Skip to main content
Log in

Obstetric outcomes of adolescent pregnancies in Turkey

  • Published:
Advances in Therapy Aims and scope Submit manuscript

Abstract

Pregnancy in adolescence has been and continues to be a problem in public health. The purpose of this study was to investigate obstetric outcomes of adolescent pregnancies in Samsun, Turkey. A cross-sectional study was conducted between January 1 and December 31, 2004, at 3 hospitals in Samsun, Turkey. Of the 10,100 women who gave birth during this period, 357 (3.5%) were 18 years of age or younger; these patients were included in the study. Participants with a history of any chronic disease were excluded. Data were provided as median values (minmax) and percentages. In this study, the rate of birth for females 18 years or younger was found to be 35 per 1000. The median age of participants was 18 (14–18) years. The prevalence of cesarean section was calculated at 55.7%. Prevalences of lowbirthweight infants, preterm delivery, and eclampsia/preeclampsia were recorded as 44 (12.3%), 34 (9.5%), and 30 (8.4%) cases, respectively. Although the stillbirth rate was determined to be 1.7%, no congenital deformity was noted in infants, and none of the mothers died. The cephalopelvic disproportion rate was 5.9%, and only 2 adolescents experienced abruptio placentae. To reduce the occurrence of adolescent childbearing, pregnancy intentions must be assessed in multiple ways. Information/education may provide benefit to those female adolescents with inconsistent pregnancy intentions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. World Health Organization.Adolescent Pregnancy: Issues in Adolescent Health and Development. Geneva, Switzerland: World Health Organization, Department of Child and Adolescent Health and Development; 2004.

  2. United Nations International Children’s Emergency Fund [home page on the Internet]. Fertility and family planning [updated July 5, 2005]. Available at: www.unicef.org/specialsession/about/ sgreport-pdf/10_Fertility Family Planning D7341 Insert_English.pdf. Accessed July 12, 2005.

  3. United Nations International Children’s Emergency Fund [home page on the Internet]. Facts for life-PMS144.qrk [updated July 5, 2005]. Available at: www.unicef.org/ffl/pdf/factsforlifeen-part2.pdf. Accessed July 12, 2005.

  4. Hamilton BE, Martin JA, Sutton PD. Births—preliminary data for 2003.Natl Vital Stat Rep. 2004; 53:1–17.

    PubMed  CAS  Google Scholar 

  5. United Nations International Children’s Emergency Fund (UNICEF).The State of the World’s Children, 1998. New York, NY: UNICEF USA; 1999.

    Google Scholar 

  6. Hacettepe University Institute of Population.The 2003 Turkey Demographic and Health Survey. Ankara, Turkey: Hacettepe University Institute of Population; 2003.

    Google Scholar 

  7. Aksit S, Turpculu A. Trends in teenage pregnancy in Turkey.Int J Gynecol Obstet. 2003;81:55–56.

    Article  CAS  Google Scholar 

  8. Ozalp S, Tanir HM, Sener T, Yazan S, Keskin AE. Health risks for early (≤19) and late (≥35) childbearing.Arch Gynecol Obstet. 2003;268:172–174.

    Article  PubMed  Google Scholar 

  9. State of the World’s Mothers. Report, May 2004 [updated April 3, 2005]. Savethechildren.org [home page on the Internet]. Available at: http://www.savethechildren.org. Accessed May 28, 2005.

  10. World Health Organization.Reduction of Maternal Mortality: A Joint WHO/UNFPA/UNICEF/World Bank Statement. Geneva, Switzerland: World Health Organization; 1999.

    Google Scholar 

  11. Kushwaha KP, Rai AK, Rathi AK, Singh YD, Sirohi R. Pregnancies in adolescents: fetal, neonatal and maternal outcomes.Indian Pediatr. 1993;30:501–505.

    PubMed  CAS  Google Scholar 

  12. Abi-Said D, Annegers JF, Combs-Cantrell D, Frankowski RF, Willmore LJ. Case-control study of the risk factors for eclampsia.Am J Epidemiol. 1995;142:437–441.

    PubMed  CAS  Google Scholar 

  13. Jolly MC, Sebire N, Harris J, Robinson S, Regan L. Obstetric risks of pregnancy in women less than 18 years old.Obstet Gynecol. 2000;96:962–966.

