Comparison of pregnancy outcomes among adolescent pregnant women, young adult pregnant women, and adult pregnant women over ten years in our tertiary care clinic

Year 2023, Volume: 13 Issue: 5, 932 - 938, 30.09.2023

Ömer Ünal

https://doi.org/10.16899/jcm.1350938

Abstract

Summary
Objective: In this study, we aimed to compare the results of adolescent pregnancies, which we think is a big problem for our country, with young and adult pregnant women.
Material and Method: We included 15705 individuals in our retrospective cohort study. In our study, the adolescent pregnant group was 5235 people, the young adult group was 5235, and the adult group was 5235. We conducted the study at a tertiary center between January 2012 and April 2022. Before starting the study, we received the ethics committee approval of our institution, numbered KAEK/2022.04.109. We complied with the Declaration of Helsinki at all stages of the study. In the study, we compared the demographic data of the groups with the maternal and fetal outcomes of pregnancy, delivery, and postpartum.
We performed a One-Way Analysis of Variance (ANOVA) to compare group means. We used odds ratio calculation to determine risk ratios between groups. We used SPSS for Windows 24.0 (SPSS Inc., Chicago, IL, USA) for the analyses. We presented the data as mean, standard deviation, and ratio and considered them statistically significant when the P value was less than 0.05.
Result: Our study observed that the risk of having PROM in adolescent pregnant women increased approximately two times compared to adult pregnant women (aOR=01.987, 95%Cl=1.197-2454, p=0.001). When we researched the IUGR results, we found that the risk increased approximately two times in adolescent pregnant women (aOR=2.129, 95%Cl=1.754-2.947, p<0.0001).
Conclusion: It is understood from the study that all adverse events related to pregnancy increase in adolescent pregnancy. For this reason, although preventing adolescent pregnancies is impossible, the follow-up of these pregnancies should be done more frequently and carefully than routinely.

Keywords

adolescent, pregnancy, young adult, adult, outcomes

Supporting Institution

None

Üçüncü basamak olan kliniğimizde on yıl boyunca adolesan gebeler, genç yetişkin gebeler ve yetişkin gebelerin arasında gebelik sonuçlarının karşılaştırılması

Abstract

Özet
Amaç: Bu çalışmada ülkemiz için büyük bir sorun olduğunu düşündüğümüz adölesan gebelik sonuçlarını genç ve erişkin gebelerle karşılaştırmayı amaçladık.
Gereç ve Yöntem: Retrospektif kohort çalışmamıza 15705 birey dahil ettik. Çalışmamızda ergen gebe grubu 5235 kişi, genç yetişkin grubu 5235, yetişkin grubu ise 5235 kişidir. Çalışmayı Ocak 2012 ile Nisan 2022 tarihleri arasında üçüncü basamak bir merkezde gerçekleştirdik. Kurumumuzun etik kurulundan KAEK/2022.04.109 sayılı etik kurul onayı aldık. Çalışmanın her aşamasında Helsinki Deklarasyonuna uyduk. Çalışmada grupların demografik verilerini, gebelik, doğum ve doğum sonrası dönemdeki anne ve fetal sonuçları karşılaştırdık.
Grup ortalamalarını karşılaştırmak için Tek Yönlü Varyans Analizi (ANOVA) gerçekleştirdik. Gruplar arasındaki risk oranlarını belirlemek için odds ratio hesaplamasını kullandık. Analizler için Windows 24.0 için SPSS (SPSS Inc., Chicago, IL, ABD) kullandık. Verileri ortalama, standart sapma ve oran olarak sunduk ve P değeri 0,05'ten küçük olduğunda istatistiksel olarak anlamlı kabul ettik.
Sonuçlar: Çalışmamızda ergen gebelerde EMR görülme riskinin erişkin gebelere göre yaklaşık iki kat arttığı görüldü (aOR=01.987, 95%Cl=1.197-2454, p=0.001). IUGR sonuçlarını araştırdığımızda ergen gebelerde riskin yaklaşık iki kat arttığını tespit ettik (aOR=2,129, 95%Cl=1,754-2,947, p<0,0001).
Sonuç: Çalışmadan, adölesan gebeliklerde gebeliğe bağlı tüm olumsuz olayların arttığı anlaşılmaktadır. Bu nedenle adölesan gebeliklerin önlenmesi mümkün olmasa da bu gebeliklerin takibinin rutinden daha sık ve dikkatli yapılması gerekmektedir.

