Research Article
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Year 2022, Volume: 44 Issue: 2, 192 - 197, 30.06.2022
https://doi.org/10.7197/cmj.1127605

Abstract

References

  • 1. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014;121 Suppl 1:40-48.
  • 2. WHO. World health statistics. Geneva: World Health Organization;2020.
  • 3. World Health Organization (WHO). WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in devoloping countries. Genava: WHO; 2011.
  • 4. Kara T, Dogan K, Alyanak B, Akaltun I. An evaluation of sociodemographic characteristics and pregnancy-related psychological problems in pregnant adolescents. Ankara Med J. 2017;(3):151-9.
  • 5. Korenčan S, Pinter B, Grebenc M, Verdenik I. The outcomes of pregnancy and childbirth in adolescents in Slovenia. Zdr Varst. 2017;56(4):268-275.
  • 6. Marvin-Dowle K, Soltani H. A comparison of neonatal outcomes between adolescent and adult mothers in developed countries: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol X. 2020;6:100109.
  • 7. Wong SPW, Twynstra J, Gilliland JA, Cook JL, Seabrook JA. Risk Factors and Birth Outcomes Associated with Teenage Pregnancy: A Canadian Sample. J Pediatr Adolesc Gynecol. 2020;33(2):153-159.
  • 8. Baş EK, Bülbül A, Uslu S, Baş V, Elitok GK, Zubarioğlu U. Maternal Characteristics and Obstetric and Neonatal Outcomes of Singleton Pregnancies Among Adolescents. Med Sci Monit. 2020;26:e919922.
  • 9. Cebeci B, Kavuncuoglu S, Ercan TE, Eras Z, Cetinkaya M. Neonatal prognosis and outcomes in adolescent Pregnancies. Med Bull Haseki. 2021;59:37-42.
  • 10. İleri A, İleri H, Ata C, Tosun G, Özeren M. Adolesan gebeliklerdeki maternal ve fetal sonuçların karşılaştırılması. Bozok Tıp Dergisi. 2020;10(1):24-29.
  • 11. Kassa GM, Arowojolu AO, Odukogbe AA, Yalew AW. Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. PLoS One. 2019;14(6):e0218259.
  • 12. González-Andrade F, Saeteros-Cordero X. Pregnancy in adolescence and adverse neonatal outcomes in Ecuadorian mestizo newborns. Pediatr Neonatol. 2020;61(2):216-223.
  • 13. Rexhepi M, Besimi F, Rufati N, Alili A, Bajrami S, Ismaili H. Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy. Open Access Maced J Med Sci. 2019;7(5):760-766.
  • 14. Marvin-Dowle K, Kilner K, Burley VJ, Soltani H. Impact of adolescent age on maternal and neonatal outcomes in the Born in Bradford cohort. BMJ Open. 2018;8(3):e016258.
  • 15. Thirukumar M, Thadchanamoorthy V, Dayasiri K. Adolescent Pregnancy and Outcomes: A Hospital-Based Comparative Study at a Tertiary Care Unit in Eastern Province, Sri Lanka. Cureus. 2020;12(12):e12081.
  • 16. Kawakita T, Wilson K, Grantz KL, Landy HJ, Huang CC, Gomez-Lobo V. Adverse maternal and neonatal outcomes in adolescent pregnancy. J Pediatr Adolesc Gynecol. 2016;29(2):130-136.
  • 17. Torvie AJ, Callegari LS, Schiff MA, Debiec KE. Labor and delivery outcomes among young adolescents. Am J Obstet Gynecol. 2015;213(1):95.e1-95.e8.
  • 18. Tsikouras P, Dafopoulos A, Trypsianis G, Vrachnis N, Bouchlariotou S, Liatsikos SA, et al. Pregnancies and their obstetric outcome in two selected age groups of teenage women in Greece. J Matern Fetal Neonatal Med. 2012;25(9):1606-1611.
  • 19. Barut MU. Adolesan gebelerin maternal ve fetal sonuçlarının değerlendirilmesi. Dicle Med J.2018;45(3):283-290.
  • 20. Sak S, İncebıyık A, Uyanıkoglu H, Turp AB, Hilali NG, Sak ME. Tersiyer Bir Merkezde Doğum Yapan Adolesan, Reprodüktif ve İleri Yaş Gebelerde Obstetrik ve Neonatal Sonuçların Karşılaştırılması. Zeynep Kamil Tıp Bülteni. 2017;48(3): 89-93.
  • 21. Karataşlı V, Kanmaz AG, Inan AH, Budak A, Beyan E. Maternal and neonatal outcomes of adolescent pregnancy. J Gynecol Obstet Hum Reprod. 2019;48(5):347-350.
  • 22. Suzuki S. Clinical significance of pregnancy in adolescence in Japan. J Matern Fetal Neonatal Med. 2019; 32(11):1864-1868.
  • 23. Kumar A, Singh T, Basu S, Pandey S, Bhargava V. Outcome of teenage pregnancy. Indian J Pediatr. 2007;74(10):927-931.
  • 24. Shenoy S, Hegde P, Khan H, Jaidev M. Study of the early neonatal outcomes in babies born to young and older mothers. Muller J Medical Sciences and Research. 2018;9(2):78.
  • 25. Fleming N, Ng N, Osborne C, Biederman S, Yasseen AS, Dy J, et al. Adolescent pregnancy outcomes in the province of Ontario: a cohort study. J Obstet Gynaecol Can. 2013;35(3):234-245.

