Adolescent Pregnant Women Research Articles

Adolescent Pregnancy: A Comparative Insight into the Prevalence and Risks of Obstetric Complications in a Polish Cohort.

Background: Adolescent pregnancy is associated with increased risk of both maternal and neonatal complications. Common maternal complications include anemia, hypertensive disorders, and a higher incidence of infections, including Group B Streptococcus (GBS). Additionally, adolescents are at increased risk for gestational diabetes and postpartum hemorrhage. Neonatal complications often involve low birth weight, prematurity, and an increased likelihood of neonatal intensive care unit (NICU) admission. Objectives: This study aims to assess and compare the prevalence of obstetric complications between adolescent and older pregnant women. Methods: This retrospective study investigates obstetric outcomes in adolescent pregnancies, analyzing data collected from 1 January 2016 to 30 June 2024. This study included 902 participants, of whom 224 were adolescents. The variables were categorized into maternal, birth, and neonatal characteristics. Results: Adolescent patients demonstrated a significantly higher prevalence of Group B Streptococcus (GBS) infection, affecting 25.89% of this group. Adolescent patients reported 17.86% nicotine use during pregnancy, a rate significantly higher than that of older age groups (p < 0.001). Additionally, adolescent pregnancies were associated with the highest mean blood loss during delivery, averaging 500 mL during vaginal birth and 1050 mL during cesarean section, leading to a higher incidence of blood transfusions (3.13%, p = 0.021). Newborns from adolescent pregnancies had the lowest mean birth weight (3199 g) and length (53.6 cm). Neonatal complications were more frequent in this group, affecting 20.09% of newborns, with a significantly higher rate of admission to intensive care units (2.68%, p = 0.008). These findings underscore the need for targeted interventions and more proactive management strategies to address the specific challenges faced by this population.

Midwifery assessment and interventions protocol for adolescent pregnancy: a Delphi method approach

Background: Adolescence pregnancy poses risks for both mothers and infants, often due to insufficient prenatal care resulting from societal stigmatization and lack of awareness. Around 16 million adolescents aged 15-19 years in the world give birth each year; in Indonesia, the first pregnant women aged &lt;20 years are 45.10%, while in West Sumatra, it is 33.7%. To address this issue, integrated programs and midwifery care have been implemented. However, providing such care to adolescent mothers comes with its own set of challenges.Purpose: This study aims to conduct a midwifery assessment and intervention protocol for adolescent pregnancy.Method: Qualitative approach The Delphi method involved two rounds of evaluation, with twenty-one participants who were independent practice midwives, six midwives involved in the mother and child health program, and nine midwifery lecturers from accredited educational institutions A (excellent). Participants had at least five years of clinical experience and were selected using purposive non-probability sampling. Participants evaluated statements related to midwifery care during the Delphi process. The validity of these statements was determined by participants providing a minimum score of 3, and the Content Validity Ratio (CVR) was calculated. Statements with a CVR greater than 0.8 were considered valid.Results: Based on expert consensus, important assessments for adolescent pregnant women include addressing issues of gender equality and domestic violence, reproductive and sexual health, risks associated with smoking and substance abuse, maintaining a healthy pregnancy, and adequately preparing for labor and parenthood.Conclusion: Midwifery management and midwifery information were deemed valid dimensions of midwifery care; relational care had one invalid item.

Risk Factors for Anemia in Adolescent Pregnancies: Evidence From the Lembah Pantai Urban Health District in Malaysia.

Introduction Adolescent pregnant mothers are at higher risk of acquiring anemia during pregnancy, which has detrimental consequences for the mother and baby. Untreated and prolonged anemia can lead toperinatal morbidity and mortality and antepartum, intrapartum, and postpartum maternal morbidity.Anemia among adolescent pregnant mothers can be attributed to many factors, such as poor nutrition and the physiological demands of pregnancy. Hence, this study aimed to determine the prevalence and characteristics of anemia among adolescent pregnancies in Lembah Pantai Health District in an urban setting. Materials and methods This cross-sectional study utilized secondary data from registry records of adolescentpregnant mothers in the Lembah Pantai District Health Office in Kuala Lumpur,Malaysia from 2019 to 2022. All adolescent pregnancies aged 10 to 19 years were included in this study. Those with a prior diagnosis of thalassemia or other hematological disorders, as indicated in their medical records, were excluded from the study. The chi-square (χ2) test was applied to elicit the association at a univariate level, and those variables with a p-value of <0.25 were included in a multiple logistic regression model. Results A total of 307 records were reviewed, and 272 pregnant adolescent cases were eligible for the analyses. The prevalence of anemia among teenage pregnancies from 2019 to 2022 was 28.7% (95% CI: 23.0-33.6). This prevalence was lower than in many lower-income countries and developing countries.Factors that were significant on using multiple logistic regression analysis included marital status (unmarried) (AOR: 1.87, 95% CI: 1.01-3.45, p=0.046), residing area Seputeh (AOR: 0.29, 95% CI: 0.14-0.61, p=0.001), and third trimester of first antenatal visit/booking (AOR: 5.08, 95% CI: 2.02-12.70, p<0.001).The population in the Seputeh area has a higher overall household income in comparison toLembah Pantai. Conclusions According to the WHO classification, the prevalence of anemia among adolescent pregnant women at the Lembah Pantai District Health Office reflects amoderate public health issue. Consequently, anemia may exacerbate the impact of other health conditions in this population.Hence, local health authorities should ensure that anemia is adequately addressed without ignoring other crucial health issues. A multidisciplinary, comprehensive, holistic strategy involving healthcare providers, school health teams, and community assets offers a potential solution. Strategies that can be employed include providing targeted health and nutrition education in schools through school health teams. Additionally, establishing adolescent-friendly health clinics tailored to the specific needs of pregnant adolescents and enhancing antenatal services to ensure comprehensive screening and management of anemia should also be implemented.Hence, this will ensure achieving safe motherhood goals through an effective healthcare response.

Dietary diversity, undernutrition, and predictors among pregnant adolescents and young women attending Gulu University teaching hospitals in northern Uganda.

Undernutrition has deleterious consequences to both the mother and the unborn child, significantly contributing to maternal and neonatal morbidity and mortality. We assessed dietary diversity, the prevalence, and predictors of undernutrition among pregnant adolescents and young women (PAYW) attending antenatal clinic (ANC) at two large teaching hospitals in northern Uganda. Between 12th June 2023 to 27th October 2023, we conducted a facility-based, cross-sectional study at Gulu Regional Referral Hospital (GRRH) and St Mary's Hospital Lacor (SMHL), both in Gulu district, Uganda. We recruited PAYW aged 15-24 years attending ANCs. Sociodemographic and clinical characteristics of the study participants were collected using a pre-tested, semi-structured questionnaire. Undernutrition was defined as a mid-upper arm circumference (MUAC) of < 23 cm. Modified Poisson regression analysis was performed to determine factors independently associated with undernutrition. Data analyses was performed using STATA version 17.0. A p<0.05 was considered statistically significant. A total of 324 participants, with a mean age of 21.2±2.2 years were enrolled. About 62.0% (n = 201) of the participants dewormed during pregnancy. The prevalence of undernutrition was 12.7% [n = 41]. Prevalence was higher among participants who maintained pre-pregnancy diet (adjusted prevalence ratio [aPR] = 2.27, 95% Confidence Interval [CI]: 1.26-4.05, p = 0.006), those who did not receive nutritional education (aPR = 2.25, 95% CI: 1.21-4.20, p = 0.011) and consumption of non-green leafy vegetables (aPR = 4.62 95% CI: 1.64-13.01, p = 0.004). The prevalence of undernutrition was lower among participants who consumed milk and milk products (aPR = 0.44 95% CI: 0.24-0.81, p = 0.009) and among those who consumed fish and seafood compared to those who did not (aPR = 0.45 95% CI: 0.20-1.00, p = 0.050). About 1 in 8 of PAYW attending GRRH or SMHL had undernutrition, particularly those who lacked education about feeding habits during pregnancy and limited access to milk and milk products, fish and seafoods. We recommend health workers to offer timely education of pregnant adolescent and young women mothers about good feeding habits during pregnancy, appropriate monitoring of weight gain and physiological changes during pregnancy.

Maternal and foetal risks associated with teenage pregnancy - a comparative retrospective study in Turkey

Background Adolescent pregnancy is defined as pregnancy occurring in young women between the ages of 10 and 19 years. Adolescent pregnancies, which are among the social healthcare concerns in developed and developing countries, have negative effects on maternal and infant health. Pregnancy in adolescence puts the health of both the mother and child at risk, as adolescent pregnancies have higher rates of eclampsia, systemic infection, low birth weight, and preterm delivery compared to other pregnancies. In this study, the effects of education level, smoking, and marital status on maternal and foetal outcomes in adolescent pregnancies were evaluated. Methods The records of a total of 960 pregnant women (480 pregnant adolescents aged 15–19 years and 480 pregnant adult women aged 20–26 years) were examined retrospectively. The demographic data of the groups and maternal and foetal outcomes of the pregnancies were compared. A logistic regression model was established as a statistical method for reducing confounding effects. Results Unmarried women were statistically significantly more prevalent in the adolescent group (38.3% vs. 7.3%). Among the considered risk factors, preeclampsia (2.9% vs. 0.8%) and smoking (29.8% vs. 9.8%) were statistically significantly more common in the adolescent group. When the groups were compared in terms of risk factors in pregnancy, it was found that pregnancy in adolescence was associated with a 3.04-fold higher risk of smoking, 5.25-fold higher risk of being unmarried, 3.50-fold higher risk of preeclampsia, and 1.70-fold higher risk of intrauterine growth retardation (IUGR). Conclusions This study demonstrates an increased risk of preeclampsia, IUGR, and smoking during pregnancy in adolescent pregnant women. These findings can be used to identify adolescent pregnancies requiring specific assistance and to take measures to reduce the probability of adverse outcomes.

NURSING CARE FOR ADOLESCENTS IN PRENATAL

The problematization of teenage pregnancy and its care through prenatal care, being multifactorial, permeated by social and cultural prejudices, poses challenging factors for the practice of nurses in Primary Care. Objective: Highlight the role of the nurse in the sensitized reflection of care, to establish bonds and trust, fundamental for the humanization of this process. Methodology: Integrative review of the literature developed with original articles, published between 2018 and 2023, with the theme of teenage pregnancy and nursing care. Results: It was constructed from this study that the concept of sensitized reflection on the care of pregnant adolescents must value their biographies, their values, their fears and desires; characterizing the nurse’s performance free from prejudice and prejudgment, stigma, aggression or discrimination. Final considerations: It is suggested that the role of nurses working in Primary Health Care is to recommend and ensure that care for pregnant adolescent women, a population so fragile and vulnerable, is more welcoming, attentive, warm, harmonious and humanized than their current practices.

Perceived Stress and Associated Factors Among Pregnant Adolescent Came for Antenatal Care in Public Hospitals of South Gondar Zone, Northwest, Ethiopia. Institution based cross-sectional study design 2023

Background: Perceived stress during pregnancy is associated with adverse obstetric outcomes especially being adolescent. Adolescents display harmful emotional responses towards pregnancy, presenting higher school dropout rates, social punishment, and segregation. Stress is the most frequently encountered reactions toward an unexpected pregnancy in adolescents. Antenatal perceived stress is still unaware and under-diagnosed during routine antenatal care. However, no adequate studies performed on perceived stress and its risk factors among pregnant adolescent women in developing countries including Ethiopia specifically at the study area. Objective: To assess the prevalence of perceived stress and associated factors among pregnant adolescent came for antenatal care in public hospitals of south Gondar zone, Northwest, Ethiopia, 2023. Materials and Methods: This an institution-based cross-sectional study was conducted from April 03 – May 20, 2023, among 415 pregnant adolescent women attending antenatal care in public hospitals of south Gondar zone. The participants were interviewed using a structured questionnaire which included demographic data, obstetric data, serious life event data, and English language version of the 10-item Perceived Stress Scale (T-PSS-10) to assess perceived stress symptoms. The data was coded and entered to Epi data 3.1 and was exported to Stata14 for analysis. Both bivariable and multivariable logistic regression were fitted to identify factors associated with perceived stress. In multivariable logistic regression variables with P-value&lt;0.05 with 95% CI were considered independently associated factors for the outcome variable. Results: Of a total 415 pregnant adolescents, theprevalence of perceived stress symptoms in antenatal pregnant adolescent was 18.07% (95% CI; 14.35- 21.78%). Perceived stress symptoms were significantly associated with Partner rejection of pregnancy (AOR= 5.99, 95% CI; 1.44- 24.92), first trimester of pregnancy (AOR= 5.18, 95% CI; 1.37- 19.58), unplanned pregnancy (AOR= 2.14, 95% CI; 1.10– 4.17), multiple roles at home (AOR= 1.90, 95%CI=1.03-3.48), prenatal depression (AOR=2.14, 95%CI=1.08-4.24) and poor social support (AOR=8.33, 95%CI=1.01-68.43). Conclusion: The prevalence of perceived stress among pregnant adolescent was relatively high. Partner acceptance of pregnancy, gestational age, and status of pregnancy, multiple roles at home, depression and social support were associated with perceived stress. This study recommended that all pregnant adolescent women should be screened and treated for perceived stress, particularly during the first trimesters and mothers with depression.

Reimagining nutrition education for pregnant adolescents in the face of climate change: a community approach

ObjectivesTo explore challenges with current nutrition education for teenage pregnant women in a drought-prone community in Kenya and to elicit the communities’ suggestions on how to best adapt it in...

Psychosocial dimension of adolescent pregnancy: a phenomenological study on life experiences

ABSTRACT Aim This study aimed to assess the lived experiences of adolescent pregnant young women, with a specific focus on the psychosocial aspect of adolescent pregnancy, using a phenomenological approach. Design Employing the phenomenological research method, semi-structured in-depth interviews were conducted between 3 August and 18 August 2023 with 15 young women (mean age = 21.86 years; SD = 1.06) living in a province in eastern Turkey who had undergone adolescent pregnancy 3–5 years before. Methods The criterion sampling method, a form of purposive sampling, was used to form the sample group. Interviews were carried out until data saturation was reached. All interviews were recorded and transcribed, and thematic analysis was utilised to analyse the data. The study adhered to the COREQ checklist for reporting. Results Through data analysis, three main categories (reflections on adolescent pregnancy, challenges due to adolescent pregnancy, and effects of adolescent pregnancy) and nine sub-themes (emotions, roles and responsibilities, perception of social support, cognitive, emotional, behavioural, mental, physical, and social) emerged. Conclusion Our study highlights the adverse psychosocial impact of adolescent pregnancy on young women. Young women who got married at an early age before attaining full physical, social, and psychological maturity grappled with the substantial burdens of adolescent pregnancy and adjusting to their new roles. The study’s implications are significant, emphasising the necessity of addressing the psychosocial facets of adolescent marriage and pregnancy, and gaining valuable insights for the future.

Comparison of perinatal and neonatal outcomes of adolescent and adult pregnant women

Comparison of perinatal and neonatal outcomes of adolescent and adult pregnant women

Identify mental health needs of adolescent pregnant women: a qualitative study.

The purpose of this study is to explore adolescent pregnant women related to their pregnancy experience about mental health needs during pregnancy for the prevention of depression during pregnancy. This research is a qualitative study design with a phenomenological approach. Data collection using interviews (in-depth interviews). This study involved 18 participants consisting of 12 pregnant women aged 15-19 years and 6 midwives who work at the health center. The criteria for informants of pregnant women are pregnant with Trimester I to III, age 15-19 years and not experiencing complications of pregnancy. Based on interviews conducted with informants, five themes were obtained about the experiences and needs of pregnant women in adolescence. These themes are (1). Risk of depression, (2). Social and family support needs, (3). Needs of mental health services, (4). Obstacles for midwives in providing mental health services, and (5). needs of mental health information media. Five needs of teenage pregnant women are factors that can support mental health to prevent depression during pregnancy.

Prevalence and factors associated with antepartum depression among adolescent women in the assin north district of Ghana: a cross-sectional study

BackgroundGlobally, depression is a leading cause of disease-related disability among women. In low-and-middle-income countries (LMICs), the prevalence rate of antepartum depression is estimated to range between 15% and 57% and even higher in adolescent antepartum women. Although a number of studies have shown that depression is common in adolescent pregnancies and has a prevalence rate between 28% and 67% among adolescent mothers, there currently exists no literature on depression among adolescent pregnant women in Ghana. The study aimed to determine the prevalence of antepartum depression and identify the factors associated with it among pregnant adolescent women.MethodsA quantitative cross-sectional study design was adopted by randomly recruiting 220 adolescent pregnant women visiting antenatal clinics in five selected health facilities in five communities in the Assin North District of Ghana. Data were collected using the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was performed using Stata version 14. Both descriptive and inferential analyses were performed. A chi-square analysis was conducted to identify the association between independent and dependent variables. A multivariate logistic regression analysis was carried out to identify the independent variables that were significantly associated with the dependent variable. In all analyses, p-values ≤ 0.05 were deemed statistically significant at a 95% confidence interval.ResultsThe results indicated prevalence of depression was 38.6% using the EPDS cut-off ≥ 13. Respondents who were cohabiting were less likely to experiencing antepartum depression compared to those who were single (AOR = 0.36, 95% CI: 0.20–0.64, p = 0.001). Also, Respondents who had completed Junior High School had a lower likelihood of experiencing antepartum depression compared to those who had no formal education (AOR = 0.19, 95% CI: 0.05–0.76, p = 0.019). Respondents who perceived pregnancy-related items to be costly had higher odds of experiencing antepartum depression (AOR = 2.05, 95% CI: 1.02–4.12, p = 0.042). Lastly, adolescent pregnant women who reported that pregnancy-related items are costly were likely to experience antepartum depression compared to those who did not report such costs (AOR = 2.12, 95% CI: 1.20–3.75, p < 0.001).ConclusionThe results of this study highlight the importance of a multi-pronged strategy for combating antepartum depression in adolescents and improving the overall health and well-being of pregnant adolescents. Considering that adolescence is a transitional period occasioned by several bio-psycho-social challenges, setting up systems to ensure that young girls are motivated and supported to stay in school will enhance their economic prospects and improve their standards of life while providing psycho-social support will benefit their health and general well-being.

IJCM_27A: To assess consumption of IFA in adolescent girls and pregnant women in selected health blocks of Himachal Pradesh.

Background: In India, anaemia is the most widespread nutritional deficiency disorder occurring primarily due to iron deficiency. Despite implementation of the Weekly Iron &amp; Folic Acid Supplementation (WIFS) Programme under NRHM since 2013, the prevalence of anaemia is high among adolescents and pregnant women (PW) Objectives: To assess consumption of IFA in adolescent school going girls and pregnant women in selected health blocks of Himachal Pradesh. Methodology: It was a community-based study which was a part of project under WCD department of H.P. PW and school going adolescent girls of age 10-19 years from 9 Community development blocks were selected randomly using PPS. IFA consumption in last one year among adolescent girls and last 1 month among pregnant women was assessed by interviewing them. Results: Total participants among PW were 180 with mean age of 26.3±4.13, whereas 720 adolescents with mean age of 15.82±1.19 were enrolled in the study. Out of 180 PWs, 160(88.8%) received IFA where majority (156;97%) of them consumed IFA distributed by ASHA worker. On the other hand, majority of adolescent girls (484/720;67%) did not receive IFA, 196/236 (83%) who received IFA was distributed by ASHAs. Mean Hb level of PW was 11.7±1.47 whereas for adolescents was 12.73±4.85. Conclusion: It was observed that most of the pregnant women are utilizing government services, however the services are not being utilized by the school going adolescent girls as WIFS are not provided regularly.

Impact of Pre-Gestational BMI and Gestational Weight Gain on Fetal Development Outcomes in Adolescent Pregnant Women.

Background. Gestational weight gain (GWG) constitutes an essential aspect of the gestational process. Due to factors such as pregestational body mass index (BMI), nutritional intake, level of physical activity, and psychological aspects, the recommended GWG may not be achieved, leading to adverse neonatal outcomes. Adolescents, due to their physiological and mental developmental stage, are at a higher risk of inappropriate GWG. Our aim is to highlight the importance of GWG in our population and to determine the correlation with perinatal outcomes. Methods. Pregnant adolescents who attended a tertiary care institution for prenatal care were included; maternal data such as preBMI and GWG were used to determine maternal and neonatal outcomes using the chi-square test and OR determination. Results. A total of 202 adolescent pregnant patients were included, comprising those with inadequate GWG (n = 70), adequate GWG (n = 85), and excessive GWG (n = 47). A statistically significant association was found between low BMI and inadequate GWG. Patients with inadequate GWG demonstrated a correlation with IUGR and low birth weight, while patients with excessive GWG gave birth to macrosomic neonates. Conclusion. We concluded that previous habits play a significant role in determining weight gain throughout pregnancy. GWG has a direct impact on neonatal growth and development.

The Relationship of Nutritional Status and Anemia Status in Adolescent Women in Sampang District

Background: Anemia is still a cause of health problems for adolescent girls and pregnant women. Anemia prevalence for reproductive age in the world is 29.9%. Anemia is caused by low hemoglobin (Hb) so that the body does not get enough oxygen-rich blood. Adolescents' vulnerability to anemia is mainly caused by the increased need for macronutrients and micronutrients, especially iron and folic acid, which are related to physical growth. Several studies have found a relationship between nutritional status and anemia. This study aims to determine the relationship between nutritional status and anemia status in adolescents. Methods: A cross-sectional correlative analytical study with primary data from 372 samples. The sampling technique was cluster random sampling in 12 stunting locus villages in Sampang Regency in November 2023. The nutritional status variable was measured by BMI/Age and anemia status by Hb levels. Univariate data analysis in the form of frequencies and percentages and bivariate using the Spearman test. Results: The average age of respondents is 15 years. The mean z-score value based on BMI/Age was -0.45 ± 1.76, the lowest value was -2.91 and the highest was 2.12. Based on the z-score value, 173 people (46.5%) showed normal nutritional status, then 24.7% were thinness, 20.2% were underweight, 4.6% were overweight and 4% were obese. The number of teenagers who were not anemic was 66.1%, 21.5% with moderate anemia, 7.3% with mild anemia and 5.1% with severe anemia. Bivariate results showed that there was a significant relationship between nutritional status and anemia (p≤0.05). Teenage girls who have thinness nutritional status and severe anemia are 42.1%, normal nutritional status and not anemic are 50.4%, normal nutritional status and mild anemia are 40.7%, and normal nutritional status and moderate anemia are 40. %. Conclusion: There is a relationship between nutritional status and anemia. The thinness nutritional status of adolescent girls, make more severe anemia they have. Young women need to increase their consumption of macro and micronutrients, especially iron intake, to improve their nutritional status. Keywords: Nutritional Status, Anemia, Adolescents, BMI, Haemoglobin

Trend of Anemia Prevalence in Pregnant Women in the Working Area of Sukosari Health Center, Madiun City, 2018-2022

Pregnancy anemia poses a significant national challenge due to its adverse impact on human resource (HR) quality. Without proper management, it can lead to maternal and fetal complications, even death. This study aimed to determine the trend of anemia prevalence of pregnant women from 2018-2022 in the working area of Sukosari Health Center, Madiun City. Conducted as descriptive quantitative research with predictive elements, it encompassed 2157 pregnant women in the center's jurisdiction. Utilizing the total population as the sample, data was collected from maternal LB3 documents. Trendline analysis in MS Office Excel revealed the trend and prediction of the anemia prevalence in the following year by displaying the equation display on chart. The results showed a trend and prediction of the anemia prevalence for pregnant women at the end of 2023, the total Sukosari Health Center increased. The trend and prediction of the prevalence of pregnant women in each village and each trimester of pregnancy also increased. The highest increase in the anemia prevalence for pregnant women occurred in Klegen Village and in the first trimester of pregnancy. From these results, it can be concluded that the trend of anemia prevalence of pregnant women at the health center has increased and exceeds the target set by the Madiun City Health Office, which is &lt;15%. This condition needs to be monitoring and paid special attention to by increasing education on the prevention and treatment of anemia among adolescent girls and pregnant women, monitoring and evaluating the program of giving blood-added tablets, and maximizing local area monitoring of pregnant women. Innovative efforts can also be made in the form of taking blood tablets together on the opening day of pregnancy check-up services and during the implementation of classes for pregnant women and organizing classes for brides-to-be at health centers.

Comparison of the adolescent pregnancy outcomes between refugees and Turkish citizens.

Adolescent pregnant women have significant risk factors in terms of preterm birth, low birth weight, gestational and neonatal complications, and neonatal and infant deaths. In many countries, living as a refugee differs from living as a local citizen regarding education level, access to health services, and lifestyle. We aimed to compare the obstetric, perinatal, and neonatal outcomes of Turkish and refugee adolescent pregnant women admitted to a tertiary maternity center. The study was planned as a retrospective cross-sectional. We included adolescent pregnant women who delivered between February 2018 and August 2023. Adolescent pregnant women were divided into two groups, the Turkish group and the Syrian refugee group, and compared with each other. One thousand and fifty-one Turkish and 742 refugee adolescent pregnant women were included in the study. Adolescent pregnancy rates are higher in refugees than in the Turkish group (p < 0.001). We found that maternal age (p < 0.001), preeclampsia rates (p=0.029), gestational age at delivery (p < 0.001), and cesarean delivery rates (p=0.02) were lower in refugee adolescent pregnant women. Furthermore, we found that the anemia rates (p < 0.001) and low birth weight newborn rates (p = 0.011) were higher in refugee adolescent pregnant women. Enhancing the outcomes of adolescent pregnancies among refugees necessitates a heightened focus on education regarding sexual reproduction, increased prenatal follow-ups, and enhanced training in family planning.

