Adolescent pregnancies: a 10-year single-center experience

Year 2020, Volume: 6 Issue: 2, 105 - 110, 04.03.2020

Deha Denizhan Keskin

https://doi.org/10.18621/eurj.465836

Cited By: 1

Abstract

Objectives:
To investigate
adolescent pregnacy rate in last decade and emphasize the perinatal outcomes.

Methods: Our study was a retrospective investigation of all
women with singleton pregnancies who gave birth at > 20 weeks gestation aged
13-16 years old (early aged adolescent pregnancy group, n = 107), aged 17-19
years old (late aged adolescent pregnancy group, n = 991) and aged 20-35 years
old (control group, n = 1,098) at Ordu University School of Medicine, Training and
Research Hospital Obstetrics and Gynecology Clinic between January 2008 and
January 2018. The variables used to determine the perinatal outcomes were low
birth weight (birth weight < 2,500 g), macrosomic fetus (birth weight > 4,000
g) and stillbirth (delivery of infant > 20 weeks gestation without cardiac
activity) prevalences were investigated and compared between groups.

Results: Adolescent birth ratio to all births was 4.4% (1,098/24,560).
Low birth weight rate was higher in the late aged adolescent group (p < 0.001). Cesarean section rate was
significantly lower in the adolescent age group (40.2% in early aged and 7.2%
in late aged)) whereas rate was 56.3 % in the control group. We attributed this
to the high parity in the control group and the surplus of the old cesarean
section indication (p < 0.001).

Conclusions: Adolescent pregnancy, especially late aged adolescents
were found to be closely related with low birth weight but there was no
significant difference with respect to stillbirth rate in adult age group.
Skilled antenatal, childbirth and postnatal care is very necessary to reduce
low birth weight and therefore perinatal mortality. 

