DOI: 10.3886/e176701v1-168103
title: Comparison of Perinatal and Neonatal Outcomes of Very Advanced Maternal Aged Pregnants and Early Adolescent Pregnant Women

description: <b>Aims: </b>Very<b> </b>advanced maternal age or early adolescent pregnancies are risky
pregnancies and are among the current era problems. Early ages and advanced ages
have unique perinatal and neonatal consequences. In this study, it was aimed to
compare the perinatal and neonatal outcomes of very advanced maternal age and
early adolescent pregnancies.

<b>Materials and Methods:</b> This study includes 297 cases who
gave birth in Siirt Training and Research Hospital (Siirt, Turkey) between
2017-2021 years. The cases were divided into 3 groups as group 1=pregnancy of
16 years and below (80 cases); group 2=pregnancy of 45 years and above (67 cases);
and group 3=pregnancy between 25-35 years of age. Perinatal and neonatal
outcomes of the cases were compared retrospectively. 

<b>Results: </b>Of the total 297 cases, 26.9% were
interpreted as “group 1”, 22.6% as “group 2”, and 50.5% as “group 3”. The group
1 pregnancy rate was 2.29% and the group 2 pregnancy rate was 1.91%. Gravity,
parity, abortion history, fasting glucose level, GDM (gestational diabetes
mellitus), preeclampsia, polyhydramnios, “presentation anomaly frequency” and
cesarean delivery (CS) were found to be significantly higher in Group 2
compared to other groups (p&lt;0.05). Vaginal delivery rate was found to be
significantly higher in group 1 (p&lt;0.05). Similar results were found in
terms of neonatal mortality and other negative outcomes (p&gt;0.05).

<b>Conclusion: </b>Very advanced age pregnancies are
more risky in terms of adverse pregnancy outcomes than adolescent pregnancies.
To reduce the negative perinatal outcomes, it is important to conduct
management of early adolescent and especially very advanced age pregnancies close
to perinatology department locations.

<b>Keywords: A</b>dolescence, pregnancy, very advanced
maternal age, perinatal outcomes<b></b>
description: A weight variable with two implied decimal places has been included
description: Response Rates: This study includes 297 cases who gave birth in
Siirt Training and Research Hospital (Siirt, Turkey) between 2017-2021 years.
The cases were divided into 3 groups as group 1=pregnancy of 16 years and below
(80 cases); group 2=pregnancy of 45 years and above (67 cases); and group
3=pregnancy between 25-35 years of age.
description: Presence of Common Scales: not used
description: High Risk Pregnancy in Siirt
description: In the
study, the perinatal outcomes of early adolescence and advanced maternal age
reproductive aged women followed up in Siirt Training and Research Hospital
were compared retrospectively. The information of a total of 297 pregnant women
was accessed through the data system and patient files of the hospital. The
patients were divided into 3 groups. A total of 147 pregnant patients were
comprising the risky group including those aged 16 and younger (n=80) and those
aged 45 and over (n=67). 150 pregnant women aged between 25-35 were comprising
the normal pregnant group in the study. Smallest Geographic Unit: siirt
description: record abstracts;