Keywords

hamilelik, genç yetişkin, yetişkin, sonuçlar, adolesan

References

• 1. [Anonymous]. Age limits and adolescents. Paediatr Child Health. 2003; 8: 577-578.
• 2. (WHO) WHO. Adolescent Pregnancy.
• 3. Azevedo WF, Diniz MB, Fonseca ES, et al. Complications in adolescent pregnancy: systematic review of the literature. Einstein (Sao Paulo). 2015; 13: 618-626.
• 4. Marvin-Dowle K, Kilner K, Burley VJ, et al. Impact of adolescent age on maternal and neonatal outcomes in the Born in Bradford cohort. BMJ Open. 2018; 8: e016258.
• 5. Ganchimeg T, Mori R, Ota E, et al. Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study. BJOG. 2013; 120: 1622-1630; discussion 1630.
• 6. Fleming N, Ng N, Osborne C, et al. Adolescent pregnancy outcomes in the province of Ontario: a cohort study. J Obstet Gynaecol Can. 2013; 35: 234-245.
• 7. de Vienne CM, Creveuil C, Dreyfus M. Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study. Eur J Obstet Gynecol Reprod Biol. 2009; 147: 151-156.
• 8. Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, Sheffield J. Williams OBSTETRICS. 25th Edition. 2020; 1136-1138.
• 9. Ozdemirci S, Kasapoglu T, Cirik DA, et al. Is late adolescence a real risk factor for an adverse outcome of pregnancy? J Matern Fetal Neonatal Med. 2016; 29: 3391-3394.
• 10. Kirbas A, Gulerman HC, Daglar K. Pregnancy in Adolescence: Is It an Obstetrical Risk? J Pediatr Adolesc Gynecol. 2016; 29: 367-371.
• 11. 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
• 12. Bildircin FD, Kurtoglu E, Kokcu A, Işik Y, Ozkarci M, Kuruoglu S. Comparison of perinatal outcome between adolescent and adult pregnancies. J Matern Fetal Neonatal Med. 2014 May;27(8):829-32.
• 13. Çetin BA, Mathyk BA, Turan G, Güralp O, Gedikbaşı A. A comparison of obstetric outcomes in adolescent pregnancies and adult pregnancies. J Matern Fetal Neonatal Med. 2020 Dec;33(24):4037-4042.
• 14. Brosens I, Muter J, Gargett CE, et al. The impact of uterine immaturity on obstetrical syndromes during adolescence. Am J Obstet Gynecol. 2017; 217: 546-555.
• 15. Stevens-Simon C, Barrett J, McGregor JA, et al. Short cervix: a cause of preterm delivery in young adolescents? J Matern Fetal Med. 2000; 9: 342-347
• 16. Nkwabong E, Fomulu JN. Adolescent pregnancies and deliveries: problems encountered. Trop Doct. 2009 Jan;39(1):9-11.
• 17. Adam GK, Elhassan EM, Ahmed AM, Adam I. Maternal and perinatal outcome in teenage pregnancies in Sudan. Int J Gynaecol Obstet. 2009 May;105(2):170-1.
• 18. Karabulut A, Ozkan S, Bozkurt AI, Karahan T, Kayan S. Perinatal outcomes and risk factors in adolescent and advanced age pregnancies: comparison with normal reproductive age women. J Obstet Gynaecol. 2013 May;33(4):346-50.
• 19. Ambia AM, Pruszynski JE, Fairchild E, McIntire DD, Nelson DB. Perinatal outcomes of young adolescent pregnancies in an urban inner city. Am J Obstet Gynecol MFM. 2023 Mar;5(3):100843.
• 20. Ryan JA, Casapía M, Aguilar E, Silva H, Rahme E, Gagnon AJ, Manges AR, Joseph SA, Gyorkos TW. A comparison of low birth weight among newborns of early adolescents, late adolescents, and adult mothers in the Peruvian Amazon. Matern Child Health. J. 2011 Jul;15(5):587-96.
• 21. Traisrisilp K, Jaiprom J, Luewan S, et al. Pregnancy outcomes among mothers aged 15 years or less. J Obstet Gynaecol Res 2015; 41: 1726-1731
• 22. Gómez N, Sánchez ODR, Pinho-Pompeu M, Machado H, Bahamondes L, Surita F. Pregnancy and childbirth outcomes among indigenous adolescents in Guatemala: a cohort study. Reprod Health. 2022 Jun 23;19(1):149.
• 23. Turkay Ü, Aydın Ü, Çalışkan E, Salıcı M, Terzi H, Astepe B. Comparison of the pregnancy results between adolescent Syrian refugees and local adolescent Turkish citizens who gave birth in our clinic. J Matern Fetal Neonatal Med. 2020 Apr;33(8):1353-1358.
• 24. Pergialiotis V, Vlachos DE, Gkioka E, et al. Teenage pregnancy antenatal and perinatal morbidity: results from a tertiary center in Greece. J Obstet Gynaecol 2015; 35: 595-599
• 25. Demirci O, Yılmaz E, Tosun Ö, et al. Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey. Balkan Med. J 2016; 33: 344-349.
• 26. Orvos H, Nyirati I, Hajdú J, et al. Is adolescent pregnancy associated with adverse perinatal outcomes? J Perinat Med. 1999; 27: 199-203.
• 27. Grønvik T, Fossgard Sandøy I. Complications associated with adolescent childbearing in Sub-Saharan Africa: A systematic literature review and meta-analysis. PLoS One. 2018; 13: e0204327.
• 28. Gupta N, Kiran U, Bhal K. Teenage pregnancies: obstetric characteristics and outcome. Eur J Obstet Gynecol Reprod Biol. 2008; 137: 165-171.
• 29. Leppälahti S, Gissler M, Mentula M, et al. Is teenage pregnancy an obstetric risk in a welfare society? A population-based study in Finland, from 2006 to 2011. BMJ Open. 2013; 3: e003225.