Comparison of Obstetric and Neonatal Outcomes in Adolescent, Reproductive and Old Age Pregnancies Delivery in a Tertiary Center

Yıl 2017, , 89 - 93, 08.09.2017

Sibel Sak , Adnan İncebıyık , Hacer Uyanıkoğlu Ahmet Berkız Turp Neşe Gül Hilali , Muhammet Erdal Sak

https://doi.org/10.16948/zktipb.300736

Cited By: 1

Öz

Objective:
In this study, we aimed to evulate obstetric neonatal outcomes of adolescent
and old  age pregnants who gave birth in
our center.

Material
and Methods: A total of 126 pregnant women which
were consist of adolascent (14-18), reproductive(19-38) and advanced(39-50)  maternal age pregnancies and gave birth in
Harran University of Medicine Faculty of Obstetric and Gynecology Department
were compared retrospectively. Maternal demographic  datas, obstetric complications(preterm
delivery, abnormalities of presantation, intrauterin growth restriction (IUGR),
preeclampsia, gestational diabetes mellitus (GDM), abnormalities  of placentia, duration of hospitalization,
oligohidramnios, type of delivery, fetal outcomes(birth weights of infants, apgar
scores, macrosomia, congenital malformations, ıumf) were evulated.

Results:
Although the rates of birth weight infant, preterm labour, IUGR, amnion fluid
abnormalities, GDM ,macrosomia and preeclampsia were found  similiar in adolescents of whom majority are
nulliparous  and reproductıve,
advanced  maternal age women, the rates
of gestational week at birth were found to be lower and frequency of congenital
anomalies and abnormalities of presantation 
was found to be higher than the other both groups. The rate of sectio, placenta
previa totalis and percreata, duration of hospitalization were higher  significantly in advanced age maternal women.
The normal spontaneous vaginal deliveries rate was significantly higher in
reproductive group than the other groups.

Conclusion:
This study has shown that the adolescent and advanced maternal age women
have  some kind of charecteristıc high
risks in respect  to their age groups. For
having the best  maternal and neonatal
outcumes in both groups,these women should be informed about maternal and fetal
risks and provided regular perinatal follow ups and treatment. Also social
support is needed

Anahtar Kelimeler

Adolescent, advanced age, obstetric, neonatal

Tersiyer Bir Merkezde Doğum Yapan Adolesan, Reprodüktif ve İleri Yaş Gebelerde Obstetrik ve Neonatal Sonuçların Karşılaştırılması

Öz

Amaç:
Tersiyer bir merkezde doğum yapan  adolesan,
reprodüktif ve ileri yaş gebelerde obstetrik ve neonatal sonuçların
karşılaştırılması

Gereç
ve Yöntemler:  Harran
Üniversitesi Tıp Fakültesi Kadın Doğum Bölümünde  01.08.2015 -01.08.2016 yılları arasında  doğum yapmış olan adolesan yaş(14-18), reprodüktif
yaş(19-38) ve ileri yaş(39-50) gebelerden 
toplam 126 hastanın dosyası retrospektif olarak incelendi. Maternal
demografik veriler , gebelik komplikasyonları (Preterm doğum, prezentasyon
anomalisi, intrauterin büyüme kısıtlılığı(IUGR), preeklampsi, GDM(gestasyonel
diabet), plesantal anomali, hospitalizasyon süresi, oligohidramnios, doğum
şekli ve fetal sonuçlar (doğum ağırlığı, apgar skorları, makrozomi konjenital
malformasyonlar, IUMF(inutero mort fetüs) değerlendirildi.

Bulgular:
Büyük çoğunluğu nulliparlardan oluşan adolasanlarda preterm eylem ,doğum
ağırlığı, IUGR ,amniyon sıvı anomalisi(oligo), gestasyonel diabet ve
preeklampsi oranı reprodüktif ve ileri yaş gebelerle  benzer çıkarken doğumdaki gestasyonel hafta
anlamlı olarak küçük, fetal anomali sıklığı anlamlı olarak yüksek bulundu. İleri
yaş gebelerde ise sezaryen oranları ,plasenta previa totalis ve plesanta
percreata  görülme sıklığı ve
hospitalizasyon süresi anlamlı yüksek saptandı. Reprodüktif grupta ise normal
spontan doğum oranları her iki gruba göre anlamlı yüksek bulundu.

Sonuç:
Bu çalışmada adolesan ve ileri yaş annelerin 
kendi yaş grublarına özgün çesitli risklerin bulunduğu gösterilmiştir. Bu
yaş grubu gebelerde maternal ve neonatal olası en iyi sonuca varabilmek için
öncelikle bu gebelerin maternal ve fetal riskler ile ilgili bilgilendirilmesi,
düzenli prenatal  takip ve tedavi
olmalarının sağlanması ve sosyal destek gerekmektedir.

Anahtar Kelimeler

Adolesan, ileri yaş, obstetrik, neonatal

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