Evaluation of the effect of maternal adolescent age on neonatal outcomes

Year 2022, Volume: 44 Issue: 2, 192 - 197, 30.06.2022
https://doi.org/10.7197/cmj.1127605

Abstract

Objective: Adolescence is a phase that takes place 10-19 years of life, in which many changes in the physiological, anatomical, structural and psychological aspects and finally switch to adulthood. Adolescent pregnancies are associated with adverse obstetric and neonatal outcomes. In this study, we aimed to determine the the effect of adolescent age on maternal and neonatal outcomes.
Method: In this single-centre retrospective study, maternal and neonatal data were collected from medical records at Malatya Turgut Ozal University Hospital between August 2020 to August 2021.
Results: 326 patients met full inclusion criteria (137 adolescent pregnants and 189 control group). The adolescent mothers had lower educational status and were less likely to get adequate antenatal care (p<0.001 and p=0.012). The frequency of extra-marital and religious marriage was higher in adolescents (p<0.001). Although the mean gestational week and prematurity rates of newborns born to adolescent mothers were similar; the frequency of low birth weight and SGA newborns was significantly higher than control group (p=0.006 and p<0.001, respectively). The delivery room resuscitation requirement was higher in the adolescent group (p<0.001). Considering the hospitalization rates of newborns, it was statistically higher in the adolescent group (p=0.001). Among the main reasons for hospitalization, there was a statistical difference in terms of hypoglycemia in newborns born to adolescent mothers (p<0.001).
Conclusions: Adolescent pregnancies should be considered as high-risk pregnancies because of poor maternal and neonatal outcomes. Appropriate antenatal and neonatal care should be provided to adolescents with regular follow-ups during pregnancy.

