Comparison of delivery results of adolescent-age pregnant women and older pregnant women with those in normal age range

INTRODUCTION: The negative results of adolescent (10-19 years) and advanced-age pregnancies (AMA) (>40 years) were compared with the results of the pregnancies considered to be within normal reproductive period (20-40 years) in our study. The complications and poor outcomes that might occur during and after pregnancies in these special periods were also uncovered in this respect.

METHODS: The data of the patients were scanned retrospectively through the automation system, and the patients were divided into 3 groups according to their ages at birth; adolescent (10-19 years), normal (20-40 years old), and AMA (>40 years). A total of 100 patients were evaluated in the adolescent age group, 99 patients in the normal age group, and 76 patients in the AMA group.
RESULTS: Statistically significant differences were detected between the groups in terms of age, weight, and BMI (p<0.05). Statistically significant differences were found between the groups in terms of active phase duration (p<0.05), which was the highest in women in the AMA group (268.5min). Although fetal distress was the cause in the majority of women in the normal and adolescent group (39.1%-56.3%), the reason was found to be maternal anxiety (patient demand) in the majority of women (25.0%) in the AMA group.
DISCUSSION AND CONCLUSION: Early and late pregnancies must be evaluated as a special group, and follow-ups must be planned in this respect. Increased cesarean section rates and decreased pregnancy follow-up status in adolescence may cause increased complications especially in advanced-age pregnancies.