Uzunov Ana Veronica, Bohiltea Roxana Elena, Munteanu Octavian, Nemescu Dragos, Cirstoiu Monica Mihaela
Department of Obstetrics and Gynecology, 'Carol Davila' University of Medicine and Pharmacy Doctoral School, University Emergency Hospital Bucharest, 050098 Bucharest, Romania.
Department of Obstetrics and Gynecology, 'Carol Davila' University of Medicine and Pharmacy, University Emergency Hospital Bucharest, 050098 Bucharest, Romania.
Exp Ther Med. 2020 Sep;20(3):2444-2448. doi: 10.3892/etm.2020.8835. Epub 2020 Jun 4.
Adolescent pregnancies are associated with a high number of risks for the newborn and mother. Hence, an increased number of emergency caesarean extractions are performed in this group of patients. The aim of this study was to analyze the pregnancy-related conditions, the way of delivery and the neonatal outcome of all the patients who delivered in the Department of Obstetrics and Gynecology of University Emergency Hospital in Bucharest, a tertiary unit in Romania in a period of 5 years. An observational, retrospective study was performed on a group of 686 patients, aged 12 to 19 years, who delivered in the Department of Obstetrics and Gynecology of University Emergency Hospital in Bucharest, between January 1, 2014 and December 31, 2018. The pregnant women were divided into two age groups. In the first group were pregnant patients aged under 18 years, and in the second group pregnant adolescents between 18 and 19 years. Whether the patients underwent prenatal screening was analyzed. Furthermore, the age of the patients, the rate of caesarean extraction and vaginal birth and the obstetrical complications were evaluated and compared. The outcome of the newborns was assessed based on Apgar score at 1 min and birth weight. Regarding the results, 464 of the 686 patients did not undergo any medical visits during pregnancy. In total, 52.76% of the patients delivered by caesarean section. The most frequent indications for caesarean extraction, in both analyzed groups, were Cephalo-pelvic disproportion, fetal distress and uterine scar after caesarean section. The lack of specific protocols regarding the ante-, peri- and post-natal management of adolescents is probably the cause of the alarmingly increasing number of patients pertaining to the group who deliver by caesarean section.
青少年怀孕对新生儿和母亲都有很高的风险。因此，这类患者中急诊剖宫产的数量有所增加。本研究的目的是分析罗马尼亚三级医疗机构布加勒斯特大学急诊医院妇产科在5年期间分娩的所有患者的妊娠相关情况、分娩方式和新生儿结局。对2014年1月1日至2018年12月31日期间在布加勒斯特大学急诊医院妇产科分娩的686名年龄在12至19岁之间的患者进行了一项观察性回顾性研究。孕妇被分为两个年龄组。第一组是年龄小于18岁的孕妇，第二组是年龄在18至19岁之间的青少年孕妇。分析了患者是否接受了产前筛查。此外，对患者的年龄、剖宫产和阴道分娩率以及产科并发症进行了评估和比较。根据1分钟时的阿氏评分和出生体重评估新生儿的结局。关于结果，686名患者中有464名在怀孕期间没有进行任何产检。总共有52.76%的患者通过剖宫产分娩。在两个分析组中，剖宫产最常见的指征是头盆不称、胎儿窘迫和剖宫产术后子宫瘢痕。青少年产前、产时和产后管理缺乏具体方案可能是剖宫产分娩患者数量惊人增加的原因。
