Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey.

Abstract:

BACKGROUND:Young maternal age is variously defined in studies of its effect on obstetrics and perinatal outcomes. Also, pregnancy has been reported as the leading cause of death in adolescent girls in low- and middle-income countries. AIMS:The aim of the study was to evaluate whether young maternal age was associated with an increased risk of obstetrics and perinatal adverse outcomes. STUDY DESIGN:Case-control study. METHODS:This case-control study was derived from a database of the medical records between January 2008 and December 2012. In the present study, 1374 teenage pregnancy and 1294 adult pregnancy cases were included. After restriction of analyses to singleton primiparous women, 1282 teenage pregnancy and 735 adult pregnancy cases were analyzed. Maternal age was separated into three groups: 15 and less, 16-19, and 20-34 years. Adjusted odds ratios (ORs) were derived through logistic regression models for the potential confounding factors. RESULTS:Adolescents aged 15 years and younger had higher risks of preterm delivery, early preterm delivery, intrauterine fetal death and neonatal death compared with women aged 20 to 34 years after adjustment for confounding factors. In addition, both groups of adolescents had higher risks for anemia and episiotomy and lower risk of cesarean delivery. The rates of preeclampsia, gestational diabetes, chronic diseases, intrauterine growth restriction (IUGR) were higher in the adult group. CONCLUSION:Younger maternal age was correlated with increased risks of preterm delivery, fetal and neonatal death and anemia.

journal_name

Balkan Med J

journal_title

Balkan medical journal

authors

Demirci O,Yılmaz E,Tosun Ö,Kumru P,Arınkan A,Mahmutoğlu D,Selçuk S,Dolgun ZN,Arısoy R,Erdoğdu E,Tarhan N

doi

10.5152/balkanmedj.2015.150364

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

344-9

issue

3

eissn

2146-3123

issn

2146-3131

pii

bmj-33-3-344

journal_volume

33

pub_type

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