Comparison of Delivery Results of Adolescent-Age Pregnant Women and Older Pregnant Women With Those In Normal Age Range

Abstract

The negative results of adolescent (10-19 years) and advanced-age pregnancies (AMA) (>40 years) were compared with the results of the pregnancies considered to be within normal reproductive period (20-40 years) in our study. The complications and poor outcomes that might occur during and after pregnancies in these special periods were also uncovered in this respect. The data of the patients were scanned retrospectively through the automation system, and the patients were divided into 3 groups according to their ages at birth; adolescent (10-19 years), normal (20-40 years old), and AMA (>40 years). A total of 100 patients were evaluated in the adolescent age group, 99 patients in the normal age group, and 76 patients in the AMA group. Statistically significant differences were detected between the groups in terms of age, weight, and BMI (p<0.05). Statistically significant differences were found between the groups in terms of active phase duration (p<0.05), which was the highest in women in the AMA group (268.5min). There were statistically significant relations in terms of pregnancy follow-up status (p<0.05); and the rate of non-follow-up was the highest in the adolescent group (32.0%). C/S ratio was the highest in the AMA group (73.7%), the normal delivery rate was the highest in the adolescent group (83.0%). Also, there were statistically significant relations between cesarean section indications (p<0.05).Although fetal distress was the indication for cesarean section in the majority of women in the normal and adolescent group (39.1%-56.3%), the reason for cesarean section was found to be maternal anxiety (patient demand) in the majority (25.0%) of women in the AMA group. Early and late pregnancies should be considered as a special group and follow-up should be planned accordingly. Decreased pregnancy follow-up status in adolescence and increased cesarean section rates in advance-age pregnancies may increase complications.