References

  • 1. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014;121 Suppl 1:40-48.
  • 2. WHO. World health statistics. Geneva: World Health Organization;2020.
  • 3. World Health Organization (WHO). WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in devoloping countries. Genava: WHO; 2011.
  • 4. Kara T, Dogan K, Alyanak B, Akaltun I. An evaluation of sociodemographic characteristics and pregnancy-related psychological problems in pregnant adolescents. Ankara Med J. 2017;(3):151-9.
  • 5. Korenčan S, Pinter B, Grebenc M, Verdenik I. The outcomes of pregnancy and childbirth in adolescents in Slovenia. Zdr Varst. 2017;56(4):268-275.
  • 6. Marvin-Dowle K, Soltani H. A comparison of neonatal outcomes between adolescent and adult mothers in developed countries: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol X. 2020;6:100109.
  • 7. Wong SPW, Twynstra J, Gilliland JA, Cook JL, Seabrook JA. Risk Factors and Birth Outcomes Associated with Teenage Pregnancy: A Canadian Sample. J Pediatr Adolesc Gynecol. 2020;33(2):153-159.
  • 8. Baş EK, Bülbül A, Uslu S, Baş V, Elitok GK, Zubarioğlu U. Maternal Characteristics and Obstetric and Neonatal Outcomes of Singleton Pregnancies Among Adolescents. Med Sci Monit. 2020;26:e919922.
  • 9. Cebeci B, Kavuncuoglu S, Ercan TE, Eras Z, Cetinkaya M. Neonatal prognosis and outcomes in adolescent Pregnancies. Med Bull Haseki. 2021;59:37-42.
  • 10. İleri A, İleri H, Ata C, Tosun G, Özeren M. Adolesan gebeliklerdeki maternal ve fetal sonuçların karşılaştırılması. Bozok Tıp Dergisi. 2020;10(1):24-29.
  • 11. Kassa GM, Arowojolu AO, Odukogbe AA, Yalew AW. Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. PLoS One. 2019;14(6):e0218259.
  • 12. González-Andrade F, Saeteros-Cordero X. Pregnancy in adolescence and adverse neonatal outcomes in Ecuadorian mestizo newborns. Pediatr Neonatol. 2020;61(2):216-223.
  • 13. Rexhepi M, Besimi F, Rufati N, Alili A, Bajrami S, Ismaili H. Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy. Open Access Maced J Med Sci. 2019;7(5):760-766.
  • 14. Marvin-Dowle K, Kilner K, Burley VJ, Soltani H. Impact of adolescent age on maternal and neonatal outcomes in the Born in Bradford cohort. BMJ Open. 2018;8(3):e016258.
  • 15. Thirukumar M, Thadchanamoorthy V, Dayasiri K. Adolescent Pregnancy and Outcomes: A Hospital-Based Comparative Study at a Tertiary Care Unit in Eastern Province, Sri Lanka. Cureus. 2020;12(12):e12081.
  • 16. Kawakita T, Wilson K, Grantz KL, Landy HJ, Huang CC, Gomez-Lobo V. Adverse maternal and neonatal outcomes in adolescent pregnancy. J Pediatr Adolesc Gynecol. 2016;29(2):130-136.
  • 17. Torvie AJ, Callegari LS, Schiff MA, Debiec KE. Labor and delivery outcomes among young adolescents. Am J Obstet Gynecol. 2015;213(1):95.e1-95.e8.
  • 18. Tsikouras P, Dafopoulos A, Trypsianis G, Vrachnis N, Bouchlariotou S, Liatsikos SA, et al. Pregnancies and their obstetric outcome in two selected age groups of teenage women in Greece. J Matern Fetal Neonatal Med. 2012;25(9):1606-1611.
  • 19. Barut MU. Adolesan gebelerin maternal ve fetal sonuçlarının değerlendirilmesi. Dicle Med J.2018;45(3):283-290.
  • 20. Sak S, İncebıyık A, Uyanıkoglu H, Turp AB, Hilali NG, Sak ME. Tersiyer Bir Merkezde Doğum Yapan Adolesan, Reprodüktif ve İleri Yaş Gebelerde Obstetrik ve Neonatal Sonuçların Karşılaştırılması. Zeynep Kamil Tıp Bülteni. 2017;48(3): 89-93.
  • 21. Karataşlı V, Kanmaz AG, Inan AH, Budak A, Beyan E. Maternal and neonatal outcomes of adolescent pregnancy. J Gynecol Obstet Hum Reprod. 2019;48(5):347-350.
  • 22. Suzuki S. Clinical significance of pregnancy in adolescence in Japan. J Matern Fetal Neonatal Med. 2019; 32(11):1864-1868.
  • 23. Kumar A, Singh T, Basu S, Pandey S, Bhargava V. Outcome of teenage pregnancy. Indian J Pediatr. 2007;74(10):927-931.
  • 24. Shenoy S, Hegde P, Khan H, Jaidev M. Study of the early neonatal outcomes in babies born to young and older mothers. Muller J Medical Sciences and Research. 2018;9(2):78.
  • 25. Fleming N, Ng N, Osborne C, Biederman S, Yasseen AS, Dy J, et al. Adolescent pregnancy outcomes in the province of Ontario: a cohort study. J Obstet Gynaecol Can. 2013;35(3):234-245.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Medical Science Research Articles
Authors

Nuriye Aslı Melekoğlu 0000-0002-3491-2337

Uğur Saraç 0000-0003-0602-9712

Publication Date June 30, 2022
Acceptance Date June 18, 2022
Published in Issue Year 2022Volume: 44 Issue: 2

Cite

AMA Melekoğlu NA, Saraç U. Evaluation of the effect of maternal adolescent age on neonatal outcomes. CMJ. June 2022;44(2):192-197. doi:10.7197/cmj.1127605