Retrospective analysis of adolescent deliveries results

Abstract

ÖzetAmaç:Bu çalişma, adölesan doğumlarin anne ve yenidoğana yönelik sonuçlarini incelemek amaciyla yürütülmüştür. Gereç veYöntem: Tanimlayici tipte yapilan çalişmada, Türkiye'nin batisinda bir üniversite hastanesinde 01.01.2012-31.12.2014 tarihleri arasinda doğum yapmiş olan 19 yaş ve alti 282 adölesanin dosyalari retrospektif olarak incelenmiştir. Veriler, araştirmacilar tarafindan oluşturulan, 38 sorudan oluşan anket formu ile toplanmiştir. Verilerin değerlendirilmesinde sayi, yüzde, ortalama, standart sapma kullanilmiştir. Bulgular: Çalişmada adölesan gebelik orani %6.08, katilimcilarin yaş ortalamasi 18.29±0.99 olup %93.3'ü 17-19, %6.7'si 14-16 yaş grubundadir. Adölesan gebelerin %78'i daha önce hiç gebelik geçirmemiştir. Annelerin %39.4'ünün doğumu sezaryen ile gerçekleşmiş, %10.6'sinin preterm eylem öyküsü mevcuttur. Ortalama doğum haftasi 38.58±2.50'dir ve yenidoğanlarin doğum ağirliği ortalamasi 3.140±604.36 gram, %9.2'sinin doğum kilosu 2.500 gramdan azdir. Kadinlarin %44'ünün hemoglobin değeri 11 gr/dl'nin altinda ve hemoglobin değeri ortalamasi 10.10±1.48'dir. En sik sezaryen endikasyonlari, ilerlemeyen eylem (%18.9) ve fetal distres (%18) olarak saptanirken, adölesan gebelerin %18.8'inde obstetrik komplikasyon belirlenmiştir. Sonuç:Adölesan gebelikler anne ve çocuk sağliği üzerine olumsuz etkilerinden dolayi sağlikli toplumlarin oluşmasinda önemli bir sorundur. Bu nedenle adölesan gebeliklerin önlenmesinde adölesanlara, ailelerine, adölesan gruplara hizmet veren kurum ve kuruluşlara ve tüm topluma bilgilendirme eğitimleri yapilmalidir. Pam Tıp Derg 2017;(2):166-170Anahtar sözcükler:Adölesan, gebelik, anne, yenidoğan. Abstract Purpose:This study was conducted to analyze adolescent deliveries results on mother and newborn. Materials and methods: In this descriptive study, a retrospective analyzes was conducted in an university hospital in the western part of the Turkey. 282 files of adolescent (younger than 19) deliveries which were in between 01.01.2012-31.12.2014 analyzed retrospectively. Data were collected by the survey sheet of 38 questionnaires that was generated by the researchers. Average mean, percentage and standard deviation was used in the analyzes of data Results:The adolescent pregnancy ratio was 6.08% in the study and average of their age was 18.29±0.99. 93.3% of them were between 17-19 and 6.7% of them were between 14-16. 78% of adolescent pregnant had not had a pregnancy before. 39.4% of them had a caeserean section and 10.6% of them had a preterm labor history. The average of the pregnancy week was 38.58±2.50, average weight of the newborn was 3.140±604.36 gr and 9.2% of them were less than 2.500 gr. Women's hemoglobin value average was 10.10±1.48 and 44% of them was less then 11 gr/dl. The most common ceaserean section indications were abnormal labor progress (18.9%) and fetal distres (18%). Obstetric complication determined in 18.8% of the adolescent pregnants. Conclusion: Because of its negative effects on the health of mother and child, adolescent pregnancy is an important problem...

Adolescent pregnancies in Turkey: a single center experience

“… 10 A calculation based on the data provided by different Turkish hospitals points out that 7.9% of the births that took place between 2015 and 2017 were the result of adolescent pregnancies. 11 – 16 Unfortunately, national surveys and statistics in Turkey generally examine the maternal and neonatal health for the married women aged between 15 and 49 years. 10 Therefore, there is a scarcity of data about the peri-natal outcomes of the adolescents who have become pregnant.…”