PUBLIC OPINION TOWARDS ADOLESCENT PREGNANCIES AND EXPECTATIONS FROM HEALTHCARE PROFESSIONALS

Abstract

Objectives: Complications arising from pregnancies during adolescence bring along very important health problems in terms of both women's health and babies' health. Therefore, society's perspective on adolescent pregnancies and expectations from healthcare professionals will guide the measures to be taken to protect maternal health under the age of 18. This study aims to identify the determinants of society’s point of view regarding adolescent pregnancies and to determine expectations from healthcare workers. Methods: This descriptive cross-sectional study enrolled randomly selected 980 subjects who volunteered to join the study, and answered a questionnaire composed of 39 questions. The questionnaire was consulted by multi-disciplinary to confirm the accuracy of the questions. Results: The mean age was 41.0 (range: 19-64, Male-Female ratio 1:1.15) and 71.6% were married. The majority (80.3%) argued that girls under the age of 19 should not have children, and this is significantly affected by income level and education. It has been observed that the view that reducing adolescent pregnancies will positively affect maternal and neonatal mortality rates is related to the education and income level of the participants. (p=0.001 and p=0.024). 66.1% of the respondents stated that adolescent pregnancies could be reduced by providing adequate information from primary healthcare institutions rather than other sources. In addition, primary healthcare institutions were shown as the primary center in the follow-up of these pregnancies by .66.1% of the participants. Conclusion: It is important to inform society about this issue in the prevention of adolescent pregnancies, which have significant risks for maternal and infant health. Society believes that the solution to this problem can be provided by primary health care services.

Keywords

• Adolescent
• Pregnancy
• Primary Health Care

Project Number

KA14/319

ERGEN GEBELİKLERİNE TOPLUMUN BAKIŞI VE SAĞLIK PROFESYONELLERİNDEN BEKLENTİLERİ

Abstract

Amaç: Ergenlik dönemindeki gebeliklerden kaynaklanan komplikasyonlar hem kadın sağlığı hem de bebek sağlığı açısından çok önemli sağlık sorunlarını beraberinde getirmektedir. Bu nedenle toplumun adölesan gebeliklere bakış açısı ve sağlık profesyonellerinden beklentileri 18 yaş altı anne sağlığını korumak için alınması gereken önlemlere rehberlik edecektir. Bu çalışma, toplumun adölesan gebeliklere bakış açısının belirleyicilerini ve sağlık çalışanlarından beklentileri belirlemeyi amaçlamaktadır. Gereç ve Yöntem: Bu tanımlayıcı kesitsel çalışmaya, araştırmaya katılmaya gönüllü olan ve rastgele seçilmiş 980 denek dahil edildi ve 39 sorudan oluşan bir anket yanıtlandı. Hazırlanan soruların multidisipliner kontrolü sağlandı. Bulgular: Ortalama yaş 41.0 (aralık: 19-64, E: K-oran1:1.15) idi ve %71.6'sı evliydi. Çoğunluk (%80,3) 19 yaşından küçük kızların çocuk doğurmaması gerektiğini, bunun da gelir düzeyi ve eğitimden önemli ölçüde etkilendiğini savunmuştur. Adolesan gebeliklerin azaltılmasının anne ve yenidoğan ölüm oranlarını olumlu etkileyeceği görüşünün katılımcıların eğitim ve gelir düzeyi ile ilişkili olduğu gözlenmiştir. (p=0,001ve p=0,024). Ankete katılanların %66,1'i diğer kaynaklardan ziyade birinci basamak sağlık kuruluşları tarafından yeterli bilgi verilmesiyle adolesan gebeliklerin azaltılabileceğini belirtti. Ayrıca katılımcıların %.66,1’i tarafından bu gebeliklerin takibinde birinci basamak sağlık kuruluşları birincil merkez olarak gösterilmiştir. Sonuç: Anne ve bebek sağlığı yönünden önemli riskleri olan adolesan gebeliklerin önlenmesinde toplumun bu konuda bilgilendirilmesi önem taşımaktadır. Toplum, bu sorunun çözümünün birinci basamak sağlık hizmetleriyle sağlanabileceğine inanmaktadır.

