open access

Vol 88, No 12 (2017)
Research paper
Published online: 2017-12-29
Get Citation

Maternal-fetal outcome associated with adolescent pregnancy in a tertiary referral center: a cross-sectional study

Evrim Bostancı Ergen1, Cigdem Abide Yayla1, Ilhan Sanverdi, Enis Ozkaya1, Cetin Kilicci2, Canan Kabaca Kocakusak1
DOI: 10.5603/GP.a2017.0120
·
Pubmed: 29303225
·
Ginekol Pol 2017;88(12):674-678.
Affiliations
  1. Zeynep Kamil Maternity /Children Education and Training Hospital.Üsküdar- Istanbul –Turkey, 34000 istanbul, Turkey
  2. Zeynep Kamil Maternity and Children’s Training and Research Hospital, 34000 ıstanbul, Turkey

open access

Vol 88, No 12 (2017)
ORIGINAL PAPERS Obstetrics
Published online: 2017-12-29

Abstract

Objectives: This study was conducted to compare pregnancy outcomes of early-middle adolescent, late adolescent and adult women. Material and methods: The study focused on early-middle adolescent (n = 145), late adolescent (n = 1655) and adult (n = 1585) women who gave birth during 2014 through 2017, utilizing data obtained from the Zeynep Kamil Women and Children’s Health Training and Research Hospital. Pregnancy outcomes were determined according to the rates of preg¬nancy complications, including method of delivery, birth weight, as well as the rate of newborn intensive care admissions. Results: Comparisons between the studied groups for various pregnancy complications showed highest rates of pre¬term deliveries (PD), preterm premature rupture of membranes (PPROM) and neonatal intensive care unit admission in early-middle adolescent group, whereas the highest cesarean section rates were observed in the adult group (p < 0.001). Conclusions: Analysis of the data revealed that adolescent pregnancy, especially the early-middle adolescent pregnancies, is associated with increased risks of adverse pregnancy outcomes.

Abstract

Objectives: This study was conducted to compare pregnancy outcomes of early-middle adolescent, late adolescent and adult women. Material and methods: The study focused on early-middle adolescent (n = 145), late adolescent (n = 1655) and adult (n = 1585) women who gave birth during 2014 through 2017, utilizing data obtained from the Zeynep Kamil Women and Children’s Health Training and Research Hospital. Pregnancy outcomes were determined according to the rates of preg¬nancy complications, including method of delivery, birth weight, as well as the rate of newborn intensive care admissions. Results: Comparisons between the studied groups for various pregnancy complications showed highest rates of pre¬term deliveries (PD), preterm premature rupture of membranes (PPROM) and neonatal intensive care unit admission in early-middle adolescent group, whereas the highest cesarean section rates were observed in the adult group (p < 0.001). Conclusions: Analysis of the data revealed that adolescent pregnancy, especially the early-middle adolescent pregnancies, is associated with increased risks of adverse pregnancy outcomes.
Get Citation

Keywords

adolescent, pregnancy, preeclampsia, preterm delivery, pregnancy complications

About this article
Title

Maternal-fetal outcome associated with adolescent pregnancy in a tertiary referral center: a cross-sectional study

Journal

Ginekologia Polska

Issue

Vol 88, No 12 (2017)

Article type

Research paper

Pages

674-678

Published online

2017-12-29

DOI

10.5603/GP.a2017.0120

Pubmed

29303225

Bibliographic record

Ginekol Pol 2017;88(12):674-678.

Keywords

adolescent
pregnancy
preeclampsia
preterm delivery
pregnancy complications

Authors

Evrim Bostancı Ergen
Cigdem Abide Yayla
Ilhan Sanverdi
Enis Ozkaya
Cetin Kilicci
Canan Kabaca Kocakusak

References (21)
  1. World Health Organization. WHO Guidelines on Preventing Early Pregnancy and Poor Reroductive Outcomes: WHO; p.9 2011.
  2. Black AY, Fleming NA, Rome ES. Pregnancy in adolescents. Adolesc Med State Art Rev. 2012; 23(1): 123–138.
  3. Traisrisilp K, Jaiprom J, Luewan S, et al. Pregnancy outcomes among mothers aged 15 years or less. J Obstet Gynaecol Res. 2015; 41(11): 1726–1731.
  4. Nove A, Matthews Z, Neal S, et al. Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries. Lancet Glob Health. 2014; 2(3): e155–e164.
  5. Lempers JD, Clark-Lempers DS. Young, middle, and late adolescents' comparisons of the functional importance of five significant relationships. J Youth Adolesc. 1992; 21(1): 53–96.
  6. Zeteroglu S, Sahin I, Gol K. Cesarean delivery rates in adolescent pregnancy. Eur J Contracept Reprod Health Care. 2005; 10(2): 119–122.
  7. Bukulmez O, Deren O. Perinatal outcome in adolescent pregnancies: a case-control study from a Turkish university hospital. Eur J Obstet Gynecol Reprod Biol. 2000; 88(2): 207–212.
  8. Anandalakshmy PN, Buckshee K. Teenage pregnancy and its effect on maternal and child health--a hospital experience. Indian J Med Sci. 1993; 47(1): 8–11.
  9. Zabin LS, Kiragu K. The health consequences of adolescent sexual and fertility behavior in sub-Saharan Africa. Stud Fam Plann. 1998; 29(2): 210–232.
  10. Jolly MC, Sebire N, Harris J, et al. Obstetric risks of pregnancy in women less than 18 years old. Obstet Gynecol. 2000; 96(6): 962–966.
  11. Satin AJ, Leveno KJ, Sherman ML, et al. Maternal youth and pregnancy outcomes: middle school versus high school age groups compared with women beyond the teen years. Am J Obstet Gynecol. 1994; 171(1): 184–187.
  12. Smith GC, Pell JP. Teenage pregnancy and risk of adverse perinatal outcomes associated with first and second births: population based retrospective cohort study. BMJ. 2001; 323(7311): 476.
  13. Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J Obstet Gynecol. 2005; 192(2): 342–349.
  14. Keskinoglu P, Bilgic N, Picakciefe M, et al. Perinatal outcomes and risk factors of Turkish adolescent mothers. J Pediatr Adolesc Gynecol. 2007; 20(1): 19–24.
  15. Olausson PM, Cnattingius S, Goldenberg RL. Determinants of poor pregnancy outcomes among teenagers in Sweden. Obstet Gynecol. 1997; 89(3): 451–457.
  16. Phipps MG, Sowers M. Defining early adolescent childbearing. Am J Public Health. 2002; 92(1): 125–128.
  17. Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. N Engl J Med. 1995; 332(17): 1113–1117.
  18. Olausson P, Cnattingius S, Haglund B. Teenage pregnancies and risk of late fetal death and infant mortality. BJOG. 1999; 106(2): 116–121.
  19. Althabe F, Moore JL, Gibbons L, et al. Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network's Maternal Newborn Health Registry study. Reprod Health. 2015; 12 Suppl 2: S8.
  20. Ganchimeg T, Ota E, Morisaki N, et al. WHO Multicountry Survey on Maternal Newborn Health Research Network. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014; 121 Suppl 1: 40–48.
  21. Minjares-Granillo RO, Reza-López SA, Caballero-Valdez S, et al. Maternal and Perinatal Outcomes Among Adolescents and Mature Women: A Hospital-Based Study in the North of Mexico. J Pediatr Adolesc Gynecol. 2016; 29(3): 304–311.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl