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Adolescent pregnancies in Turkey: a single center experience
Çiğdem Kunt İşgüder1, Oğuz Arslan1, Osman Samet Gunkaya1
1From the Department of Obstetrics and Gynecology, Sancaktepe Prof. Dr. Ilhan Varank State Hospital, Istanbul, Turkey.
Annals of Saudi Medicine
|February 5, 2024
Summary
Adolescent pregnancies in Turkey lead to adverse outcomes like low birth weight and higher neonatal intensive care needs. These pregnancies require careful monitoring due to increased risks for both mother and child.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Public Health
Background:
- Adolescent pregnancies are associated with increased risks of adverse perinatal outcomes.
- Sociodemographic and clinical factors influencing adolescent pregnancies require thorough investigation.
- Understanding these risks is crucial for developing targeted interventions.
Approach:
- A retrospective cohort study was conducted at a tertiary training and research hospital in Turkey.
- Data from 2233 women (754 adolescents, 1479 adults) delivering singleton newborns between January 2018 and June 2022 were analyzed.
- Sociodemographic and clinical characteristics, as well as maternal and perinatal outcomes, were compared between adolescent and adult mothers.
Key Points:
- Adolescent mothers had a higher prevalence of oligohydramnios, fetal growth restriction, perineal injury, and postpartum iron treatment.
- Neonates born to adolescent mothers exhibited significantly lower birth weight and Apgar scores.
- Risks of small for gestational age, intensive care admission, and neonatal death were substantially higher in infants of adolescent mothers.
Conclusions:
- Adolescent pregnancies in Turkey are linked to a higher incidence of adverse maternal and perinatal outcomes.
- The findings underscore the need for enhanced prenatal care and support for pregnant adolescents, particularly in diverse populations.
- Given Turkey's refugee demographics, anticipating and managing increased adolescent pregnancies is essential for improving perinatal health outcomes.
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