Araştırma Makalesi
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Sezaryen ile sonuçlanan adolesan gebeliklerde obstetrik sonuçların değerlendirilmesi: Tek merkez deneyimi

Yıl 2022, , 176 - 182, 06.12.2022
https://doi.org/10.46969/EZH.1172338

Öz

Amaç: 10-19 yaş arası kadınların gebeliği olarak tanımlanan adölesan gebelikler halen önemli bir halk sağlığı sorunudur ve maternal ve fetal mortalite ve morbidite oranlarının arttığı yüksek riskli gebelikler olarak kabul edilmelidir. Bu çalışmada sezaryen (CS) ile sonuçlanan adolesan gebeliklerde obstetrik ve perinatal sonuçların incelenmesi ve belirlenen adolesan yaş gruplarında bu sonuçların karşılaştırılması amaçlandı.
Gereç ve Yöntem: Bu retrospektif çalışmada sezaryen ile doğum yapan 2665 adolesan hastanın obstetrik ve perinatal sonuçları doğum yaşlarına göre oluşturulan 3 grupta incelendi: Grup 1; 14-15 yaş grubu, grup 2; 16-17 yaş grubu ve grup 3;18 -19 yaş grubundan oluşmaktaydı. Sonuçlar belirlenen yaş grupları arasında karşılaştırıldı.
Bulgular: Erken doğum insidansı grup 1'de grup 2 ve grup 3'e göre daha yüksekti (p=0,001) ve grup 1'deki hastaların %52,3'ü 29-34 gebelik haftaları arasında doğum yapmıştı. Grup 1'de fetal doğum ağırlığı ve APGAR skorları daha düşük ve yenidoğan yoğun bakım ünitesi ihtiyacı daha yüksekti. Grup 3'te 116 (%8.4) hastada görülen postpartum kanama, grup 1 ve grup 2'ye göre istatistiksel olarak anlamlı farkla daha yüksekti ( p=0.001).
Sonuç: 15-17 yaş arası sezaryen ile doğum yapan adolesanlarda erken doğum, düşük doğum ağırlığı, düşük APGAR skorları ve yenidoğan yoğun bakım ihtiyacı daha yüksek iken, 18-19 yaş arası adolesanlarda doğum sonu kanama ve kan transfüzyonu ihtiyacı daha yüksektir.

Kaynakça

  • Chandra-Mouli V, Camacho AV, Michaud PA. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. J Adolesc Health 2013;52(5):517-522.
  • Yenigul NN, Asicioglu O, Ayhan I. Perinatal outcomes of adolescent pregnancy: A single-center experience. Ann Med Res 2019;26(4):676-680.
  • Baş EK, Bülbül A, Uslu S, Baş V, Elitok GK, Zubarioğlu U. Maternal Characteristics and Obstetric and Neonatal Outcomes of Singleton Pregnancies Among Adolescents. Med Sci Monit 2020;26:e919922.
  • Rexhepi M, Besimi F, Rufati N, Alili A, Bajrami S, Ismaili H. Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy. Open Access Maced J Med Sci 2019;7(5):760-766.
  • Ersoy GŞ, Kayar İ, Keser B, Ensari TA, Aytaç H, Çetin F. Obstetric outcomes of adolescent pregnancies in the Eastern Mediterranean region of Turkey. J Ist Faculty Med 2015; 78(4):97-101.
  • Medhi R, Das B, Das A, Ahmed M, Bawri S, Rai S. Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in North-East India. Adolesc Health Med Ther 2016;7:37-42.
  • Azevedo WF, Diniz MB, Fonseca ES, Azevedo LM, Evangelista CB. Complications in adolescent pregnancy: systematic review of the literature. Einstein (Sao Paulo) 2015;13(4):618-626.
  • Karataşlı V, Kanmaz AG, İnan AH, Budak A, Beyan E. Maternal and neonatal outcomes of adolescent pregnancy. J Gynecol Obstet Hum Reprod 2019;48(5):347-350.
  • Demirci O, Yılmaz E, Tosun Ö, Kumru P, et al. Effect of young maternal age on obstetric and perinatal outcomes: results from the tertiary center in Turkey. Balkan Med J 2016;33:344-349.
  • Ayres-de-Campos D, Spong CY, Chandraharan E; FIGO Intrapartum Fetal Monitoring Expert Consensus Panel. FIGO consensus guidelines on intrapartum fetal monitoring: Cardiotocography. Int J Gynaecol Obstet 2015;131(1):13-24
  • Shinar S, Melamed N, Abdulaziz KE, et al. Changes in rate of preterm birth and adverse pregnancy outcomes attributed to preeclampsia after introduction of a refined definition of preeclampsia: A population-based study. Acta Obstet Gynecol Scand. 2021;100(9):1627-1635.
  • Dahlke JD, Mendez-Figueroa H, Maggio L, et al. Prevention and management of postpartum hemorrhage: a comparison of 4 national guidelines. Am J Obstet Gynecol 2015;213(1):76.e1-76.e10.
  • Malabarey OT, Balayla J, Abenhaim HA. The effect of pelvic size on cesarean delivery rates: using adolescent maternal age as an unbiased proxy for pelvic size. J Pediatr Adolesc Gynecol 2012;25(3):190-194.
  • Katz Eriksen JL, Melamed A, Clapp MA, Little SE, Zera C. Cesarean Delivery in Adolescents. Journal of pediatric and adolescent gynecology. 2016;29(5):443-7.
  • Kaplanoglu M, Karateke A, Un B, Akgor U, Baloğlu A. Complications and outcomes of repeat cesarean section in adolescent women. Int J Clin Exp Med 2014;7(12):5621-5628.
  • Chen XK, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol 2007;36(2):368-73.
  • Clark EA, Silver RM. Long-term maternal morbidity associated with repeat cesarean delivery. Am J Obstet Gynecol 2011;205(6 Suppl):S2-10.

Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience

Yıl 2022, , 176 - 182, 06.12.2022
https://doi.org/10.46969/EZH.1172338

Öz

Aim: Adolescent pregnancies; defined as pregnancies in women aged 10-19 years old are still an important public health problem and must be considered as high risk pregnancies with increased maternal and fetal mortality and morbidity rates. In this study, we aimed to examine the obstetric and perinatal outcomes in adolescent pregnancies delivered with cesarean section (CS) and compare the outcomes in determined adolescent age groups.
Materials and Methods: In this retrospective study, the obstetric and perinatal outcomes in 2665 adolescent patients who delivered with cesarean section were examined in three groups divided according to the age of delivery: group 1 included the patients aged 14-15 years old, group 2 the patients aged 16-17 years old and group 3 the patients aged 18-19 years old. The outcomes were compared between the identified age groups.
Results: The incidence of preterm delivery was higher in group 1 compared with group 2 and group 3 (p=0.001) and 52.3% of group 1 patients had delivered between 29-34 gestational weeks. Fetal birth weight and APGAR scores were lower and need for neonatal intensive care unit (NICU) was higher in group 1. In group 3 116 (8.4%) patients had postpartum hemorrhage which was higher than group 1 and group 2 with statistically significant difference (p=0.001).
Conclusion: Preterm delivery, low birth weight, low APGAR scores and need for NICU are higher in 15-17 years old adolescents delivered with C/S whereas postpartum hemorrhage and need for blood transfusion is higher in adolescents aged 18-19 years old.

