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Pelin DERMENC AYEK, Serta AYEK, Ahmet YALINKAYA
 


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EXAMINATION OF RISKY AGE GROUP PREGNANCIES : THE EXPERIENCE OF A TERTIARY CENTER
 
Objectives : The aim of this study is to examine adolescent and advanced age pregnancies, which are considered to be high risk for mother and fetus, and to compare their clinical features with reproductive period pregnancies in the same time period. Materials and Methods : 1164 pregnant women who admitted to our hospital, which is a tertiary center and delivered, in 2017 were retrospectively analyzed. Fetal and maternal data were obtained properly from hospital records. Infants born at 20 weeks or less than 500 grams were not included in the study. Statistics: Statistical Package for and Social Sciences (SPSS) 15.0 for Windovs package program was used to evaluate the data. Chi-square analysis was used for comparing categorical data in statistical analyzes, and ANOVA was used for multiple comparisons, and Kruskal Wallis test was used as a non-parametric method for multiple comparisons of continuous variables that did not show normal distribution. Results: Among all pregnant women (n = 1164), 365 were at risk age group (29 adolescents and 336 elderly); 799 were pregnant women in the reproductive age group. The mean age of all pregnant women was 30.82 6.24, the average gravida was 4.10 2.47 and the parity average was 2.46 2.01. While the group with the highest gestational age was 37-39 weeks early term pregnancy (34.79%), the most delivery method was cesarean delivery (80.84%). The most spinal anesthesia was used (69.07%). 9.11% IUGR was detected in the fetuses of the cases. The APGAR score was recorded as 5.14 1.98 at the 1st minute and 7.46 2.26 at the 5th minute. When the patients were compared according to age groups, a statistically significant relationship was found in parameters such as gravida, parity, type of delivery, type of anesthesia, presentation, birth weight, 5th minute APGAR score, gestational age, IUGR, AFI, BTL application, additional surgical procedures and comorbid disease. Conclusion: In cases of detecting adolescent and advanced age pregnancies, more serious antenatal follow-ups and necessary medical measures should be taken more carefully by all relevant health institutions and employees.

Anahtar Kelimeler: Adolescent age pregnancies, advanced age pregnancies, maternal and fetal outcomes.