Keywords

Adolescent pregnancy, low birth weight, public health concern

References

• 1. Şolt A, Yazıcı S. [Adolescent pregnancies]. HSP 2015;2:241-8. [Article in Turkish]
• 2. Cinar N, Hira S. Adolescent mother. J Human Rhythm 2017;3:15-9.
• 3. World Health Organization. Maternal, newborn, child and adolescent health. Adolescent pregnancy, 2015. http://www.who.int/ maternalchildadolescent/topics/maternal/adolescent_ pregnancy/en/
• 4. World Health Organization. Early marriages, adolescent and young pregnancies. Report by the Secretariat. A 65/13, 2012.
• 5. World Health Organization. Adolescents: health risks and solutions Fact sheets report. http://www.who.int/en/news-room/fact-sheets/detail /adolescent-pregnancy, February 2018
• 6. World Health Organization. Global health estimas 2015: deaths by cause, age, sex, by country and by region, 2000-2015 Geneva: WHO: 2016.
• 7. Kahraman S. Comparisons of the life quality of adolescent pregnants in Kayseri city center between 20-29 years of age, Erciyes University Health Sciences Institute,Graduate Thesis, Kayseri, Turkey, 2009.
• 8. Marseille E, Mirzazadeh A, Biggs MA, P Miller A, Horvath H, Lightfoot M, et al. Effectiveness of school-based teen pregnancy prevention programs in the USA: a systematic review and meta-analysis. Prev Sci 2018;19:468-89.
• 9. UN DESA, Statistics Division. SDG Indicators: Global Database. New York: UN DESA: 2017.
• 10. Turkey demographic and health survey, Hacettepe University Institute of Population Studies, 2013.
• 11. Çakmak B, Özsoy Z, Metin FZ, Erkorkmaz U, Demirtürk F. [Maternal and perinatal outcomes of adolecent and advanced age pregnancies at elective cesarian section]. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 2012;4(4):23-8. [Article in Turkish]
• 12. Yıldızhan R, Kolusarı A, Edirne T, Adalı E, Erol S, Kurdoglu M, et al. [Analysis of adolescent pregnancy at the district of Van]. Van Med J 2009;16:4:124-7. [Article in Turkish]
• 13. Ozalp S, Tanir HM, Sener T, Yazan S, KeskinAE. Health risks for early (< or = 19) and late (> or = 35) childbearing. Arch Gynecol Obstet 2003;268:172-4.
• 14. Meneses J, Saratan C. Antecedents and consequences of teenage pregnancy: A phenomonological study. Int J Med Health Res 2015;1:1-5.
• 15. Yurdakul M. Perceived social support in pregnant adolescents in Mersin area Turkey. Park J Med Sci 2018;34:1115-20.
• 16. Azevedo WF, Diniz MB, Fonseca ESVB, Azevedo LM, Evangelista CB. Complications in adolescent pregnancy: systematic reviewof the literature. Einstein (Sao Paulo) 2015;13:618-26.
• 17. Costa EL, Sena MC, Dias A. [Teenage Pregnancy – determinant of prematurity and low-birth weight]. Com Ciencias Saude 2011;22(Suppl 1):S183-8. [Article in Portuguese]
• 18. Bottorf JL, Poole N, Kelly MT, Greaves L, Marcellus L, Jung M. Tobacco and alcohol use in the context of adolescent pregnancy and postpartum: a scoping review of the literature. Health Soc Care Community 2014;22;561-74.
• 19. Phupong V, Suebnukarn K. Obstetric outcomes in nulliparous young adolescents. Southeast Asian J Trop Med Public Health 2007;38:141-5.
• 20. Haldre K, Rahu K, Karro H, Rahu M. Is a poor pregnancy outcome related to young maternal age? A study of teenagers in Estonia during the period of major socio-economic changes (from 1992 to 2002). Eur J Obstet Gynecol Reprod Biol 2007;131:45-51.
• 21. Bostancı Ergen E, Abide Yayla C, Sanverdi I, Ozkaya E, Kilicci C, Kabaca Kocakusak C. Maternal-fetal outcome assotiated with adolescent prenancy in a tertiary referral center: a cross-sectional study. Ginekol Pol 2017;88:12:674-8.
• 22. Taner CE, Aydoğan Kırmızı D, İriş A, Başoğul Ö. [Results of adolescent pregnancy]. Göztepe Medical Journal 2012;27:6-10. [Article in Turkish]
• 23. Melekoğlu R, Evrüke C, Kafadar T, Mısırlıoğlu S, Büyükkurt S, Özgünen FT. [Perinatal outcomes of adolescent pregnancy]. J Turk Soc Obstet Gynecol 2013;10:213-9. [Article in Turkish]
• 24. Seçkin KD, Yücel B, Karslı MF, Özdemir Ç, Togrul C, Celik E, et al. [Demographic characteristics and maternal-fetal outcomes of adolescent births: a case-control study in a reference hospital in Istanbul]. Okmeydanı Tıp Dergisi 2016;32:14-8. [Article in Turkish]
• 25. Keskin RK, Karateke A, Aras Zinnur, Gul A, Ozkaya D, Dede M. [Maternal and fetal outcomes of adolescent pregnancies in Hatay province]. ODÜ Tıp Dergisi 2014;2:68-71. [Article in Turkish]
• 26. Akdemir N, Bilir F, Cevrioglu AS, Ozden S, Bostancı S. [Investigation of obstetric outcomes of adolescent pregnancies in Sakarya region]. Sakarya Medical Journal 2014;4:18-21. [Article in Turkish]
• 27. Trivedi SS, Pasrija S. Teenage pregnancies and their obstetric outcomes. Trop Doct 2007;37:85-8.
• 28. Geist RR, Beyth Y, Shashar D, Beller U, Samueloff A. Perinatal outcome of teenage pregnancies in a selected group of patients. J Pediatr Adolesc Gynecol 2006;19:189-93.
• 29. Schmidt RM, Wiemann CM, Rickert VI, Smith EO. Moderate to severe depressive symptoms among adolescent mothers followed four years postpartum. J Adolesc Health 2006;38:712-8.
• 30. Uzun AK, Orhon FS, Baskan S, Ulukol B. A comparison between adolescent mothers and adult mothers in terms of maternal and infant outcomes at follow-ups. J Matern Fetal Neonatal Med 2013;26:454-8.
• 31. Centre for Maternal and Child Enquiries (CMACE) perinatal mortality 2009: United Kingdom. CMACE, 2011.
• 32. Centers for Disease Control and Prevention (CDC). Vital signs: repeat births among teens - United States, 2007-2010. MMWR Morb Mort Wkly Rep 2013;62:249-55.
• 33. Santos GH, Martins Mda G, Sousa Mda S, Batalha Sde J. Impacto da idade materna sobre os resultados perinatais e via de parto. Rev Bras Ginecol Obstet 2009;31:326-34.
• 34. National Campaign to Prevent Teen and Unplanned Pregnancy. http://thenationalcampaign.org/.
• 35. Committee on Adolescent Healthcare Long-Acting Reversible Contraception Working, Group, The American College of Obstetricians and Gynecologists. Committee opinion no. 539: adolescents and long-acting reversible contraception: implants and intrauterine devices. Obstet Gynecol 2012; 120:983-98.
• 36. World Health Organization. Glogal and regional estimates on violance against women. Prevelance and health effects of intimate partner sexual violance. Geneva: WHO;2013.
• 37. Vieira CL, Coeli CM, Pinheiro RS, Brandao ER, Camargo KR Jr, Aguiar FP. Modifying effect of prenatal care on the association between young maternal age and adverse birth outcomes. J Pediatr Adolesc Gynecol 2012;25:185-9.