Adelösan ve ileri yaş gebeliklerin maternal, fetal ve neonatal sonuçları: üçüncü basamak referans merkezin on yıllık deneyimi

Yıl 2021, Cilt: 18 Sayı: 3, 945 - 950, 25.09.2021

İrem Küçükyıldız , Dilay Karademir , Nazan Yurtçu , İlkin Seda Can , Tahsin Takcı , Ali Çetin

https://doi.org/10.38136/jgon.903783

Öz

Amaç: Adelösan ve ileri yaş kadınların gebelik özelliklerinin 10 yıl süreyle değerlendirilmesi perinatal ve yenidoğan bakımını etkileyen politikalardaki değişen eğilimlerden ötürü gerekli olabilmektedir. Biz çalışmamızda Orta Anadolu'da Sivas iline bağlı üçüncü basamak bir sevk merkezinde son on yılda adolesan ve ileri yaştaki kadınlarda gebeliklerin maternal, fetal ve neonatal sonuçlarını değerlendirmeyi amaçladık.
Araçlar ve Yöntem: Bu retrospektif çalışmada, 2011-2020 yılları arasında üçüncü basamak sevk merkezimizin kadın hastalıkları biriminde doğum yapan 414 adelösan (10-19 yaş), 428 ileri yaş (≥40 yaş) kadın ve kontrol grubu olan 150 gebenin (20-39 yaş) hastane elektronik kayıtlarından anne ve yenidoğan verilerini topladık.
Bulgular: Yaşamın erken veya geç dönemlerinde çocuk sahibi kadınlardan etkilenen obstetrik ve fetal sonuçlar. Sonuçlarımıza göre ileri yaştaki kadınlarda bir veya daha fazla parite, sezaryen, gestasyonel hipertansiyon ve akut fetal distres oranları kontrollere göre anlamlı olarak daha yüksekti (p <0.05). Ergenlerde bir veya daha fazla parite, sezaryen, gestasyonel diyabet ve> 34 gebelik haftası oranları kontrol grubundakilere göre anlamlı olarak düşüktü (p <0.05).
Sonuç: Bulgularımız, adelösan ve ileri yaş (≥40 yaş) gebeliklerde perinatal ve neonatal istatistiklerinin iyileştiğini desteklemektedir. Bununla birlikte, sağlık hizmeti koşullarında, annelerin ve sağlık çalışanlarının gebelikle ilgili hastalıklar - ölümler hakkında farkındalıklarında ve eğitim - öğretim programlarının uygulanmasında daha fazla ilerlemeye ihtiyaç vardır.

Anahtar Kelimeler

gebelik, adelösan, ileri yaş kadınlar

Maternal, fetal, and neonatal outcomes of pregnancies in adolescents and women of advanced age: ten-year experience of a tertiary referral center

Öz

Purpose: Regarding changing trends in the policies affecting perinatal and neonatal care, there is a need to assess the stata of pregnancies in adolescents and women of advanced age with the term of ten years. We aimed to evaluate maternal, fetal, and neonatal outcomes of pregnancies in adolescents and women of advanced age during last decade in a tertiary referral center of Sivas province in central Anatolia.
Methods: In this retrospective study, we collected the maternal and neonatal data from the hospital electronic records of 414 adolescents (10-19 years of age), 428 women of advanced age (≥40 years of age), and 150 pregnant controls (20-39 years of age) who delivered in the obstetrics unit of our tertiary referral center between 2011 and 2020.
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 findings support the improving perinatal and neonatal statistics of pregnancies in adolescents and women of advanced age (≥40 years). Nevertheless, there is a need further advancements in healthcare conditions and awareness of mothers and healthcare workers about pregnancy related morbidities and mortalities and applying educational and training programs.

Anahtar Kelimeler

pregnancy, adolescent, women of advanced age

Kaynakça

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