Yıl: 2015 Cilt: 12 Sayı: 3 Sayfa Aralığı: 151 - 157 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies

Öz:
Öz Amaç: İstanbulun düşük gelir seviyeli bölümünde yer alan kliniğimizin adölesan, reprodüktif yaş ve ileri yaş gebeliklerinin (İYG) perinatal ve erken neonatal sonuçlarının karşılaştırılması. Gereç ve Yöntem: 1 Ocak 2007 ve 31 Ocak 2015 tarihleri arasında Süleymaniye Eğitim ve Araştırma Hastanesinde doğum yapan 306 adölesan, 301 reprodüktif yaş ve 303 ileri yaş gebe çalışmaya dahil edildi. Hastaların klinik, obstetrik ve erken dönem neonatal sonuçları retrospektif olarak değerlendirildi. Bulgular: Reprodüktif yaştaki gebeler ile karşılaştırıldığında, adölesan ve İYGlerin daha kötü perinatal ve erken neonatal sonuçlara sebep olduğu görüldü. Adölesan ve İYGlerin obstetrik sonuçları birbiri ile benzer bulundu. En kötü erken dönem neonatal sonuçlar, adölesan gebelik grubunda karşımıza çıktı. Sonuç: Adölesan ve İYGleri yüksek riskli gebelik olarak tanımlanmalıdır. Çalışmamızın sonuçları dikkate alındığında, kadın doğum hekimleri, ebeler ve aile hekimleri bu iki gebe grubunda daha dikkatli davranmalıdırlar. Anahtar Kelimeler: Anne yaşı, gebelik, sonuçlar
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Kadın Hastalıkları ve Doğum Genel ve Dahili Tıp Hematoloji

Ne erken ne de geç gebelik: Adölesan, reprodüktif yaş ve ileri yaş gebeliklerin perinatal sonuçlarının karşılaştırılması

