[Obstetrical surgical interventions in teenagers younger than 16 years of age]

The age of adolescence is not biologically the proper one for performing obstetric interventions regarding both the individual psychosomatic growth of the girl and the requirements of the reproductive and dermatographic practice. The authors analyzed in the present study the incidence of major obstetric operative interventions according to the indications and age distribution on the basis of 10,182 deliveries, 271 of which belonged to teenagers. The incidence of cesarean section was 3%; forceps delivery--2.2%; vacuum extraction--0.4%; assisted breech delivery and breech extraction--2.2%; version--0.4%; inspection of the uterine cavity: manual 1.8%; instrumental--0.7%. The total incidence of major obstetric operative interventions in teenagers was 11% and compared with the operative practice in the clinic in general it was almost equal or even less. The incidence of the small obstetric repairs was significant: perineal lacerations--32.1%, cervical lacerations--2.2%, vaginal lacerations--11%. The low incidence of cesarean section (total incidence for the clinic 6-9%), contrary to expectations, was not due to fetal-pelvic disproportion in the teenagers. The aforementioned results are a part of a study, covering a three year period, designed to clarify problems on different aspects, regarding the medical and social grounds of the pregnancy and delivery in teenagers.