Evaluation of Pregnancy Cases Under the Age Of 18 Evaluated at Children Monitoring Center (CMC) In Trabzon
DOI:
https://doi.org/10.17986/blm.1423Keywords:
Pregnancy under the age of 18, Adolescent pregnancy, Child molestation, The Children Monitoring Center (CMC)Abstract
Objective: Teenage pregnancy, also known as adolescent pregnancy, is pregnancy in a female the age of 18 and under. The proportion of teen pregnancies in our country is %8-12. Pregnancies among 10- to 19-years are adversely affect the physical, mental and psychological health of the mother and baby. Our study aims to examine the main characteristics of pregnancies under age of 18 applied Children Monitoring Center (CMC) in Trabzon.
Results: Between 2015-2020, 18 adolescents found under the age of 18. There were no findings in 12 cases where internal body examination was requested, old tears observed in 3 cases, hymen was intact in 3 cases. 3 pregnancies occurred in the first trimester with criminal abortion. 3 cases were terminated with therapeutic curettage in the first trimester. Premature birth was detected in 2 cases. In 10 cases, delivery occurred at the end of term. 9 perpetrators were the lover of the victim, 5 cases covered by incest, 3 of them were cousins and 2 of them were brother-in-law and rest of 4 of them were unofficial spouses.
Conclusions: In Minnesota study, 40-70% of teenage mothers reported a history of sexual abuse. In our study, all of teenage mothers reported a history of sexual abuse due to the fact that our data was collected from Children Monitoring Center (CMC) Trabzon, Turkey. Teenage pregnancy are adversely affect the physical, mental and psychological health of the mother. In addition to medical and forensic support, psychosocial support should be given to teen pregnancies.
Downloads
References
Şen S , Kavlak O . Çocuk Gelinler: Erken Yaş Evlilikleri ve Adölesan Gebeliklere Yaklaşım. Sosyal Politika Çalışmaları Dergisi. 2011; 25(25): 44-35.
Demiröz H: Adölesan gebeliklerin yaygın olduğu bir bölgede anne ve yenidoğan sağlığı. Adnan Menderes Üniversitesi Tıp Fakültesi Halk Sağlığı Ana Bilim Dalı, Uzmanlık Tezi, 2008
World Health Organization 2011: WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countriesInternet).https://www.who.int/immunization/hpv/target/preventing_early_pregnancy_and_poor_reproductive_outcomes_who_2006.pdf (Erişim tarihi: 11/02/2020)
Goossens G, Kadji C, Delvenne V: Teenage pregnancy: A psychopathological risk for mothers and babies? Psychiatria Danubina, 2015; 27(1): 499-503
Mollborn S: Teenage mothers today: What we know and how it matters. Child Dev Perspect, 2017; 11(1): 63–69. https://doi.org/10.1111/cdep.12205 DOI: https://doi.org/10.1111/cdep.12205
Dünya Nüfus Günü, 2019. http://tuik.gov.tr/PreHaberBultenleri.do?id=30710 (Erişim tarihi: 11/02/2020)
Combs-Orme, Terri. “Health Effects of Adolescent Pregnancy: Implications for Social Workers.” Families in Society 74, no. 6 (June 1993): 344–54. https://doi.org/10.1177/104438949307400603. DOI: https://doi.org/10.1177/104438949307400603
Ayyıldız T , Topan A , Öztürk Ö , Kulakçı H . Adölesan Gebeliklerin Anne ve Bebeğe Yönelik Obstetrik Sonuçlar Açısından Değerlendirilmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2015; 8(2): 66-61.
Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J Obstet Gynecol. 2005 Feb;192(2):342-9. https://doi.org/10.1016/j.ajog.2004.10.593. DOI: https://doi.org/10.1016/j.ajog.2004.10.593
Kawakita T, Wilson K, Grantz KL, Landy HJ, Huang CC, Gomez-Lobo V. Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy. J Pediatr Adolesc Gynecol. 2016 Apr;29(2):130-6. https://doi.org/10.1016/j.jpag.2015.08.006. DOI: https://doi.org/10.1016/j.jpag.2015.08.006
Marino JL, Lewis LN, Bateson D, Hickey M, Skinner SR: Teenage mothers. Aust Fam Physician, 2016; 45(10): 712-717
Domenico DM, Jones KH: Adolescent pregnancy in America: Causes and responses. Journal for Vocational Special Needs Education, 2007; 30(1): 4-12
Leiderman S, Almo C: Interpersonal violence and adolescent pregnancy: Prevalence and implications for practice and policy. Washington, DC: Healthy Teen Network, 2001
Toplumsal Yapı ve Cinsiyet İstatistikleri, Cinsiyet, İBBS 1. Düzey ve üç büyük ile göre kadın için uygun görülen ilk evlenme yaşı, Erişim Adresi: http://www.tuik.gov.tr/PreTablo.do?alt_id=1068, Erişim Tarihi: 15.06.2020
Karcı CK, Avcı A, Tahiroğlu AY, Metin Ö, Çelik GG: Bir adli bildirim çelişkisi: Çocuk yaşta evlilik ve gebelik. Cukurova Med J, 2017; 42(4): 682-686. https://doi.org/10.17826/cutf.325703 DOI: https://doi.org/10.17826/cutf.325703
Türk Ceza Kanunu Sayı:5237. Tarih:2004. https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5237.pdf
UNICEF Innocenti Research Centre: Early marriage: Child spouses (Internet). https://www.unicef-irc.org/publications/pdf/digest7e.pdf (Erişim tarihi: 11/02/2020)
Türk Medeni Kanunu Sayı:4721. Tarih:2001. https://www.mevzuat.gov.tr/MevzuatMetin/1.5.4721.pdf
Saewyc EM, Magee LL, Pettingell SE: Teenage pregnancy and associated risk behaviors among sexually abused adolescents. Perspectives on Sexual and Reproductive Health, 2004; 36(3): 98–105. https://doi.org/10.1363/psrh.36.98.04 DOI: https://doi.org/10.1363/3609804
Noll JG, Shenk CE, Putnam KT: Childhood sexual abuse and adolescent pregnancy: A Meta-analytic update. Journal of Pediatric Psychology, 2009; 34(4): 366–378. https://doi.org/10.1093/jpepsy/jsn098 DOI: https://doi.org/10.1093/jpepsy/jsn098
Madigan S, Wade M, Tarabulsy G, Jenkins JM, Shouldice M: Association between abuse history and adolescent pregnancy: A Meta-analysis. Journal of Adolescent Health, 2014; 55: 151-159 . https://doi.org/10.1016/j.jadohealth.2014.05.002 DOI: https://doi.org/10.1016/j.jadohealth.2014.05.002
Pallitto CC, Murillo V: Childhood abuse as a risk factor for adolescent pregnancy in El Salvador. Journal of Adolescent Health, 2008; 42: 580–586 https://doi.org/10.1016/j.jadohealth.2014.05.002 DOI: https://doi.org/10.1016/j.jadohealth.2007.11.148
Teen Center, Break the Cycle: Teen pregnancy, parenting, and dating violence. 2009; Issue Brief No 8: 1-5
Stock JL, Bell MA, Boyer DK, Connell FA: Adolescent pregnancy and sexual risk-taking among sexually abused girls. Family Planning Perspectives, 1997; 29: 200–203 & 227 https://doi.org/10.1363/2920097 DOI: https://doi.org/10.2307/2953395
Aslan B: Psikoloji penceresinden erken yaşta evlendirilen kız çocukları. Türk Psikoloji Yazıları, 2019; 22(43): 43-55. https://doi.org/10.31828/tpy1301996120180525m000004 DOI: https://doi.org/10.31828/tpy1301996120180525m000004
Pouza AB, Pessoa GS, Cortêz N: Dor em dobro. Agência de Reportagem e Jornalismo Investigativo Pública. 29 May, 2014. [http://apublica.org/2014/05/dor-em-dobro-2/]
Ministério da Saúde: Anuário Brasileiro de Segurança Pública. Brasil: Fórum Brasileiro de Segurança Pública; 2013
Valle R, et al. Intrafamilial and Ekstrafamilial Sexual Assault and its Association with Alcholol Consumption. Rev. Saudi Publica 2018; 14(11) 52-86. DOI: https://doi.org/10.11606/S1518-8787.2018052000539
Justice B, Justice R, The Broken Taboo: Sex in the Family New York, Human Sciences Press 1979.
Yılmaz R, Eryılmaz A: Bülent Ecevit Üniversitesi Hastanesinde Değerlendirilen Ensest Olgularının Sosyodemografik Özellikleri. Adli Tıp Bülteni, 2016; 21 (3): 167-171 DOI: https://doi.org/10.17986/blm.2016323750
Downloads
Published
Issue
Section
License
Copyright (c) 2021 The Bulletin of Legal Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
