Maternal and perinatal outcomes in adolescent pregnancies: A retrospective study.

IF 1.7
Fulya Cagli, Ayşe Dişli Gürler, Mehmet Dolanbay, Varol Gülseren, Cevat Rıfat Cündübey
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Abstract

Study objective: Adolescence is a transitional period between childhood and adulthood, characterized by both psychological and physiological maturation. Each year, approximately 16 million adolescent girls (aged 15-19 years) give birth worldwide. Adolescent pregnancies are associated with an increased risk of maternal and fetal complications due to physical and psychological immaturity. Compared to adult pregnancies, adolescent pregnancies have been linked to higher rates of low birth weight, preterm birth, early neonatal mortality, fetal asphyxia, fetal growth restriction, preeclampsia, and eclampsia. However, while many studies support these associations, some findings suggest no significant difference. The aim of this study was to evaluate the maternal and fetal outcomes of adolescent pregnancies managed at a tertiary healthcare facility in the Central Anatolia Region of Türkiye.

Methods: This retrospective case-control study evaluated 2,513 adolescent pregnancies (aged 15-19 years) managed at two tertiary healthcare centers. Maternal and fetal outcomes were compared between adolescent and adult pregnancies.

Results: Adolescent pregnancies were associated with higher rates of maternal and fetal complications, including threatened abortion, preeclampsia, hyperemesis gravidarum, low birth weight, low Apgar scores at 5 min, and increased neonatal intensive care unit (NICU) admissions. However, no significant difference was observed in the incidence of gestational diabetes, cesarean delivery, third-trimester bleeding, or other adverse obstetric outcomes compared to adult pregnancies.

Conclusion: Adolescent pregnancy remains a global public health concern, contributing to increased maternal and neonatal morbidity and mortality. Implementing effective health policies to prevent adolescent pregnancies and improve access to prenatal care is crucial to mitigating associated risks.

青少年怀孕的孕产妇和围产期结局:一项回顾性研究。
研究目的:青春期是童年和成年之间的过渡时期,以心理和生理成熟为特征。全世界每年约有1600万少女(15-19岁)生育。由于身体和心理不成熟,青少年怀孕与母体和胎儿并发症的风险增加有关。与成人怀孕相比,青少年怀孕与低出生体重、早产、新生儿早期死亡率、胎儿窒息、胎儿生长受限、先兆子痫和子痫的发生率较高有关。然而,尽管许多研究支持这些关联,但一些研究结果表明没有显著差异。本研究的目的是评估在基耶省中部安纳托利亚地区三级医疗机构管理的青少年怀孕的母婴结局。方法:本回顾性病例对照研究评估了两个三级医疗保健中心管理的2513名少女怀孕(15-19岁)。比较了青少年和成人怀孕的产妇和胎儿结局。结果:青少年怀孕与孕产妇和胎儿并发症的高发率相关,包括先兆流产、子痫前期、妊娠剧吐、低出生体重、5分钟Apgar评分低、新生儿重症监护病房(NICU)入院率增加。然而,与成年妊娠相比,妊娠期糖尿病、剖宫产、妊娠晚期出血或其他不良产科结局的发生率没有显著差异。结论:青少年怀孕仍然是一个全球公共卫生问题,导致孕产妇和新生儿发病率和死亡率上升。实施有效的卫生政策以预防少女怀孕和改善获得产前护理的机会,对于减轻相关风险至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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