A COMPARATIVE ANALYSIS OF THE IMPACT OF DEPRESSION ON PREGNANCY AND DELIVERY IN ADOLESCENCE

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Objective . Depression is one of the most common complications of pregnancy. Depressive disorders experienced about 12.7% of pregnant women and 46% of these cases is observed in pregnant adolescents. Material and methods . This was a prospective, descriptive, selective cohort study included 168 (64.4%) pregnant women aged 13-25 years that have passed a psychological survey in the third trimester of pregnancy and gave birth in the hospital IMCC, in the period from 01.01.2013 to 31.12. 2014. Results . It was found high rates of depression in pregnant adolescents (OR = 2,42 (1,43 <OR <4,09), p <0.001), compared with older women of reproductive age, and that is conditioned by family history, lack of support from family or socioeconomic status, stressful conditions (trauma, violence, loss, divorce) (p <0.01). Also, significantly more often at pregnant teenagers on a background of depressive disorders occur complications of pregnancy and childbirth such as vomiting of pregnancy (OR = 3,9 (1,24 <OR <12.03), p <0.01), preeclampsia OR = 3,4 ( 0,9 <OR <12,8), (p <0.05), IUGR fetus (OR = 2,43 (0,96 <OR <6,12), p <0,05). Conclusions . The result of this study generally confirm the literature data on the greater frequency of complications of pregnancy and childbirth in adolescents then in women of average reprodactive age, due to family history, lack of support from family or society, stressful condition (trauma, violence, loss, divorce). Adolescent with depression during pregnancy are at increased risk of preeclampsia, IUGR fetus. An important implication of these findings is that antenatal depression should be identified through screening programs for depression during pregnancy and to provide practical assistance to pregnant adolescent, especially with a history of depression disorders.