Magdy H. BALAHA, Mostafa A. AMR, Abdelhady A. EL-GILANY, Farid M. Al SHEIKH

Obstetric and psychiatric outcomes in a sample of Saudi teen-aged mothers

AMAÇ: Suudi Arabistan, Al-Ahsa’da, yetişkin gebelerle aynı natenatal takip hizmeti sunulan adolesan gebeliklerde ortaya çıkan obstetric ve psikiyatrik sorunların araştırılması. YÖNTEM: Bu çalışmada, 16,6-19,8 yaşlarındaki 168 olgu 20-29 yaşlarındaki 632 olgu ile karşılaştırıldı. Veriler 2007-2008 yılları arasında 6 aylık dönemde toplandı. Demografik, antenatal, intranatal ve postnatal obstetrik sorunların yanı sıra postnatal psikiyatrik değerlendirme yapıldı ve P

Bir grup Suudi adolesan annenin obstetrik ve psikiyatrik verileri

AIM: To assess the prevalence of adverse obstetric and psychiatric outcomes among primigravid teenagers compared to adult women in Al-Ahsa, Saudi Arabia, if given equal antenatal care. METHODS: In this comparative study, 168 cases aged 16.6-19.8 years were compared to 632 cases aged 20-29 years. Data collection was done over a six month period in 2007-08. Demographic, antenatal, intranatal and postnatal obstetric events besides the postnatal psychiatric evaluation were done and analyzed using routine statistical tests with significance at P<0.05. Also risk quantification was done using the odds ratio. RESULTS: Antenatal morbidities (e.g. pregnancy induced hypertension, gestational diabetes, anemia, antepartum hemorrhage) did not differ between the two groups. Also, the two groups showed no significant difference regarding cesarean section, low birth weight, preterm delivery and neonatal admission to intensive care units. Prevalence of psychiatric disorders was similar in both groups. The anxiety disorders were significantly higher in the younger age group due to increased prevalence for the post traumatic stress disorder and generalized anxiety disorder. CONCLUSION: Teenage pregnancy receiving adequate antenatal care and ending in live births is not associated with significant adverse obstetric outcomes or major psychopathology in Al Ahsa, Saudi Arabia.

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