Adolesan Gebeliklerin Anne Ve Bebek Sağlığına Olan Etkileri

Adolesan dönemi geniș anlamıyla bireyin biyolojik, psikolojik ve sosyal değișimlerle çocukluktan erișkinliğe geçiș dönemi olup adolesan gebeliği de 10-19 yaș arasındaki kızların gebeliği anlamında kullanılmaktadır. Adolesan dönemde gerçekleșen gebelikler halen tüm dünyada önemli bir sorun olarak göze çarpmaktadır. Adolesan yaștaki bireylerde gebeliklerin olușumunda rol oynayan toplumsal ve bireysel birçok risk etmeni bulunmaktadır. Bu gebelikler anne ve bebek sağlığı üzerine kısa ve uzun dönemde olumsuz etkiler olușturabilen riskli gebeliklerdir. Genel olarak adolesana cinsel ve psikososyal gelișme, güvenli cinsel yașam ve güvenli davranıșlar konularında bilgileri içeren eğitimlerin verilmesi bu tür gebeliklerin önlenmesinde önemli rol oynamaktadır. Ayrıca adolesan dönemde olușmuș bir gebeliğin uygun ve yeterli șekilde izlemi ve gebeye kendi sağlığı ve bebeğin sağlığı ile ilgili eğitimlerin yapılması bu tür gebeliklerin anne ve bebek sağlığı üzerine olan olumsuz etkilerinin önlenmesinde yararlıdır.
Anahtar Kelimeler:

