Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/8125
Title: Perinatal outcomes and risk factors in adolescent and advanced age pregnancies: Comparison with normal reproductive age women
Authors: Karabulut, Aysun
Özkan, Sevgi
Bozkurt, Ali İhsan
Karahan, Tuba
Kayan, Sibel
Keywords: Abortion
Adolescent
Caesarean
Maternal morbidity
Neonatal morbidity pregnancy
adolescent
adolescent pregnancy
adult
article
birth weight
cesarean section
controlled study
demography
educational status
female
general practitioner
human
induced abortion
major clinical study
nullipara
pregnancy outcome
prenatal care
prenatal period
priority journal
questionnaire
risk factor
spontaneous abortion
vaginal delivery
Adult
Delivery, Obstetric
Female
Humans
Maternal Age
Pregnancy
Pregnancy Complications
Pregnancy in Adolescence
Pregnancy Outcome
Turkey
Young Adult
Abstract: The objective of the study was to analyse and compare demographic characteristics and clinical outcomes of pregnancies in adolescent, advanced age and normal reproductive age women. All completed pregnancies in a 6-month period, registered by the family practitioners in Denizli province, were included into the study. A face-to-face questionnaire was used to gather information. Participants were asked for demographic information, pregnancy outcome and obstetric history, obstetric and neonatal problems. Overall 5,882 pregnancies in different age groups: 296 (5%) adolescent (< 20-years-old); 4,957 (84.3%) normal reproductive age (20-35-years-old) and 629 (10.7%) advanced age (> 35-years-old ) (group III), were included into the study. Adolescent women had a lower educational status (p < 0.01), and family played a major role in decision of marriage (p < 0.01). Birth weight of the baby was lower in adolescents (p < 0.01). While adolescents tended to deliver vaginally (OR = 1.9, p < 0.01), elderly women were more prone to operative delivery (OR = 1.2, p < 0.05). Risk of caesarean section rate was higher in elderly nulliparous women (OR = 2.2, p 0.01). The number of spontaneous and induced abortions were increased with age (p < 0.01). Antenatal problems were seen least frequently in normal reproductive age women. Both antenatal (OR = 1.7, p < 0.01) and neonatal problems (OR = 1.5, p < 0.05), were significantly higher in advanced age pregnancy. It was concluded that with sufficient antenatal care, adolescent pregnancy is not associated with an increase in adverse pregnancy outcome, except low birth weights. Advanced maternal age is more likely to be associated with increased obstetric, maternal and neonatal complications. © 2013 Informa UK, Ltd.
URI: https://hdl.handle.net/11499/8125
https://doi.org/10.3109/01443615.2013.767786
ISSN: 0144-3615
Appears in Collections:Denizli Sağlık Hizmetleri Meslek Yüksekokulu Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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