Document Detail

Reproductive and obstetric characteristics of adolescent pregnancies in Turkish women.
MedLine Citation:
PMID:  16171728     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate reproductive and obstetric characteristics of adolescent pregnancies in Turkish population. DESIGN: Retrospective study. SETTING: Social Security Agency (SSK) Aegean Obstetrics and Gynecology Teaching Hospital (tertiary referral center). PATIENTS: One thousand and eight hundred adolescent pregnant women who referred to our center, between January 12, 2002 and March 15, 2003. The adolescent age group was defined as young women between the ages of 13 and 19. INTERVENTIONS: None. OUTCOME MEASURES: Socio-demographic characteristics, contraceptive histories, sexually transmitted infections (STI), and obstetric outcomes of the patients. RESULTS: Mean age was 17.3 (range 13-19) years. Among all adolescent pregnancies 1368 (76%) cases were planned, and 1512 (84%) cases were married. Approximately 70% of the patients with a non-planned pregnancy were not using any contraceptive methods. Although there were no patients with HIV infection, there were a considerable percentage of patients with positive cervical screening tests for Human Papilloma Virus (8.05%). A majority of adolescent mothers (77%) lacked prenatal care; mean gestational week at the first prenatal visit of the patients taking prenatal care was 28.2 (range 6-39) weeks. There were 249 (13.83%) abortions. Mean gestational age at delivery was 36 +/- 2 (range 25-41) weeks. The most common obstetric complication was low birth weight (28.72%). CONCLUSIONS: Adolescent pregnancy rate in Turkey is similar to those in developed countries. However, there are considerable differences which possible reflect ethnic and socio-cultural differences, in between two populations. Our major problems seem to be the low rate of previous effective contraceptive use for unintended adolescent pregnant women and the high rate of inadequate prenatal care for adolescent pregnant women, even if their pregnancies are intended.
Yusuf Yildirim; M Murat Inal; Sivekar Tinar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric and adolescent gynecology     Volume:  18     ISSN:  1083-3188     ISO Abbreviation:  J Pediatr Adolesc Gynecol     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-09-20     Completed Date:  2006-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610774     Medline TA:  J Pediatr Adolesc Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  249-53     Citation Subset:  IM    
SSK (Social Security Agency), Aegean Obstetrics and Gynecology Teaching Hospital, Department of Obstetrics and Gynecology, Izmir, Turkey.
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MeSH Terms
Cesarean Section / statistics & numerical data
Infant, Low Birth Weight
Infant, Newborn
Pregnancy Complications / epidemiology
Pregnancy Outcome*
Pregnancy in Adolescence / statistics & numerical data*
Prenatal Care / statistics & numerical data
Retrospective Studies
Turkey / epidemiology

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