The influence of anemia on maternal and neonatal outcomes in adolescent pregnant

Elif Yılmaz; Ozlem Yazıcı Işıtan; Çağanay Soysal; Zehra Vural Yılmaz; Osman Fadıl Kara; Tuncay Küçüközkan

doi:10.28982/josam.393143

Authors

Elif Yılmaz
Ozlem Yazıcı Işıtan
Çağanay Soysal
Zehra Vural Yılmaz
Osman Fadıl Kara Amasya University, School of Medicine, Department of Obstetrics and Gynecology.
Tuncay Küçüközkan

DOI:

https://doi.org/10.28982/josam.393143

Keywords:

Adolescent, Pregnancy, Anemia, Outcome, Postpartum

Abstract

Aim: The aim of this study was to investigate the influence of anemia on maternal and neonatal outcomes in adolescent pregnant. Methods: The files of 1407 adolescent women who gave birth in our hospital, from January 2010 to June 2015 were retrospectively investigated. Demographic characteristics, hemoglobin concentrations before birth, obstetric and neonatal outcomes were evaluated.Results: The mean age of the study group was 17.95±1.09 years. Anemia frequency was found as 36%. Anemia was significantly higher with the lack of health insurance. Similarly, anemia in those who had an educational level of elementary school or lower was significantly higher than for high school graduates. Pregnant adolescents who had irregular antepartum care during pregnancy also had a 1.62 times higher anemia risk. A significant correlation was found between anemia and postpartum complications; postpartum transfusion (OR:9.09) and hemorrhage (OR:4.76). No statistically significant impact of anemia was found on type of delivery, preterm birth, preeclampsia or gestational diabetes (p>0.05). Neonatal Intensive Care Unit admission was significantly higher for the infants of anemic patients (OR:2.68). No statistically significant impact of anemia was found on birth weight, gestational age, small for gestational age or Apgar scores of the infants (p>0.05).Conclusion: Due to its high frequency and adverse maternal and fetal outcomes anemia should be carefully considered during pregnancy in adolescent girls.

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