Pregnancy Outcomes In Adolescent Pregnancies; Risks And Solution Suggestions; A Retrospective Analysis Of The Region With The Highest Crude Birth Rate In Turkey


Uçar E., Bestel M., Karaaslan O., Doğan O.

Van Medical Journal, cilt.32, sa.4, ss.240-245, 2025 (Scopus, TRDizin) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 4
  • Basım Tarihi: 2025
  • Doi Numarası: 10.5505/vmj.2025.48568
  • Dergi Adı: Van Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.240-245
  • Anahtar Kelimeler: Adolescent, apgar score, maternal, neonatal, pregnancy
  • Van Yüzüncü Yıl Üniversitesi Adresli: Evet

Özet

Introduction: Pregnancies in the adolescent age group have shown an increasing trend in Türkiye, particularly with the rising issue of migration, constituting a significant public health concern. Factors such as lack of knowledge, social st igma, and financial constraints lead to delayed initiation of antenatal care and lack of follow-up. This study aims to examine the outcomes of adolescent pregnancies. Methods:The pregnancy outcomes of 74 adolescents who presented to the obstetrics and gynecology clinic of a rural district state hospital for delivery between 2020 and 2021 were retrospectively analyzed. Results:In this study, gravida, parity numbers, comorbidities, and maternal and neonatal outcomes of adolescents under 18 were examined. The mean age was 17.4 ± 1 years, the mean gravida was 1.3 ± 0.6, parity was 0.3 ± 0.6, and the mean number of abortions was 0.01 ± 0.1. Normal spontaneous vaginal delivery was observed in 67 participants (90.5%), with episiotomy performed in 54 (73. 0%) of these cases. The mean gestational age was 38.5 ± 1.5 weeks, with a mean fetal weight of 3008 ± 481 g and a mean fetal length of 4 9.7 ± 3.2 cm. The mean 1-minute Apgar score was 7.8 ± 1.3, and the 5-minute score was 8.9 ± 1.1. Only one delivery occurred at 29 weeks of gestation, with all others classified as term deliveries. Discussion and Conclusion:To prevent adolescent pregnancies, which constitute a societal issue, comprehensiv e education programs should be provided to both adolescents and their families. Adequate medical support must also be ensured for adolescent mothers.