Ayşe Rabia ŞENKAYA, Sabahattin Anıl ARI, İbrahim KARACA

Sociocultural Determinants in Adolescent Pregnancies: Evaluation of Contraception, Breastfeeding and Birth Outcomes

Introduction: Adolescent pregnancies are expressed as pregnancies occurring in this age group. We evaluated the sociocultural characteristics, obstetric outcomes, contraception and breastfeeding status of early-middle and late adolescent pregnant women. Methods: The research was carried out by retrospective research of electronic and printed medical patient records. All patient files who gave birth in our clinic in Turkey, between 2017-2022 were examined. Inclusion criteria for the study were defined as being 19 years of age and younger and having a vaginal or cesarean delivery. Exclusion criteria from the study were defined as missing or inaccessible medical records. 10-16 years of age were considered as early-middle adolescent and 17-19 years of age as late adolescent. A total of 206 adolescent pregnant women were included in the study. The patients were divided into two groups as early and late adolescents. Their sociodemographic characteristics, obstetric outcomes, contraception and breastfeeding status were compared. Results: Marriage rate was higher in the late adolescent group (p<0.001). Contraception status of both groups was similar. There was a strong positive correlation between educational status and contraception. (r:0.648; p<0.001). Breastfeeding duration was higher in late adolescents (13.3±5.9 vs 10.6±6.6, p<0.001). There was no difference between the two groups in terms of obstetric outcomes. Conclusions: As the educational status of adolescent pregnants increases, their contraception status also increases regardless of age.This situation may be multifactorial. Prevention of adolescent pregnancies can be reduced by increasing the education level.

Keywords:

Adolescent breast feeding, contraception, pregnancy.,

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