Keywords

• Ergen
• Gebelik
• Birinci basamak sağlık hizmeti

Supporting Institution

Başkent Üniversitesi Tıp Fakültesi

Project Number

KA14/319

References

1. 1. McIntyre P. Pregnant adolescents delivering on global promises of hope., WHO Library Cataloguing-in-Publication, Geneva, 2006;4-7.
2. 2. Hatipoglu N. Pubertal period and its problems. Turkish Journal of Family Practice. 2012;16:1-13.
3. 3. Sungurtekin Ozkan M. The Assumed Role of the Jurisdiction in the Preventation of the Juvenile Marriages. Journal of Yasar University. 2013;8:2177-2189.
4. 4. Turkish civil code. Law N. 4721, dated 7/12/2002. Article 11.
5. 5. Dogan A, Cebioglu S. Emerging Adulthood: A Period between Adolescence and Adulthood. Turkish Psychological Articles. 2011;14(28):11-21.
6. 6. Atak H, Cok F. A new period in human life: Emerging adulthood. Journal of Childhood and Adolescence Mental Health. 2010;17(1):39-50.
7. 7. Hacettepe University Institute of Population Studies (2014) "2013 Demographic and Health Surveys” Hacettepe University Institute of Population Studies. Turkish Ministry of Development and TUBITAK. Ankara. Turkey. 2014;60 table:4.1
8. 8. Hacettepe University Institute of Population Studies (2019) "2018 Demographic and Health Surveys” Hacettepe University Institute of Population Studies. TC Presidential strategy and budget department and TUBITAK. Ankara. Turkey. 2018;68 table:5.12

9. 9. Kaya V, Yalcinkaya O. Can population be a source of economic growth?: A historical look at “at least three-child policy” Ataturk University Journal of Economics and Administrative Sciences. 2014;28(1):165-198.
10. 10. Gurses I, Kilavuz MA. The Importance of Intergenerational Religious Education and Communication in Terms of Psychological Developmental Stages Theory of Erikson. Uludag University The Review of The Faculty of Theology.2011;20(2):153-166.
11. 11. Melekoglu R, Evruke C, Kafadar T, et al. Perinatal Outcomes Of Adolescent Pregnancy. JTurk Soc Obstet Gynecol. 2013;10(4):213-9.
12. 12. Bespinar FU. Research on family structure in Türkiye, findings, and recommendations. Eds. Turgut M, Feyzioglu S. Ministry of family, labor and social services, general directorate of family and community services. Research and Social Policy Series 07. Çizge Tanıtım ve Kırtasiye Ltd. Şti, İstanbul, 2014;168.
13. 13. Koyun A, Taşkın L, Terzioğlu F. Women Health and Psychological Functioning in Different Periods of Life: Evaluation of Nursing Approach. Current Approaches in Psychiatry. 2011;3(1):67-99.
14. 14. Mason E. WHO guidelines on preventing early pregnancy and poor reproductive health outcomes among adolescents in developing countries. 2011;1-9. https://apps.who.int/iris/bitstream/handle/10665/44691/9789241502214_eng.pdf;jsessionid=F72BCC203CD64A42297A9B3591A5D2A2?sequence=1. access date: 05 October 2020.
15. 15. Keskinoglu P, Bilgic N, Picakciefe M, et al. Perinatal outcomes and risk factors of Turkish adolesccent mothers. J Pediatr Adolesc Gynecol. 2007; 20(1):19-24.
16. 16. Bespinar FU. Research on family structure in Türkiye, findings, and recommendations. Eds. Turgut M, Feyzioglu S. Ministry of family, labor and social services, general directorate of family and community services. Research and Social Policy Series 07. İstanbul, Çizge Tanıtım ve Kırtasiye Ltd. Şti. 2014, p:143.
17. 17. Turkish Statistical Institute, Central Dissemination System. TURKSTAT Population and demographic information. 2020; https://biruni.tuik.gov.tr/medas/?locale=en, access date: 05 October 2020.
18. 18. Omar K, Hasim S, Muhammad N.A, Jaffar A, Hashim S.M, Siraj H.H. Adolescent pregnancy outcomes and risk factors in Malaysia. International Journal of Gynecology & Obstetrics. 2010; 111(3): 220-223.
19. 19. Pirdal H, Yalçın B.M, Ünal M. Knowledge levels of pregnants on their pregnancy and the related factors. Turkish Journal of Family Pratices.2016; 20 (1): 7-15.