Öz:
Abstract Objective: To compare perinatal and short-term neonatal outcomes of adolescent, reproductive age, and advanced maternal age (AMA) pregnancies in a low-income region of İstanbul. Materials and Methods: Three hundred six adolescents, 301 reproductive age, and 303 AMA pregnant women who delivered in Süleymaniye Education and Research Hospital between January 1st 2007, and January 31 st 2015, were recruited to the study population. The clinical, obstetric and short-term neonatal outcomes of the women were analyzed retrospectively. Results: Adolescent and AMA pregnancies were associated with severe adverse perinatal and short-term neonatal outcomes compared with reproductive- age women. Adolescent and AMA pregnancies had quite similar risks in obstetric outcomes. Adolescent pregnancies were related with severe adverse short- term neonatal outcomes when compared with advanced maternal age pregnancies. Conclusion: Adolescent and AMA pregnancies should be defined as high-risk pregnancies. Our research indicated that healthcare providers such as obstetricians, midwives, and family physicians should be alert in these populations. Keywords: Age maternal, pregnancy, outcome
Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel Kadın Hastalıkları ve Doğum Genel ve Dahili Tıp Hematoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • References 1. Cleary-Goldman J, Malone F, Vidaver J, Ball RH, Nyberg DA, Comstock CH, et al. Impact of maternal age on obstetric outcome. Obstet Gynecol 2005;105:983-90. 2. Braine T. Adolescent pregnancy: a culturally complex issue. Bull World Health Organ 2009;87:410-1. 3. Mahavarkar SH, Madhu CK, Mule VD. A comparative study of teenage pregnancy. J Obstet Gynaecol 2008;28:604-7. 4. Hediger ML, Scholl TO, Schall JI, Krueger PM. Young maternal age and preterm labor. Ann Epidemiol 1997;7:400-6. 5. American Academy of Pediatrics, Committee on adolescence and Committee on Early Childhood and Adoption, and Dependent Care (editorial). American Academy of Pediatrics: care of adolescent parents and their children. Pediatrics 2001;107:429-34. 6. Mathews TJ, Hamilton BE. Mean age of mother, 1970-2000: Natl Vital Stat Rep 2002;51:1-13. 7. Pellestor F, Anahory T, Hamamah S. Effect of maternal age on the frequency of cytogenetic abnormalities in human oocytes. Cytogenet Genome Res 2005;111:206-12. 8. Jahan MK, ShaWquzzaman M, Nahar K, Rahman M, Sultana N, Rahman MM, et al. Outcome of pregnancy in women 35 years of ag e and above. Mymensingh Med J 2009;18:7-12. 9. General Directorate of Civil Registration and Nationality, Turkish Statistical Institute, Delivery Statistics, 2014. 10. Brown MA, Lindheimer MD, de Swiet M, Van Assche A, Moutquin JM. The classification and diagnosis of the hypertensive disorders of pregnancy: statement from the International Society for the Study of Hypertension in Pregnancy (ISSHP). Hypertens Pregnancy 2001;20:9-14. 11. Delpishe A, Brabin L, Attia E, Brabin BJ. Pregnancy late in life: a hospital-based study of birth outcomes. J Womens Health (Larchmt) 2008;17:965-70. 12. Beard JL. Iron requirements in adolescent females. J Nutr 2000;130:440-2. 13. Shechter Y, Levy A, Wiznitzer A, Zlotnik A, Sheiner E. Obstetric complications in grand and great grand multiparous women. J Matern Fetal Neonatal Med 2010;23:1211-7. 14. Omar K, Hasim S, Muhammad NA, Jaffar A, Hashim SM, Siraj HH. Adolescent pregnancy outcomes and risk factors in Malaysia. Int J Gynecol Obstet 2010;111:220-3. 15. Thato S, Rachukul S, Sopajaree C. Obstetrics and perinatal outcome of Thai pregnant adolescents: a retrospective study: Int J Nurs Stud 2007;44:1158-64. 16. Edge V, Laros R. Pregnancy outcome in nulliparous women aged 35 or older. Am J Obstet Gynecol 1993;168:1881-2. 17. Weerasekera DS, Udugama SG. Pregnancy at 40 and over: a case-control study in a developing country. J Obstet Gynaecol 2003;23:625-7. 18. van der Klis KA, Westenberg L, Chan A, Dekker G, Keane RJ. Teenage pregnancy: trends, characteristics and outcomes in South Australia and Australia. Aust N Z J Public Health 2002;26:125-31. 19. Dulitzki M, Soriano D, Schiff E, Chetrit A, Mashiach S, Seidman DS. Effect of very advanced maternal age on pregnancy outcome and rate of cesarean delivery. Obstet Gynecol 1998;92:935-9. 20. Seoud MA, Nassar AH, Usta IM, Melhem Z, Kazma A, Khalil AM. Impact of advanced maternal age on pregnancy outcome. Am J Perinatol 2002;19:1-7. 21. Ozalp S, Tanir HM, Sener T, Yazan S, Keskin AE. Health risks for early (_____19) and late (>35) childbearing. Arch Gynecol Obstet 2003;268:172-4. 22. McIntyre SH, Newburn-Cook CV, O’Brien B, Demianczuk NN. Effect of older maternal age on the risk of spontaneous preterm labor: a population-based study. Health care for women international 2009;30:670-89. 23. Chandra PC, Schiavello HJ, Ravi B, Weinstein AG, Hook FB. Pregnancy outcomes in urban teenagers. Int J Gynecol Obstet 2002;79:117-22. 24. Ray JG, Vermeulen MJ, Shapiro JL, Kenshole AB. Maternal and neonatal outcomes in pregestational and gestational diabetes mellitus, and the influence of maternal obesity and weight gain: the DEPOSIT study. Diabetes Endocrine Pregnancy Outcome Study in Toronto. QJM: Monthly Journal of the Association of Physicians 2001;94:347-56. 25. Salihu HM, Wilson RE, Alio AP, Kirby RS. Advanced maternal age and risk of antepartum and intrapartum stillbirth. J Obstet Gynaecol Res 2008;34:843-50.
APA ÇETİN O, Verit F, ZEBİTAY A, AYDIN Z, KURDOĞDU Z, OĞUZ Y (2015). Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. , 151 - 157.
Chicago ÇETİN Orkun,Verit Fatma Ferda,ZEBİTAY Ali Galip,AYDIN Zuhal,KURDOĞDU Zehra,OĞUZ Yücel Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. (2015): 151 - 157.
MLA ÇETİN Orkun,Verit Fatma Ferda,ZEBİTAY Ali Galip,AYDIN Zuhal,KURDOĞDU Zehra,OĞUZ Yücel Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. , 2015, ss.151 - 157.
AMA ÇETİN O,Verit F,ZEBİTAY A,AYDIN Z,KURDOĞDU Z,OĞUZ Y Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. . 2015; 151 - 157.
Vancouver ÇETİN O,Verit F,ZEBİTAY A,AYDIN Z,KURDOĞDU Z,OĞUZ Y Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. . 2015; 151 - 157.
IEEE ÇETİN O,Verit F,ZEBİTAY A,AYDIN Z,KURDOĞDU Z,OĞUZ Y "Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies." , ss.151 - 157, 2015.
ISNAD ÇETİN, Orkun vd. "Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies". (2015), 151-157.
APA ÇETİN O, Verit F, ZEBİTAY A, AYDIN Z, KURDOĞDU Z, OĞUZ Y (2015). Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. Türk Jinekoloji ve Obstetrik Derneği Dergisi, 12(3), 151 - 157.
Chicago ÇETİN Orkun,Verit Fatma Ferda,ZEBİTAY Ali Galip,AYDIN Zuhal,KURDOĞDU Zehra,OĞUZ Yücel Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. Türk Jinekoloji ve Obstetrik Derneği Dergisi 12, no.3 (2015): 151 - 157.
MLA ÇETİN Orkun,Verit Fatma Ferda,ZEBİTAY Ali Galip,AYDIN Zuhal,KURDOĞDU Zehra,OĞUZ Yücel Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. Türk Jinekoloji ve Obstetrik Derneği Dergisi, vol.12, no.3, 2015, ss.151 - 157.
AMA ÇETİN O,Verit F,ZEBİTAY A,AYDIN Z,KURDOĞDU Z,OĞUZ Y Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2015; 12(3): 151 - 157.
Vancouver ÇETİN O,Verit F,ZEBİTAY A,AYDIN Z,KURDOĞDU Z,OĞUZ Y Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2015; 12(3): 151 - 157.
IEEE ÇETİN O,Verit F,ZEBİTAY A,AYDIN Z,KURDOĞDU Z,OĞUZ Y "Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies." Türk Jinekoloji ve Obstetrik Derneği Dergisi, 12, ss.151 - 157, 2015.
ISNAD ÇETİN, Orkun vd. "Neither early nor late for becoming pregnant: Comparison of the perinatal outcomes of adolescent, reproductive age, and advanced maternal age pregnancies". Türk Jinekoloji ve Obstetrik Derneği Dergisi 12/3 (2015), 151-157.