Çetin Orkun, Verit Fatma Ferda, Zebitay Ali Galip, Aydın Zuhal, Kurdoğlu Zehra, Yücel Oğuz
Yüzüncü Yıl University Faculty of Medicine, Department of Obstetrics and Gynecology, Van, Turkey.
Süleymaniye Education and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.
Turk J Obstet Gynecol. 2015 Sep;12(3):151-157. doi: 10.4274/tjod.94758. Epub 2015 Sep 15.
To compare perinatal and short-term neonatal outcomes of adolescent, reproductive age, and advanced maternal age (AMA) pregnancies in a low-income region of İstanbul.
Three hundred six adolescents, 301 reproductive age, and 303 AMA pregnant women who delivered in Süleymaniye Education and Research Hospital between January 1 2007, and January 31 2015, were recruited to the study population. The clinical, obstetric and short-term neonatal outcomes of the women were analyzed retrospectively.
Adolescent and AMA pregnancies were associated with severe adverse perinatal and short-term neonatal outcomes compared with reproductive-age women. Adolescent and AMA pregnancies had quite similar risks in obstetric outcomes. Adolescent pregnancies were related with severe adverse short-term neonatal outcomes when compared with advanced maternal age pregnancies.
Adolescent and AMA pregnancies should be defined as high-risk pregnancies. Our research indicated that healthcare providers such as obstetricians, midwives, and family physicians should be alert in these populations.
比较伊斯坦布尔低收入地区青少年、育龄期及高龄孕产妇（AMA）妊娠的围产期及新生儿短期结局。
选取2007年1月1日至2015年1月31日在苏莱曼尼耶教育与研究医院分娩的306名青少年孕妇、301名育龄期孕妇和303名AMA孕妇纳入研究人群。对这些女性的临床、产科及新生儿短期结局进行回顾性分析。
与育龄期女性相比，青少年及AMA妊娠与严重不良围产期及新生儿短期结局相关。青少年及AMA妊娠在产科结局方面风险颇为相似。与高龄孕产妇妊娠相比，青少年妊娠与严重不良新生儿短期结局相关。
青少年及AMA妊娠应被定义为高危妊娠。我们的研究表明，产科医生、助产士和家庭医生等医疗服务提供者应对这些人群保持警惕。