Kaynakça

  • Chandra-Mouli V, Camacho AV, Michaud PA. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries. J Adolesc Health 2013;52(5):517-522.
  • Yenigul NN, Asicioglu O, Ayhan I. Perinatal outcomes of adolescent pregnancy: A single-center experience. Ann Med Res 2019;26(4):676-680.
  • Baş EK, Bülbül A, Uslu S, Baş V, Elitok GK, Zubarioğlu U. Maternal Characteristics and Obstetric and Neonatal Outcomes of Singleton Pregnancies Among Adolescents. Med Sci Monit 2020;26:e919922.
  • Rexhepi M, Besimi F, Rufati N, Alili A, Bajrami S, Ismaili H. Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy. Open Access Maced J Med Sci 2019;7(5):760-766.
  • Ersoy GŞ, Kayar İ, Keser B, Ensari TA, Aytaç H, Çetin F. Obstetric outcomes of adolescent pregnancies in the Eastern Mediterranean region of Turkey. J Ist Faculty Med 2015; 78(4):97-101.
  • Medhi R, Das B, Das A, Ahmed M, Bawri S, Rai S. Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in North-East India. Adolesc Health Med Ther 2016;7:37-42.
  • Azevedo WF, Diniz MB, Fonseca ES, Azevedo LM, Evangelista CB. Complications in adolescent pregnancy: systematic review of the literature. Einstein (Sao Paulo) 2015;13(4):618-626.
  • Karataşlı V, Kanmaz AG, İnan AH, Budak A, Beyan E. Maternal and neonatal outcomes of adolescent pregnancy. J Gynecol Obstet Hum Reprod 2019;48(5):347-350.
  • Demirci O, Yılmaz E, Tosun Ö, Kumru P, et al. Effect of young maternal age on obstetric and perinatal outcomes: results from the tertiary center in Turkey. Balkan Med J 2016;33:344-349.
  • Ayres-de-Campos D, Spong CY, Chandraharan E; FIGO Intrapartum Fetal Monitoring Expert Consensus Panel. FIGO consensus guidelines on intrapartum fetal monitoring: Cardiotocography. Int J Gynaecol Obstet 2015;131(1):13-24
  • Shinar S, Melamed N, Abdulaziz KE, et al. Changes in rate of preterm birth and adverse pregnancy outcomes attributed to preeclampsia after introduction of a refined definition of preeclampsia: A population-based study. Acta Obstet Gynecol Scand. 2021;100(9):1627-1635.
  • Dahlke JD, Mendez-Figueroa H, Maggio L, et al. Prevention and management of postpartum hemorrhage: a comparison of 4 national guidelines. Am J Obstet Gynecol 2015;213(1):76.e1-76.e10.
  • Malabarey OT, Balayla J, Abenhaim HA. The effect of pelvic size on cesarean delivery rates: using adolescent maternal age as an unbiased proxy for pelvic size. J Pediatr Adolesc Gynecol 2012;25(3):190-194.
  • Katz Eriksen JL, Melamed A, Clapp MA, Little SE, Zera C. Cesarean Delivery in Adolescents. Journal of pediatric and adolescent gynecology. 2016;29(5):443-7.
  • Kaplanoglu M, Karateke A, Un B, Akgor U, Baloğlu A. Complications and outcomes of repeat cesarean section in adolescent women. Int J Clin Exp Med 2014;7(12):5621-5628.
  • Chen XK, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol 2007;36(2):368-73.
  • Clark EA, Silver RM. Long-term maternal morbidity associated with repeat cesarean delivery. Am J Obstet Gynecol 2011;205(6 Suppl):S2-10.
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kadın Hastalıkları ve Doğum
Bölüm Araştırma Makalesi
Yazarlar

Oya Aldemir 0000-0002-6236-2774

Nefise Nazlı Yenigül 0000-0003-3365-8899

Fedi Ercan 0000-0003-2175-5405

Yayımlanma Tarihi 6 Aralık 2022
Kabul Tarihi 30 Eylül 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA Aldemir, O., Yenigül, N. N., & Ercan, F. (2022). Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 4(4), 176-182. https://doi.org/10.46969/EZH.1172338
AMA Aldemir O, Yenigül NN, Ercan F. Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience. Türk Kadın Sağlığı ve Neonatoloji Dergisi. Aralık 2022;4(4):176-182. doi:10.46969/EZH.1172338
Chicago Aldemir, Oya, Nefise Nazlı Yenigül, ve Fedi Ercan. “Evaluation of Obstetric Outcomes in Adolescent Pregnancies Delivered by Cesarean Section: Single Center Experience”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 4, sy. 4 (Aralık 2022): 176-82. https://doi.org/10.46969/EZH.1172338.
EndNote Aldemir O, Yenigül NN, Ercan F (01 Aralık 2022) Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience. Türk Kadın Sağlığı ve Neonatoloji Dergisi 4 4 176–182.
IEEE O. Aldemir, N. N. Yenigül, ve F. Ercan, “Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, c. 4, sy. 4, ss. 176–182, 2022, doi: 10.46969/EZH.1172338.
ISNAD Aldemir, Oya vd. “Evaluation of Obstetric Outcomes in Adolescent Pregnancies Delivered by Cesarean Section: Single Center Experience”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 4/4 (Aralık 2022), 176-182. https://doi.org/10.46969/EZH.1172338.
JAMA Aldemir O, Yenigül NN, Ercan F. Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2022;4:176–182.
MLA Aldemir, Oya vd. “Evaluation of Obstetric Outcomes in Adolescent Pregnancies Delivered by Cesarean Section: Single Center Experience”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, c. 4, sy. 4, 2022, ss. 176-82, doi:10.46969/EZH.1172338.
Vancouver Aldemir O, Yenigül NN, Ercan F. Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2022;4(4):176-82.