Öz
Background/Purpose: In our study, we aimed to evaluate maternal, fetal, and neonatal outcomes of pregnancies managed by our perinatologists, obstetricians, and pediatricians in 3 different centers over the past five years, by age group.
Methods: In this retrospective study, we collected the maternal and neonatal data from the hospital electronic records of 403 adolescents (15-19 years of age), 491 women of advanced age (>40 years of age), and 200 pregnant controls (20-39 years of age) who delivered in our obstetrics units between 2016 and 2021.
Results: Obstetric and fetal outcomes affected from women bearing children early or late stages in life. According to our results, rates of one or more parity, cesarean section, gestational hypertension, and acute fetal distress in the women of advanced age were significantly higher than those in the controls (p<0.05). The rates of one or more parity, cesarean section, gestational diabetes and >34 gestational weeks in the adolescents were significantly lower than those in the controls (p<0.05).
Conclusion: Our results point to better perinatal and neonatal outcomes in pregnancies at adolescent and advanced ages. Conditions for health service delivery and awareness of pregnancy among mothers and health workers will contribute to better perinatal outcomes.
Anahtar Kelimeler
obstetric outcomes neonatal outcomes adolescence advanced maternal age Turkey
Kaynakça
- [1] Walker KF, Thornton JG. Timing and mode of delivery with advancing maternal age. Best Pract Res Clin Obstet Gynaecol 2021;70. https://doi.org/10.1016/j.bpobgyn.2020.06.005.
- [2] Schildberger B, Linzner D, Hehenberger L, Leitner H, Pfeifer C. Influence of Maternal Age on Selected Obstetric Parameters. Geburtshilfe Frauenheilkd 2019;79. https://doi.org/10.1055/a-0859-0826.
- [3] Londero AP, Rossetti E, Pittini C, Cagnacci A, Driul L. Maternal age and the risk of adverse pregnancy outcomes: A retrospective cohort study. BMC Pregnancy Childbirth 2019;19. https://doi.org/10.1186/s12884-019-2400-x.
- [4] Frick AP. Advanced maternal age and adverse pregnancy outcomes. Best Pract Res Clin Obstet Gynaecol 2021;70. https://doi.org/10.1016/j.bpobgyn.2020.07.005.
- [5] Mezmur H, Assefa N, Alemayehu T. Teenage pregnancy and its associated factors in eastern ethiopia: A community-based study. Int J Womens Health 2021;13. https://doi.org/10.2147/IJWH.S287715.
- [6] Rohmah N, Yusuf A, Hargono R, Laksono AD, Masruroh, Ibrahim I, et al. Determinants of teenage pregnancy in Indonesia. Indian Journal of Forensic Medicine and Toxicology 2020;14. https://doi.org/10.37506/ijfmt.v14i3.10736.
- [7] Attali E, Yogev Y. The impact of advanced maternal age on pregnancy outcome. Best Pract Res Clin Obstet Gynaecol 2021;70. https://doi.org/10.1016/j.bpobgyn.2020.06.006.
- [8] Tigabu S, Liyew AM, Geremew BM. Modeling spatial determinates of teenage pregnancy in Ethiopia; geographically weighted regression. BMC Womens Health 2021;21. https://doi.org/10.1186/s12905-021-01400-7.
- [9] Cook SM, Cameron ST. Social issues of teenage pregnancy. Obstet Gynaecol Reprod Med 2020;30. https://doi.org/10.1016/j.ogrm.2020.07.006.
- [10] Hadley A. Teenage pregnancy: strategies for prevention. Obstet Gynaecol Reprod Med 2020;30. https://doi.org/10.1016/j.ogrm.2020.10.004.
- [11] Karaçam Z, Kizilca Çakaloz D, Demir R. The impact of adolescent pregnancy on maternal and infant health in Turkey: Systematic review and meta-analysis. J Gynecol Obstet Hum Reprod 2021;50. https://doi.org/10.1016/j.jogoh.2021.102093.
- 12 El Kak F. Maternal health under crisis: The morbidity syndrome. Int J Gynecol Obstet 2018;143.
Öz
Kaynakça
- [1] Walker KF, Thornton JG. Timing and mode of delivery with advancing maternal age. Best Pract Res Clin Obstet Gynaecol 2021;70. https://doi.org/10.1016/j.bpobgyn.2020.06.005.
- [2] Schildberger B, Linzner D, Hehenberger L, Leitner H, Pfeifer C. Influence of Maternal Age on Selected Obstetric Parameters. Geburtshilfe Frauenheilkd 2019;79. https://doi.org/10.1055/a-0859-0826.
- [3] Londero AP, Rossetti E, Pittini C, Cagnacci A, Driul L. Maternal age and the risk of adverse pregnancy outcomes: A retrospective cohort study. BMC Pregnancy Childbirth 2019;19. https://doi.org/10.1186/s12884-019-2400-x.
- [4] Frick AP. Advanced maternal age and adverse pregnancy outcomes. Best Pract Res Clin Obstet Gynaecol 2021;70. https://doi.org/10.1016/j.bpobgyn.2020.07.005.
- [5] Mezmur H, Assefa N, Alemayehu T. Teenage pregnancy and its associated factors in eastern ethiopia: A community-based study. Int J Womens Health 2021;13. https://doi.org/10.2147/IJWH.S287715.
- [6] Rohmah N, Yusuf A, Hargono R, Laksono AD, Masruroh, Ibrahim I, et al. Determinants of teenage pregnancy in Indonesia. Indian Journal of Forensic Medicine and Toxicology 2020;14. https://doi.org/10.37506/ijfmt.v14i3.10736.
- [7] Attali E, Yogev Y. The impact of advanced maternal age on pregnancy outcome. Best Pract Res Clin Obstet Gynaecol 2021;70. https://doi.org/10.1016/j.bpobgyn.2020.06.006.
- [8] Tigabu S, Liyew AM, Geremew BM. Modeling spatial determinates of teenage pregnancy in Ethiopia; geographically weighted regression. BMC Womens Health 2021;21. https://doi.org/10.1186/s12905-021-01400-7.
- [9] Cook SM, Cameron ST. Social issues of teenage pregnancy. Obstet Gynaecol Reprod Med 2020;30. https://doi.org/10.1016/j.ogrm.2020.07.006.
- [10] Hadley A. Teenage pregnancy: strategies for prevention. Obstet Gynaecol Reprod Med 2020;30. https://doi.org/10.1016/j.ogrm.2020.10.004.
- [11] Karaçam Z, Kizilca Çakaloz D, Demir R. The impact of adolescent pregnancy on maternal and infant health in Turkey: Systematic review and meta-analysis. J Gynecol Obstet Hum Reprod 2021;50. https://doi.org/10.1016/j.jogoh.2021.102093.
- 12 El Kak F. Maternal health under crisis: The morbidity syndrome. Int J Gynecol Obstet 2018;143.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Kadın Hastalıkları ve Doğum |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Erken Görünüm Tarihi | 27 Mart 2024 |
| Yayımlanma Tarihi | 1 Nisan 2024 |
| Gönderilme Tarihi | 25 Nisan 2023 |
| Yayımlandığı Sayı | Yıl 2024Cilt: 15 Sayı: 2 |
