Adölesan ve Erişkin Gebe Kadınların Perinatal ve Neonatal Sonuçlarının Karşılaştırılması

Abstract

Amaç: Adölesan ve erişkin gebeler arasında obstetrik ve neonatal sonuçları karşılaştırmak. Araçlar ve Yöntem: Çalışma kriterlerine uygun 309’u adölesan, 307’si erişkin toplamda 616 gebe tıbbi kayıtları hastane bilgi sistemi üzerinden retrospektif case-control çalışma olarak incelenerek çalışmaya dahil edildi. Araştırmaya katılan gebelerin yenidoğan bebeklerinin hastanede yatış durumu, APGAR skorları ve doğum ağırlıkları bilgileri edinildi. Bulgular: Çalışma sonuçlarımızda adölesan grubu gebelerde; fetal distres, oligohidramniyos, erken doğum, erken membran rüptürü ve intrauterin gelişim geriliği yetişkin yaş gebelere göre daha yüksek oranlarda saptandı. Her iki grup arasında; polihidramniyos, IUMF, gestasyonel diyabet, plasenta previa, ablasyo plasenta, birinci ve beşinci dakika APGAR skorları, preeklampsi ve yenidoğan yoğun bakım ünitesine yatış oranı arasında anlamlı fark saptanmadı. Yenidoğanların doğum ağırlıkları adölesan grubunda erişkine göre düşük saptandı. Sonuç: Çalışmamız adölesan gebeliklerin fetal distres, oligohidramniyos, erken doğum, erken membran rüptürü, intrauterin fetal ölüm ve düşük doğum ağrılığı açısından riskli olduğunu göstermiştir.

Keywords

• ergenlik döneminde gebelik
• gebelik
• gebelik sonuçları

Comparison of Perinatal and Neonatal Outcomes of Adolescent and Adult Pregnant Women

Abstract

Purpose: The aim of this study is to perform a comparative analysis of obstetric and neonatal outcomes in pregnant women in two age groups: adolescents and adults. Materials and Methods: A total of 616 pregnant women's medical records, comprising 309 adolescents and 307 adults who met the study criteria, were retrospectively analyzed as part of a case-control study using hospital information systems. Information regarding the hospitalization status of the newborns, APGAR scores, and birth weights of the infants born to the participating mothers was obtained. Results: In our study, adolescent pregnant women showed higher rates of fetal distress, oligohydramnios, preterm birth, premature rupture of membranes, and intrauterine growth restriction compared to adult pregnant women. There were no significant differences between the two groups in terms of polyhydramnios, intrauterine fetal demise (IUMF), gestational diabetes, placenta previa, placental abruption, first and fifth minute APGAR scores, preeclampsia, and rate of admission to the neonatal intensive care unit. The birth weights of newborns were found to be lower in the adolescent group compared to the adult group. Conclusion: Our study has demonstrated that adolescent pregnancies are at higher risk for fetal distress, oligohydramnios, preterm birth, premature rupture of membranes, intrauterine fetal demise, and low birth weight.

Keywords

• gravidity
• pregnancy in adolescence
• pregnancy outcomes

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