Abstract:

INTRODUCTION: In this study, we aimed to evulate obstetric neonatal outcomes of adolescent and old age pregnants who gave birth in our center. METHODS: A total of 126 pregnant women which were consist of adolascent (14-18), reproductive (19-38) and advanced (39-50) maternal age pregnancies and gave birth in Harran University of Medicine Faculty of Obstetric and Gynecology Department were compared retrospectively. Maternal demographic datas, obstetric complications (preterm delivery, abnormalities of presantation, intrauterin growth restriction (IUGR), preeclampsia, gestational diabetes mellitus (GDM), abnormalities of placentia, duration of hospitalization, oligohidramnios, type of delivery, fetal outcomes (birth weights of infants, apgar scores, macrosomia, congenital malformations, iumf) were evulated. RESULTS: Although the rates of birth weight infant, preterm labour, IUGR, amnion fluid abnormalities, GDM, macrosomia and preeclampsia were found similiar in adolescents of whom majority are nulliparous and reproductıve, advanced maternal age women, the rates of gestational week at birth were found to be lower and frequency of congenital anomalies and abnormalities of presantation was found to be higher than the other both groups. The rate of sectio, placenta previa totalis and placenta invasion abnormalities, duration of hospitalization were higher significantly in advanced age maternal women. The normal spontaneous vaginal deliveries rate was significantly higher in reproductive group than the other groups DISCUSSION AND CONCLUSION: This study has shown that the adolescent and advanced maternal age women have some kind of charecteristıc high risks in respect to their age groups. For having the best maternal and neonatal outcomes in both groups, these women should be informed about maternal and fetal risks and provided regular perinatal follow ups and treatment. Also social support is needed.

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