Adolesan, Gebelik

Adolesan Gebeliklerin Anne Ve Bebek Sağlığına Olan Etkileri

In a broader sense, the adolescent period is a transition period of an individual from childhood to adulthood, accompanied by biological, psychological, and social changes, and the term adolescent pregnancy is used to refer to the pregnancy of girls aged 10-19 years. Adolescent pregnancies still draw attention as an important public health problem throughout the world. There are many social and personal risk factors playing role in pregnancy development of individuals of adolescent age. These pregnancies are risky pregnancies which may lead to negative results on maternal and infant health in short- and long-term. Providing the adolescents with educational information on sexual and psychosocial development, safe sexuality, and safe behaviors plays significant role in the prevention of adolescent pregnancies. In addition, providing a proper and adequate follow-up for adolescent pregnancies and giving educational information to the pregnant on the health of her own and her infant are also beneficial for preventing the negative influences of adolescent pregnancies on maternal and infant health
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  • World Health Organization. The second decade: improving adolescent health and development. WHO, Department of Child and Adolescent Health and Development, Programme Brochure. Geneva; 1998.
  • Hillis SD, Anda RF, Dube SR et al. The
  • Mitchell LE, Bracken MB. Reproductive and chronologic age as a predictor of low birth weight, preterm delivery and intrauterine growth retardation in primipararous women. Ann Hum Biol 1990;17:377-386.
  • Treffers PE. Teenage pregnancy,
  • aworldwide problem. Ned Tijdschr Geneeskd 2003;147:2320-25.
  • Klein JD American Academy of Pediatrics Committee on Adolescence. Adolescent pregnancy: current trends and issues. Pediatrics 2005;116:281-286.
  • Bulut S, Gürkan A, Sevil Ü. Adölesan gebelikler. Aile ve Toplum Dergisi 2008;13:37-44. association between adverse childhood experiences and adolescent pregnancy, long-term psychosocial consequences, and fetal death. Pediatrics 2004;113:320- 327.
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü (2009). TNSA-2008. Erişim: [http://www.hips.hacettepe.edu.tr /tnsa2008/data/TNSA-2008_ana_Rapor- tr.pdf]. Erişim Tarihi:11.5.2010.
  • Fesler KB. Social outcomes of early childbearing: important considerations for the provision of clinical care. J Midwifery Womens Health 2003;48:178-185.
  • Wildschut HIJ. Defination of a High Risk Pregnancy. In: James DK, Ster PJ, Weiner CP, Gonik B, editors. High Risk Pregnancy: Management Options 4th. Ed. Elsevier Saunders Companies; 2010.
  • Gokce B, Ozsahin A, Zencir M. Determinants of adolescent pregnancy in an urban area in Turkey: a population based case-control study. J Biosoc Sci 2007;39:301-311. 11. Resnick MD. Protective factors, resiliency and healthy youth development. Adolesc Med 2000;11:157– 165.
  • Dube SR, Anda RF, Felitti VJ et al. Exposure to abuse, neglect, and household dysfunction among adults who witnessed intimate partner violence as children: implications for health and social services. Violence Vict 2002;17:3– 17.
  • World Health Organization. What are the most effective strategies for reducing the rate of teenage pregnancies? Geneva; 2006.
  • Ozsahin A, Zencir M, Gokce B et al. Adolescent pregnancy in West Turkey. Cross sectional survey of married 22. Coruh M, Topal I. Pregnancy and adolescents. Saudi Med J 2006;) (27: 1177- 1182.
  • Guttmacher Institute. Facts on American teens sexual and reproductive health 23. Sukanich AC, Rogers KD, McDonald 2010. Link: [http://www.guttmacher.org/pubs/FB- ATSRH.html]. Erişim Tarihi:12.11.2011.
  • Jones RK, Darroch JE, Henshaw SK. Patterns in the socioeconomic 24. Trivedi SS, Pasrija S. Teenage pregnancies characteristics of women obtaining abortions in 2000–2001. Perspect Sex Reprod Health 2002;34:226–235.
  • Uyanık D, Doğan S. Kız çocukları açısından erken yaş evliliği 2008. Erişim: [http://www.die.gov.tr/tkba/paper1_1.p df/]. Erişim Tarihi: 13.5.2010.
  • Türk Medeni Kanunu (Kabul Tarihi: 22.11.2001) Erişim: [http://www.tbmm.gov.tr/kanunlar/k47 21.html]. Erişim Tarihi: 11.5.2010.
  • Malamitsi-Puchner A, Boutsikou T. 27. Phupong V, Suebnukarn K. Obstetric Adolescent pregnancy and perinatal outcome. Pediatr Endocrinol Rev 2006;3 Suppl 1:170-171.
  • De Vienne CM, Creveuil C, Dreyfus M. Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study? Eur J Obstet Gynecol Biol 2009;147:151-156.
  • Treffers PE, Olukoya AA, Ferguson BJ et al. Care for adolescent pregnancy and child birth. Int J Gynecol Obstet 2001;75:111-121.
  • Yildirim Y, Inal MM, Tinar S. 34. Woods JL, Shew ML, Tu W et al.
  • Reproductive and obstetric characteristics of adolescent pregnancies in Turkish women. J Pediatr Adolesc Gynecol 2005;18:249-253. outcomes in nulliparous young adolescents. Southeast Asian J Trop Med Public Health 2007;38: 141-145.
  • Aruda MM, Waddicor K, Frese L et al. Early pregnancy in adolescents: 36. World Health Organization. WHO diagnosis, assessment, options counseling, antenatal care randomized controlled and referral. J Pediatr Health Care 2010;24:4-13.
  • Geist RR, Beyth Y, Shashar D et al. Perinatal outcome of teenage pregnancies in a selected group of patients. J Pediatr Adolesc Gynecol. 2006;19:189-193.
  • Bukulmez O, Deren O. Perinatal
  • outcome in adolescent pregnancies: a case -control study from a Turkish university hospital. Eur Obstet Gynecol Reprod Biol. 2000;88:207-212.
  • Maehr JC, Lizarraga JL, Wingard DL et al. A comparative study of adolescent and adult mothers who intend to breastfeed. J Adolesc Health 1993;14:453-457.
  • Davis S. Pregnancy in adolescents.
  • Pediatr Clin North Am 1989;36:665-680.
  • Davies SL, Diclemente RJ, Wingood GM et al. Predictors of inconsistent contraceptive use among adolescent girls: Findings from a prospective study. J Adolesc Health 2006;39: 43-49. Patterns of oral contraceptive pill taking and condom use among adolescent contraceptive pill users. J Adolesc Health 2006;39:381-387.
  • Scholl TL, Hedgier ML, Belsky DH. Prenatal care and maternal health during adolescent pregnancy: arewiev and meta- analysis. J Adolesc Health 1994;15: 444- 456. trial: Manual for the implementation of the new model. Geneva; 2002.