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根据年龄组评估青少年妊娠的产科结局。

Evaluation of obstetric outcomes in adolescent pregnancies according to age groups.

作者信息

Serbetci Hakki, Tanacan Atakan, Ozkavak Osman Onur, Haksever Murat, Karatas Esra, Basarir Mehmet Utku, Kara Ozgur, Sahin Dilek

机构信息

Turkish Ministry of Health, Ankara City Hospital, Perinatology Clinic - Ankara, Turkey.

Turkish Ministry of Health, University of Health Sciences, Ankara City Hospital, Department of Obstetrics and Gynecology - Ankara, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2025 Aug 8;71(7):e20250010. doi: 10.1590/1806-9282.20250010. eCollection 2025.

Abstract

INTRODUCTION

The aim of the present study was to gain insight into how age may influence the outcomes of adolescent pregnancies and to gain a better understanding of the proportion of immigrants in adolescent pregnancies.

METHODS

This retrospective study was conducted in a perinatology clinic between 2021 and 2024. The patients were divided into two categories such as adolescents and adults. The adolescent cohort was then divided into two subgroups according to age. Demographic characteristics, pregnancy follow-up, and postnatal outcomes were reported and compared between groups.

RESULTS

A total of 123 adolescent pregnancies compared with 123 adult pregnancies. There were 27 patients in the 14-15 age group and 96 patients in the 16-17 age group. The adult group exhibited significantly higher age (p<0.01), gravidity (p<0.01), parity (p<0.01), gestational age at birth (p<0.01), neonatal weight (p<0.01), and both antepartum (p=0.017) and postpartum (p<0.01) hemoglobin values compared to the adolescent group. The decline in hemoglobin levels in the peripartum period was significantly higher in the 14-15 age group (p<0.01). A significant difference was observed between adolescent and adult pregnant groups in terms of early pregnancy follow-up. The proportion of immigrants was much higher in the adolescent group at 49.6% and in the adult group at 4.8% (p<0.01).

CONCLUSION

Adolescent pregnancies represent a significant public health concern. The risks in this regard are amplified with a reduction in the age of the patient. The prevalence of adolescent pregnancies among refugees appears to be a matter of significant concern.

摘要

引言

本研究的目的是深入了解年龄如何影响青少年怀孕的结局,并更好地了解青少年怀孕中移民的比例。

方法

这项回顾性研究于2021年至2024年在一家围产医学诊所进行。患者分为青少年和成年人两类。然后将青少年队列按年龄分为两个亚组。报告并比较了各组之间的人口统计学特征、孕期随访情况和产后结局。

结果

共纳入123例青少年怀孕病例与123例成年怀孕病例进行比较。14 - 15岁年龄组有27例患者,16 - 17岁年龄组有96例患者。与青少年组相比,成年组的年龄(p<0.01)、孕次(p<0.01)、产次(p<0.01)、出生时的孕周(p<0.01)、新生儿体重(p<0.01)以及产前(p = 0.017)和产后(p<0.01)血红蛋白值均显著更高。围产期血红蛋白水平下降在14 - 15岁年龄组更为显著(p<0.01)。青少年和成年怀孕组在早孕随访方面存在显著差异。青少年组中移民比例高达49.6%,成年组为4.8%(p<0.01)。

结论

青少年怀孕是一个重大的公共卫生问题。在这方面,随着患者年龄的降低,风险会增大。难民中青少年怀孕的患病率似乎是一个值得高度关注的问题。

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