MATERNAL AND FETAL OUTCOMES OF ADOLESCENT PREGNANCIES
DOI:
https://doi.org/10.5281/zenodo.21075660Abstract
Adolescent pregnancy is a global public health issue. All individuals under the age of eighteen are considered children, and their physiological development is still ongoing. The fact that women in their developmental stage undergo a challenging period requiring bio-psycho-physiological adaptation during pregnancy, childbirth, and the postpartum period brings about vital risks. Although adolescent pregnancy rates in our country and globally have been on a downward trend over the years, the number of adolescent pregnancies remains quite high. High rates of adolescent marriage, particularly among women with low socioeconomic status and low education levels, increase the incidence of adolescent pregnancies. However, extramarital and unintended adolescent pregnancies can also occur. While married adolescent individuals have higher access rates to perinatal care services, this rate decreases in out-of-wedlock pregnancies, and the tendency toward risky behaviors threatening women's health, such as unsafe abortions, may increase. The maternal outcomes of adolescent pregnancies include preeclampsia, eclampsia, cholestasis of pregnancy, cesarean section, and maternal mortality; whereas fetal outcomes involve low birth weight infants, intrauterine growth restriction, and increased rates of fetal mortality and morbidity. To prevent adolescent pregnancies, measures include preventing early marriages, disseminating reproductive and sexual health education, increasing educational opportunities, implementing socioeconomic support programs, promoting the use and accessibility of contraceptive methods, preventing unsafe abortions, increasing the utilization of prenatal, delivery, and postpartum care services among adolescent pregnant women, ensuring effective antenatal monitoring in high-risk pregnancies, and reducing unsafe abortions.
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