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Abstract

Aim: Recently, number of adolescent and advanced age pregnancies increased and became an important social issue. There are conflicting results on maternal and perinatal outcomes of those pregnancies. The objective of this study is to compare the short-term outcomes of ≤18 (adolescent) years old and ≥35 years old (advanced age) mothers’ infants with 19-34 years old (control group) mothers’ infants.Methods: Medical records of infants hospitalised in the neonatal intensive care unit of Zeynep Kamil Maternity and Children Research and Training Hospital between January 2011- January 2013 were evaluated retrospectively.Results: Overall, 20242 pregnancies in different age groups: 511 (2.5%) adolescent, 16840 (83%) control group, 2891 (14.5%) advanced age were included in the study. Sixteen percent (n=84), 17% (n=2262), and 14% (n=502) of infants of adolescent mothers, advanced age mothers, and control group mothers were hospitalised, respectively (p1, p2, p3=NS). Assisted reproductive technology, multiple pregnancy, gestational diabetes, and preeclampsia were more common in advanced age group (p<0.001). Rates of antenatal care, neonatal mortality and morbidity were similar in all groups.Conclusion: Adolescent or advanced maternal age do not have an adverse effect on short term neonatal outcome in presence of adequate antenatal and neonatal care.

Keywords

• Adolescent, advanced maternal age, newborn, neonatal intensive care unitCİLT: 45 YIL: 2014 SAYI: 3

Adölesan veya İleri Anne Yaşı: Yenidoğan İçin Risk midir?: Tek Bir Merkezin Retrospektif Sonuçları (Is Adolescent or Advanced Maternal Age Risky for Newborn?: Retrospective Results of a Single Center)

Öz

Amaç: Son yıllarda adölesan ve ileri yaş gebelikler artmış ve önemli bir sosyal konu halini almıştır. Bu gebeliklerin maternal ve perinatal sonuçları konusunda tartışmalı sonuçlar mevcuttur. Bu çalışmanın amacı hastanemizde gerçekleşen doğumlarda ≤18 yaş (adölesan) ve ≥35 yaş (ileri yaş) annelerin bebekleriyle, 19-34 yaşlarında (kontrol) olan anne bebeklerinin erken dönem sonuçlarının karşılaştırılmasıdır

Yöntem: Ocak 2011-Ocak 2013 arasında Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi’nde doğan ve yenidoğan yoğun bakım ünitesinde yatarak izlenen hastaların antenatal ve yenidoğan dönemi verileri retrospektif olarak incelendi.

Bulgular: Çalışma süresince hastanemizde doğum yapan 511 (%2.5) adölesan (≤18 yaş),  16840 (%83) kontrol grubu (19-34 yaş), 2891 (%14.5) ileri yaş (≥35 yaş) gebe olmak üzere toplam 20242 olgu çalışmaya dahil edildi. Adölesan anne bebeklerinin %16’sı (n= 84),19-34 yaş arası anne bebeklerinin %14’ü (n=2262), ≥35 yaş anne bebeklerinin %17’sinin (n=502) YYBÜ’ne yatışı yapılmıştı (p₁, p₂, p₃=NS). İleri yaş annelerde yardımcı üreme tekniği kullanımı, çoğul gebelik, gestasyonel diyabet ve preeklampsi sıklığı diğer gruplara göre daha fazlaydı (p<0.001). Antenatal bakım sıklığı ile neonatal mortalite ve morbidite her üç grupta da benzer oranlardaydı. 

Sonuç: Adölesan veya ileri anne yaşının yeterli antenatal ve neonatal bakım varlığında yenidoğanın erken dönem sonuçları üzerinde olumsuz etkisi olmadığı görülmüştür.

Anahtar kelime: Adölesan, ileri maternal yaş, yenidoğan, yenidoğan yoğun bakım

 

Abstract

Aim: Recently, number of adolescent and advanced age pregnancies increased and became an important social issue. There are conflicting results on maternal and perinatal outcomes of those pregnancies. The objective of this study is to compare the short-term outcomes of  ≤18 (adolescent) years old and  ≥35 years old (advanced age) mothers’ infants with 19-34 years old (control group) mothers’ infants. 

Methods: Medical records of infants hospitalised in the neonatal intensive care unit of Zeynep Kamil Maternity and Children Research and Training Hospital between January 2011- January 2013 were evaluated retrospectively.

Results: Overall, 20242 pregnancies in different age groups: 511 (2.5%) adolescent, 16840 (83%) control group, 2891 (14.5%) advanced age were included in the study. Sixteen percent (n=84), 17% (n=2262), and 14% (n=502) of infants of adolescent mothers, advanced age mothers, and control group mothers were hospitalised, respectively (p₁, p₂, p₃=NS). Assisted reproductive technology, multiple pregnancy, gestational diabetes, and preeclampsia were more common in advanced age group (p<0.001). Rates of antenatal care, neonatal mortality and morbidity were similar in all groups.

Conclusion: Adolescent or advanced maternal age do not have an adverse effect on short term neonatal outcome in presence of adequate antenatal and neonatal care.

Keywords: Adolescent, advanced maternal age, newborn, neonatal intensive care unit

Anahtar Kelimeler

• Adölesan, ileri maternalyaş, yenidoğan, yenidoğan yoğun bakım

Kaynakça

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