open access

Vol 94, No 6 (2023)
Research paper
Published online: 2022-09-26
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Perinatal and neonatal outcomes of adolescent pregnancies over a 10-year period

Bahadir Yazicioglu1, Nazan Yurtcu2, Huri Guvey3, Canan Soyer Caliskan4, Samettin Celik4, Andrea Tinelli56
·
Pubmed: 36165639
·
Ginekol Pol 2023;94(6):500-506.
Affiliations
  1. Family Medicine Department, Samsun Education Research Hospital, Ilkadim, Samsun, Türkiye
  2. Department of Obstetrics and Gynecology, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Turkey
  3. Department of Obstetrics and Gynecology, Duzce University Faculty of Medicine, Duzce, Turkey
  4. Department of Obstetrics and Gynecology, Samsun Training and Research Hospital, Samsun, Turkey
  5. Obstetrics and Gynecology Department, Veris delli Ponti Hospital, Scorrano, Lecce, Italy
  6. Laboratory of Human Physiology, Phystech BioMed School, Faculty of Biological & Medical Physics, Moscow Institute of Physics and Technology (State University), Dolgoprudny, Moscow Region, Russia

open access

Vol 94, No 6 (2023)
ORIGINAL PAPERS Obstetrics
Published online: 2022-09-26

Abstract

Objectives: Poor overall neonatal outcomes, small neonatal head circumference, neonatal hypoglycemia, need for Neonatal Intensive Care Unit and late-onset neonatal sepsis are more common in adolescents. The aim of this study is to draw attention to the outcomes of adolescent pregnancies. Material and methods: This retrospective study was conducted in adolescent singleton pregnancies with maternal age < 15 years (n = 20, group 1), 16–19 years (n = 1929, group 2), and 20 years (n = 866, group 3). Age, gravidity, parity, and body mass index (BMI) measurements of mothers; mode of delivery, maternal and neonatal outcomes were evaluated and compared. Results: The rate of preterm birth, postpartum hemorrhage, asymmetrical intra-uterine growth restriction (IUGR, as 3% percentile), macrosomia, and height of newborn of Group 3 was significantly higher. The rate of asymmetrical IUGR (as 10% percentile) was significantly lower in Group 3. The rate of severe preeclampsia and cesarean section was significantly higher in Group 3. The rate of Small for Gestational Age newborn, neonatal hypoglycemia, and late-onset neonatal sepsis was significantly higher in Group 1. Conclusions: Neonatal problems with poor obstetric outcomes are common in adolescent pregnant women, so that a family planning and baby care social trainings are important in achieving good long-term maternal and neonatal outcomes.

Abstract

Objectives: Poor overall neonatal outcomes, small neonatal head circumference, neonatal hypoglycemia, need for Neonatal Intensive Care Unit and late-onset neonatal sepsis are more common in adolescents. The aim of this study is to draw attention to the outcomes of adolescent pregnancies. Material and methods: This retrospective study was conducted in adolescent singleton pregnancies with maternal age < 15 years (n = 20, group 1), 16–19 years (n = 1929, group 2), and 20 years (n = 866, group 3). Age, gravidity, parity, and body mass index (BMI) measurements of mothers; mode of delivery, maternal and neonatal outcomes were evaluated and compared. Results: The rate of preterm birth, postpartum hemorrhage, asymmetrical intra-uterine growth restriction (IUGR, as 3% percentile), macrosomia, and height of newborn of Group 3 was significantly higher. The rate of asymmetrical IUGR (as 10% percentile) was significantly lower in Group 3. The rate of severe preeclampsia and cesarean section was significantly higher in Group 3. The rate of Small for Gestational Age newborn, neonatal hypoglycemia, and late-onset neonatal sepsis was significantly higher in Group 1. Conclusions: Neonatal problems with poor obstetric outcomes are common in adolescent pregnant women, so that a family planning and baby care social trainings are important in achieving good long-term maternal and neonatal outcomes.

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Keywords

adolescent; teenagers; pregnancy; maternal outcome; neonatal outcome; primary care

About this article
Title

Perinatal and neonatal outcomes of adolescent pregnancies over a 10-year period

Journal

Ginekologia Polska

Issue

Vol 94, No 6 (2023)

Article type

Research paper

Pages

500-506

Published online

2022-09-26

Page views

1910

Article views/downloads

676

DOI

10.5603/GP.a2022.0085

Pubmed

36165639

Bibliographic record

Ginekol Pol 2023;94(6):500-506.

Keywords

adolescent
teenagers
pregnancy
maternal outcome
neonatal outcome
primary care

Authors

Bahadir Yazicioglu
Nazan Yurtcu
Huri Guvey
Canan Soyer Caliskan
Samettin Celik
Andrea Tinelli

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