    Article  PubMed  CAS  Google Scholar 

  14. Rosengard C, Phýpps MG, Adler NE, Ellen JM. Adolescent pregnancy intentions and pregnancy outcomes: a longitudinal examination.J Adolesc Health. 2004;35:453–461.

    PubMed  Google Scholar 

  15. King JC. The risk of maternal nutritional depletion and poor outcomes increases in early or closely spaced pregnancies.J Nutr. 2003;133:1732–1736.

    Google Scholar 

  16. Mahfouz AA, El-Said MM, Al-Erian RA, Hamid AM. Teenage pregnancy: are teenagers a highrisk group?Eur J Obstet Gynecol Reprod Biol. 1995;59:17–20.

    Article  PubMed  CAS  Google Scholar 

  17. Towne B, Czerwinski SA, Demerath EW, Blangero J, Roche AF, Siervogel RM. Heritability of age at menarche in girls from the Fels Longitudinal Study.Am J Phys Anthropol. 2005;128:210–219.

    Article  PubMed  Google Scholar 

  18. Otterblad OP, Haglund B, Ringback Weitoft G, Cnattingius S. Premature death among teenage mothers.BJOG. 2004;111:793–799.

    Article  Google Scholar 

  19. Abou ZC, Royston E.Maternal Mortality: A Global Fact Book. Geneva, Switzerland: World Health Organization; 1991.

    Google Scholar 

  20. Senanayake P. Adolescent fertility. In:Health Care of Women and Children. Oakland, Calif: Third Party Publishing Company; 1990:470–475.

    Google Scholar 

  21. Moerman ML. Growth of the birth canal in adolescent girls.Am J Obstet Gynecol. 1982;143: 523–528.

    Google Scholar 

  22. Harfouche JK, Verhoestrate LJ. Child Health. The State of Child Health in the Eastern Mediterranean Region, Alexandria. Cairo, Egypt: World Health Organization Regional Office for the Eastern Mediterranean; 1983:131–163(EMRO Technical Publication, No. 9).

    Google Scholar 

  23. Bozkaya H, Mocan H, Usluca H, Beser E, Gumustekin D. A retrospective analysis of adolescent pregnancies.Gynecol Obstet Invest. 1996;42:146–150.

    Article  PubMed  CAS  Google Scholar 

  24. Barda G, Arbel-Alon S, Bernstein D, Zakut H, Menczer J. Pregnancy and delivery in a group of Israeli teenagers: a case-controlled study.Clin Exp Obstet Gynecol. 1998;25:32–35.

    PubMed  CAS  Google Scholar 

  25. Lao TT, Ho LF. The obstetric implications of teenage pregnancy.Hum Reprod. 1997;12:2303–2305.

    Article  PubMed  CAS  Google Scholar 

  26. Pal A, Gupta KB, Randhawa I. Adolescent pregnancy: a high risk group.J Indian Med Assoc. 1997;95:127–128.

    PubMed  CAS  Google Scholar 

  27. Chandra PC, Schiavello HJ, Ravi B, Weinstein AG, Hook FB. Pregnancy outcomes in urban teenagers.Int J Gynecol Obstet. 2002;79:117–122.

    Article  CAS  Google Scholar 

  28. Amini SB, Catalano PM, Dierker LJ, Mann LI. Births to teenagers: trends and obstetric outcomes.Obstet Gynecol. 1996;87:668–674.

    Article  PubMed  CAS  Google Scholar 

  29. Ziadeh S. Obstetric outcomes of teenage pregnancies in North Jordan.Arch Gynecol Obstet. 2001;265:26–29.

    Article  PubMed  CAS  Google Scholar 

  30. Khwaja SS, Al-Sibai MH, Suleiman A. Obstetric complications of pregnancy in adolescence.Acta Obstet Gynecol Scand. 1986;65:57–61.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Canbaz, S., Sunter, A.T., Cetinoglu, C.E. et al. Obstetric outcomes of adolescent pregnancies in Turkey. Adv Therapy 22, 636–641 (2005). https://doi.org/10.1007/BF02849957

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02849957

Keywords

Navigation