BIRTH STATISTICS OF ADOLESCENT PREGNANCİES; EVALUATION OF MATERNAL AND FETAL OUTCOMES

Aim This study aims to evaluate the maternal and fetal outcomes of adolescent pregnant women who gave birth in the Gynecology and Obstetrics Clinic of Ağrı Training and Research Hospital. Materials and Methods The study was conducted as a retrospective study. The automation system of Ağrı Training and Research Hospital was used to conduct the study, and the data of 1560 patients who gave birth between January 1, 2018, and December 31, 2022, were examined retrospectively. 263 patients were excluded from the study due to missing data. The patients were divided into two groups: early adolescence and late adolescence. 84 patients in the early adolescence group and 1213 patients in the late adolescence group were included. Results A statistical difference was detected between the groups regarding age, gravida, and parity (p

Effect of Adolescent Pregnancy on Dental Caries Experience and Selected Salivary Physicochemical Characteristics

Background: Adolescent pregnancy is associated with major health consequences for adolescent pregnant women including medications and oral health problems such as dental caries and periodontal disease. Pregnancy is a unique state of physical, hormonal, and metabolic changes that can result in an oral cavity imbalance. Changes in salivary components and a decrease in salivary flow rate caused by an increase in progesterone may compromise saliva's protective effects, resulting in dental caries. Objectives: To evaluate dental caries experience in adolescent pregnancy. Method: A sample including 80 pregnant ladies were recruited in this study and categorized into a study group involving 40 primigravida adolescent females aged (15-19)years old and a control group involving 40 primigravida women (20-32) years old who married at age 20 years or more, all of them in the second trimester of pregnancy. Unstimulated salivary samples were collected, salivary flow rate, pH, and dental caries experience were assessed. Saliva samples were analyzed to estimate salivary lactoferrin concentration. Results: The mean (±sd) of decayed surface of the study group was (11.850±0.669) compared to (9.425±1.015) of the control group (p=0.049) and the level of salivary lactoferrin of the study group was (8.071± 0.558) compared to (6.610±0.447) of the control group (p=0.044), while the mean (±sd) of salivary flow rate of the study group was (0.349±0.020) compared to (0.540±0.157) of the control group (p=0.231) and the mean (±sd) salivary pH was (5.935±0.053) ) compared to (5.995±0.153) of the control group (p=0.712). Conclusion: Adolescent pregnancy is linked to increased dental caries experience by altering salivary characteristics, including lactoferrin levels. Received: June, 2023 Accepted: Aug, 2023 Published: Jan..2024

Exploring Adolescent Pregnancy Expectations in Continuity of Midwifery Care: A Qualitative Study in Indonesia

Introduction: Adolescent pregnancy presents a significant challenge to global reproductive health, including in Indonesia. The unique obstacles that young pregnant women encounter when seeking appropriate and supportive healthcare services call for a deeper understanding to improve maternal care. Purpose: This study aims to explore the expectations of young pregnant women regarding continuous midwifery care in Indonesia. Method: This research employed an exploratory qualitative approach, conducting 13 face-to-face interviews between January and June 2022. Participants included midwives, young mothers, a coordinating midwife, and Mother and Child Health (MCH) program holders. Interviews, lasting 1-1.5 hours, were conducted, and the interview data were rigorously analyzed thematically by the research team, strengthening data reliability through triangulation. Results: Continuity management emphasizes friendly service, privacy, clear communication, and comprehensive health assessments. Informational continuity involves comprehensive information, direct communication, attractive aids, and health education evaluation. Relational continuity highlights comprehensive maternal care, family tradition approval, reminders, and efficient care. The study underscores the importance of tailored, holistic, and culturally sensitive midwifery care for young pregnant women's overall well-being. Conclusion: This study highlights adolescent pregnant women's unique needs, focusing on continuity management, informational continuity, and relational continuity. Proposed strategies include tailored health services, comprehensive maternal education, cultural sensitivity training for healthcare providers, policy integration, and diverse research. Successfully implementing these measures can significantly enhance maternal care outcomes for Indonesian adolescents.