Abstract

INTRODUCTION

Adolescent pregnancies are one of the most important healthcare problems in worldwide effecting social life and women health. We aimed to compare obstetric and neonatal outcomes between adolescent and reproductive aged women pregnancies.

METHODS

This study was conducted with adolescent and reproductive aged 3163 pregnant women who were delivered in our maternity and children's disease hospital between January 2013 and January 2014. 1314 of them were adult pregnants with ages under 20 years. The data for maternal age, gestational week at birth, mode of delivery, presence of operative delivery, birth weight, APGAR score, and number of premature births were recorded for each delivery.

RESULTS

The rate of adeloscent pregnancy was found 6,35% in our study. The rate of premature births were 37% in adolescent group and significantly higher than reproductive aged group (p<0,001). However preterm delivery was detected 346 reproductive aged women with rate of 19%. 1st and 5th minute APGAR scores were significantly lower in adolescent group (p values; <0,001, <0,001, respectively). The mean birth weight was in adolescent age group 3000±50 gr, and the mean birth weight was in reproductive age group 3200±50 gr, this parameters were significantly lower in adolescent group with p values <0,001, Cesarean section rate was 17% and less common in adolescent group than reproductive aged group and this difference was statistically significant (p<0,001).

DISCUSSION AND CONCLUSION

Adolescent pregnacies are associated with poor obstetric and neonatal results such as preterm labor, lower birth weight and lower APGAR scores.