Bir Eğitim ve Araştırma Hastanesine Başvuran Adölesan Gebelerin Tıbbi, Sosyal ve Hukuki Açıdan İncelenmesi

Year 2021, Volume: 3 Issue: 2, 73 - 79, 06.05.2021

Orhan Meral , Aslı Şener , Teoman Şen

https://doi.org/10.37990/medr.837401

Abstract

Amaç: Adölesan gebelikler ülkemizde ve dünyada önemli bir halk sağlığı sorunu olarak karşımıza çıkmaktadır. Bu gebeliklerin önlenebilmesi için her ülke kendi iç politikalarını düzenlemiştir. Ülkemizde de evlilik ve cinsel ilişki yaş sınırları kanunla belirlenmiştir. Bu çalışmada Ocak 2018 – Ağustos 2020 tarihleri arasında Çiğli Eğitim ve Araştırma Hastanesi’ne başvuran, yapılan muayene ve tetkikler sonucunda gebe olduğu belirlenen 18 yaş altı olguların incelenerek, elde edilen verilerin literatürle tartışılması amaçlanmıştır.
Materyal ve Metot: Çalışma kapsamına alınan 18 yaş altı 260 gebe olguya ait tıbbi kayıtlar Hastane Bilgi Yönetim Sistemi üzerinden incelenmiştir. Veriler SPSS programı (versiyon 22.0) ile analiz edilmiştir. Analiz için Fisher Exact ve Pearson ki-kare testleri kullanılmıştır.
Bulgular: Adölesan gebelerin ilk hastane başvurusuna yaşları 13-17 arasında değişmekte olup ortalaması 16,4±0,7 olarak hesaplanmıştır. Medeni durum bilgisine ulaşılan 39 olgudan 31’inin (%79,4) resmi nikâhlı, 4 olgunun (%10,3) ise bekâr olduğu görülmüştür. Adölesanların gebe olduklarının belirlendiği ilk başvurularında gebelik haftaları 3 ila 41 hafta arasında değişmekte olup, 142 olgunun (%54,6) gebeliğinin üçüncü trimesterde olduğu tespit edilmiştir.
Sonuç: Eğitim kurumlarında cinsel sağlık derslerinin yaygınlaştırılması, sağlık kurumlarında adölesan gebeliklerin zararları konusunda hizmet veren polikliniklerin oluşturulması, adölesan gebeliğin kişi ve toplum sağlığı üzerine olumsuz etkilerinin ve ayrıca bir suç teşkil edebileceği gibi hukuki sonuçlarının topluma yeterince duyurulmasının faydalı olacağını düşünmekteyiz.

Keywords

Adölesan, Adölesan gebelik, Tıbbi, sosyal ve hukuki inceleme

Medical, Social and Legal Evaluation of Adolescent Pregnancies, who Applied to a Training and Research Hospital

Abstract

Aim: Adolescent pregnancies emerge as an important public health problem in our country and in the world. Each country has arranged its own internal policies in order to prevent these pregnancies. In our country, age limits for marriage and sexual intercourse are regulated by law. In this study, it was aimed to evaluate the cases less than age of 18 who applied to Çiğli Training and Research Hospital between January 2018 and August 2020 and were determined to be pregnant as a result of the examinations and tests, and to discuss the obtained data with the literature.
Material and Method: Medical records of 260 pregnant cases less than 18 years of age included in the study were analyzed through the Hospital Information Management System. The data were analyzed with the SPSS program (version 22.0). Fisher Exact and Pearson chi-square tests were used for analysis.
Results: The ages of adolescent pregnant women at their first hospital admission ranged between 13-17 and their average was calculated as 16.4±0.7. It was observed that 31 (79.4%) of the 39 cases whose marital status information was obtained were officially married, and 4 cases (10.3%) were single. Gestational weeks ranged from 3 to 41 weeks when adolescents were determined to be pregnant, and it was found that the pregnancy of 142 cases (54.6%) was in the third trimester.
Conclusion: We think that it will be beneficial to disseminate sexual health courses in educational institutions, establish polyclinics that provide service on the harms of adolescent pregnancies in health institutions, and to adequately announce the negative effects of adolescent pregnancy on individual and public health, as well as its legal consequences.

Keywords

Adolescent, Adolescent pregnancies, Medical, social and legal evaluation

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