Perinatal and neonatal outcomes of adolescent pregnancies over a 10-year period.

IF 1.2 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Bahadir Yazicioglu, Nazan Yurtcu, Huri Guvey, Canan Soyer Caliskan, Samettin Celik, Andrea Tinelli
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引用次数: 0

Abstract

Objectives: Poor overall neonatal outcomes, small neonatal head circumference, neonatal hypoglycemia, need for Neonatal Intensive Care Unit and late-onset neonatal sepsis are more common in adolescents. The aim of this study is to draw attention to the outcomes of adolescent pregnancies.

Material and methods: This retrospective study was conducted in adolescent singleton pregnancies with maternal age < 15 years (n = 20, group 1), 16-19 years (n = 1929, group 2), and 20 years (n = 866, group 3). Age, gravidity, parity, and body mass index (BMI) measurements of mothers; mode of delivery, maternal and neonatal outcomes were evaluated and compared.

Results: The rate of preterm birth, postpartum hemorrhage, asymmetrical intra-uterine growth restriction (IUGR, as 3% percentile), macrosomia, and height of newborn of Group 3 was significantly higher. The rate of asymmetrical IUGR (as 10% percentile) was significantly lower in Group 3. The rate of severe preeclampsia and cesarean section was significantly higher in Group 3. The rate of Small for Gestational Age newborn, neonatal hypoglycemia, and late-onset neonatal sepsis was significantly higher in Group 1.

Conclusions: Neonatal problems with poor obstetric outcomes are common in adolescent pregnant women, so that a family planning and baby care social trainings are important in achieving good long-term maternal and neonatal outcomes.

10年期间青少年怀孕的围产期和新生儿结局。
目的:新生儿总体预后差、新生儿头围小、新生儿低血糖、需要新生儿重症监护病房和迟发性新生儿败血症在青少年中更为常见。这项研究的目的是引起人们对青少年怀孕后果的关注。材料和方法:本回顾性研究对母亲年龄< 15岁(n = 20,第1组)、16-19岁(n = 1929,第2组)和20岁(n = 866,第3组)的青春期单胎妊娠进行了研究。评估和比较分娩方式、产妇和新生儿结局。结果:第3组早产、产后出血、不对称宫内生长受限(IUGR, 3%百分位数)、巨大儿、新生儿身高的发生率均显著高于第3组。不对称IUGR发生率(10%百分位数)明显低于第3组。重度子痫前期及剖宫产率3组明显高于对照组。1组小胎龄新生儿、新生儿低血糖、迟发性新生儿脓毒症发生率显著增高。结论:新生儿问题和不良产科结局在青少年孕妇中很常见,因此计划生育和婴儿保健社会培训对于实现良好的长期孕产妇和新生儿结局非常重要。
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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来源期刊
Ginekologia polska
Ginekologia polska OBSTETRICS & GYNECOLOGY-
CiteScore
2.00
自引率
15.40%
发文量
317
审稿时长
4-8 weeks
期刊介绍: Ginekologia Polska’ is a monthly medical journal published in Polish and English language. ‘Ginekologia Polska’ will accept submissions relating to any aspect of gynaecology, obstetrics and areas directly related. ‘Ginekologia Polska’ publishes original contributions, comparative works, case studies, letters to the editor and many other categories of articles.
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