Pregnancy Outcomes In Adolescent Pregnancies; Risks And Solution Suggestions; A Retrospective Analysis Of The Region With The Highest Crude Birth Rate In Turkey

Introduction: Pregnancies in the adolescent age group have shown an increasing trend in Trkiye, particularly with the rising issue of migration, constituting a significant public health concern.Factors such as lack of knowledge, social st igma, and financial constraints lead to delayed initiation of antenatal care and lack of follow-up.This study aims to examine the outcomes of adolescent pregnancies. Methods:The pregnancy outcomes of 74 adolescents who presented to the obstetrics and gyne cology clinic of a rural district state hospital for delivery between 2020 and 2021 were retrospectively analyzed.Results:In this study, gravida, parity numbers, comorbidities, and maternal and neonatal outcomes of adolescents under 18 were examined.The mean age was 17.4 1 years, the mean gravida was 1.3 0.6, parity was 0.3 0.6, and the mean number of abortions was 0.01 0.1.Normal spontaneous vaginal delivery was observed in 67 participants (90.5%), with episiotomy performed in 54 (73.0%) of these cases.The mean gestational age was 38.5 1.5 weeks, with a mean fetal weight of 3008 481 g and a mean fetal length of 4 9.7 3.2 cm.The mean 1-minute Apgar score was 7.8 1.3, and the 5-minute score was 8.9 1.1.Only one delivery occurred at 29 w eeks of gestation, with all others classified as term deliveries.Discussion and Conclusion:To prevent adolescent pregnancies, which constitute a societal issue, comprehensiv e education programs should be provided to both adolescents and their families.Adequate medical support must also be ensured for adolescent mothe rs.