments of Obstetrics and Gynecology, Cumhuriyet University School of Medicine, Sivas, Turkey
  • Şerife Özlem Genç Departments of Obstetrics and Gynecology, Cumhuriyet University School of Medicine, Sivas
  • Ünsal Güldemir Departments of Obstetrics and Gynecology, Cumhuriyet University School of Medicine, Sivas
  • Buğra Okşaşoğlu Departments of Obstetrics and Gynecology, Cumhuriyet University School of Medicine, Sivas
  • Celal Bütün Departments of Forensic Medicine, Cumhuriyet University School of Medicine, Sivas
  • Ali Yıldırım Departments of Forensic Medicine, Cumhuriyet University School of Medicine, Sivas

Abstract

Objective: The purpose of this study was to determine the adverse outcomes and pregnancy problems of adolescent pregnancy.

Material and Method: Results of 171 adolescent pregnant between 10-19 age, who had given birth in our hospital between 2009 and 2016 were retrospective evaluated. The patients were seperated into adolescent early period (10-15 ages) and adolescent late period (>15-19 age). Babies,with birth weigt under 2500 gr were evaluated as low-birth-weight baby. The rates of gestational weeks, pregnancy history, preterm birth, Intrauterine mort fetüs (IUMF), preterm premature rupture of membranes (PPROM), preeclampsia and mode of delivery of groups were determined.

Results: The age average of adolescent early period were determined as 14,6 ± 0,5, and the age average of adolescent late period were determined as 17,7 ± 0,5. In 3 cases (37.5 %) of adoscent early period and in 66 cases (40.5%) of adoscent late period were preterm birth  and in adoscent early period were IUMF, PROM and preeclampsia without determination. Preeclampsia were determined in 5 cases (2.9%) IUMF, in 6 cases (3.7%) PPROM and in 4 cases (2.5%) in adolescent late period were. There was no significant difference in pregnancy weeks, obstetrical history, birth-weight and preterm delivery between two groups at birth.

Conclusion: Because of Births, which come true during the adolescent period, create a serious problem by formation of healthy generations; it is a problem which have to be tackle carefully. Studies, which will done with large groups of adolescent pregnancy will give more informations on this topic.

Downloads

Download data is not yet available.

References

1. Koç İ, Çağatay P, Adalı T. Doğurganlık, Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Türkiye Nüfus ve Sağlık Araştırması-2008, Ankara, Hacettepe Üniversitesi Hastaneleri Basımevi, 2009. p.59-62.
2. Ozer E, Nacar MC, Yildirim A, Enginyurt O, Din H, Evcuman D. Underage mothers in Turkey. Med Sci Monit. 2014;20: 582-6.
3. Wang SC, Wang L, Lee MC. Adolescent mothers and older mothers: who is at higher risk for adverse birth outcomes? Public Health. 2012;126:1038-43.
4. Chandra-Mouli V, Camacho AV, Michaud PA. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. J Adolesc Health. 2013;52: 517-22.
5. de Vienne CM1, Creveuil C, Dreyfus M. Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study. Eur J Obstet Gynecol Reprod Biol. 2009;147:151-6.
6. Njim T, Choukem SP, Atashili J, Mbu R. Adolescent Deliveries in a Secondary-Level Care Hospital of Cameroon: A Retrospective Analysis of the Prevalence, 6-Year Trend, and Adverse Outcomes. J Pediatr Adolesc Gynecol. 2016; 29: 632-634.
7. Minjares-Granillo RO, Reza-López SA, Caballero-Valdez S, Levario-Carrillo M, Chávez-Corral DV. Maternal and Perinatal Outcomes Among Adolescents and Mature Women: A Hospital-Based Study in the North of Mexico. J Pediatr Adolesc Gynecol. 2016;29: 304-11.
8. Timur H, Kokanalı MK, Topçu HO, Topçu S, Erkılınç S, Uygur D, Yakut Hİ. Factors That Affect Perinatal Outcomes of the Second Pregnancy of Adolescents. J Pediatr Adolesc Gynecol. 2016;29: 18-21.
9. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, Yamdamsuren B, Temmerman M, Say L, Tunçalp Ö, Vogel JP, Souza JP, Mori R. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014;12: 40-48.
10. Sedgh G, Finer LB, Bankole A, Eilers MA, Singh S. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolesc Health. 2015;56: 223-230.
11. Darroch JE, Singh S, Frost JJ. Differences in teenage pregnancy rates among five developed countries: the roles of sexual activity and contraceptive use. Fam Plann Perspect. 2001;33: 244-250.
12. Alio AP, Mbah AK, Grunsten RA, Salihu HM. Teenage pregnancy and the influence of paternal involvement on fetal outcomes. J Pediatr Adolesc Gynecol. 2011;24: 404-9.
13. Keskinoğlu P, Bilgiç N, Picakçiefe M, Giray H, Karakuş N, Günay T. Perinatal outcomes and risk factors of Turkish adolescent mothers. J Pediatr Adolesc Gynecol 2007;20: 19-24.
14. Kurth F, Belard S, Mombo-Ngoma G, Schuster K, Adegnika AA, Bouyou-Akotet MK, Kremsner PG, Ramharter M. Adolescence as Risk Factor for Adverse Pregnancy Outcome in Central Africa -A Cross-Sectional Study 2010;5.
15. Taner CE, Aydoğan Kırmızı D, İriş A, Başoğul Ö, Adölesan gebeliklerin sonuçları, Göztepe Tıp Dergisi 27: 6-10, 2012.
16. Fussing-Clausen C, Geirsson RT, Hansen T, Rasmussen S, Lidegaard Ø, Hedegaard M. Mode of delivery and subsequent reproductive patterns. A national follow-up study. Acta Obstet Gynecol Scand. 2014;93: 1034-41.
17. Ağaçayak E, Alan B, Turgut A, Karabel M, Tunç S Y, Çeter Y, Arslan N, Yalinkaya A, Adölesan Gebelerin Maternal ve Fetal Sonuçlarının Değerlendirilmesi, Dicle Tıp Dergisi / 2016; 43: 344-350
Published
2017-08-04
How to Cite
1.
Karakuş S, Genç Şerife, Güldemir Ünsal, Okşaşoğlu B, Bütün C, Yıldırım A. Adolescent Pregnancy and Its Problems [Internet]. The Bulletin of Legal Medicine [Internet]. 4Aug.2017 [cited 19Jan.2018];22(2):115-8. doi:https://doi.org/10.17986/blm.2017227275
Section
Research Articles