Sibel SAK ¹, ADNAN İNCEBIYIK, HACER UYANIKOĞLU, Neşe Gül HİLALİ ¹, M Erdal SAK ¹

Tersiyer Bir Merkezde Doğum Yapan Adolesan, Reprodüktif ve İleri Yaş Gebelerde Obstetrik ve Neonatal Sonuçların Karşılaştırılması

Amaç: Tersiyer bir merkezde doğum yapan adolesan, reprodüktif ve ileri yaş gebelerde obstetrik ve neonatal sonuçların karşılaştırılması Gereç ve Yöntemler: Harran Üniversitesi Tıp Fakültesi Kadın Doğum Bölümünde 01.08.2015 -01.08.2016 yılları arasında doğum yapmış olan adolesan yaş(14-18), reprodüktif yaş(19-38) ve ileri yaş(39-50) gebelerden toplam 126 hastanın dosyası retrospektif olarak incelendi. Maternal demografik veriler , gebelik komplikasyonları (Preterm doğum, prezentasyon anomalisi, intrauterin büyüme kısıtlılığı(IUGR), preeklampsi, GDM(gestasyonel diabet), plesantal anomali, hospitalizasyon süresi, oligohidramnios, doğum şekli ve fetal sonuçlar (doğum ağırlığı, apgar skorları, makrozomi konjenital malformasyonlar, IUMF(inutero mort fetüs) değerlendirildi. Bulgular: Büyük çoğunluğu nulliparlardan oluşan adolasanlarda preterm eylem ,doğum ağırlığı, IUGR ,amniyon sıvı anomalisi(oligo), gestasyonel diabet ve preeklampsi oranı reprodüktif ve ileri yaş gebelerle benzer çıkarken doğumdaki gestasyonel hafta anlamlı olarak küçük, fetal anomali sıklığı anlamlı olarak yüksek bulundu. İleri yaş gebelerde ise sezaryen oranları ,plasenta previa totalis ve plesanta percreata görülme sıklığı ve hospitalizasyon süresi anlamlı yüksek saptandı. Reprodüktif grupta ise normal spontan doğum oranları her iki gruba göre anlamlı yüksek bulundu. Sonuç: Bu çalışmada adolesan ve ileri yaş annelerin kendi yaş grublarına özgün çesitli risklerin bulunduğu gösterilmiştir. Bu yaş grubu gebelerde maternal ve neonatal olası en iyi sonuca varabilmek için öncelikle bu gebelerin maternal ve fetal riskler ile ilgili bilgilendirilmesi, düzenli prenatal takip ve tedavi olmalarının sağlanması ve sosyal destek gerekmektedir.

Anahtar Kelimeler:

Adolesan, ileri yaş, obstetrik, neonatal

Comparison of Obstetric and Neonatal Outcomes in Adolescent, Reproductive and Old Age Pregnancies Delivery in a Tertiary Center

Objective: In this study, we aimed to evulate obstetric neonatal outcomes of adolescent and old age pregnants who gave birth in our center.Material and Methods: A total of 126 pregnant women which were consist of adolascent (14-18), reproductive(19-38) and advanced(39-50) maternal age pregnancies and gave birth in Harran University of Medicine Faculty of Obstetric and Gynecology Department were compared retrospectively. Maternal demographic datas, obstetric complications(preterm delivery, abnormalities of presantation, intrauterin growth restriction (IUGR), preeclampsia, gestational diabetes mellitus (GDM), abnormalities of placentia, duration of hospitalization, oligohidramnios, type of delivery, fetal outcomes(birth weights of infants, apgar scores, macrosomia, congenital malformations, ıumf) were evulated.Results: Although the rates of birth weight infant, preterm labour, IUGR, amnion fluid abnormalities, GDM ,macrosomia and preeclampsia were found similiar in adolescents of whom majority are nulliparous and reproductıve, advanced maternal age women, the rates of gestational week at birth were found to be lower and frequency of congenital anomalies and abnormalities of presantation was found to be higher than the other both groups. The rate of sectio, placenta previa totalis and percreata, duration of hospitalization were higher significantly in advanced age maternal women. The normal spontaneous vaginal deliveries rate was significantly higher in reproductive group than the other groups. Conclusion: This study has shown that the adolescent and advanced maternal age women have some kind of charecteristıc high risks in respect to their age groups. For having the best maternal and neonatal outcumes in both groups,these women should be informed about maternal and fetal risks and provided regular perinatal follow ups and treatment. Also social support is needed

Keywords:

Adolescent, advanced age, obstetric, neonatal,

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