Risk factors and complications in adolescent pregnancies

Risk factors and complications in adolescent pregnancies


Köse, E.Z. Tuzcular Vural, I. Gönenç, N. Hadroviç, N. Aka

Haydarpaca Numune

Education and Research Hospital, Family Planning Unit, Istanbul, Turkey

Objectives In this study we aimed to investigate the risk factors and

complications encountered in adolescent pregnancies and compare them with the

results of adult pregnancies.

Design and methods A retrospective study was

designed, and the risk factors and complications of 155 adolescent women aged

below 19 years were compared with randomly chosen 152 adult women both who gave

birth in a Gyn / Ob Department setting, between 1.1.1998 and 31.12.2002.


In the adolescent group 73% had vaginal deliveries, 24 % had Caesarian

deliveries while 5.3 % needed assisted (instrumental) deliveries. The need for

assisted deliveries was statistically significantly higher than the adult group

(p<0.05). The rate of fetal anomalies was 2.6 % in the adolescent group while the adult group showed none. The most frequently observed complication was prematurity, with a rate of 21.3% followed by IUGR with a rate of 12.3% in the adolescent group.

Conclusion Teen births are still a big problem worldwide.

High teenage birth rates are an important concern because teen mothers and their

babies face increased risks to their health, and their opportunities to build a

future are diminished. A teenage mother is at greater risk than women over age

20 for pregnancy complications such as premature labor, anemia and high blood

pressure. Teenage mothers are less likely to gain adequate weight during their

pregnancy, leading to low birth weight which is associated with infant and

childhood disorders and a high rate of infant mortality.

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