The Distribution of Congenital Malformations in Adolescent Pregnancies: A Single Tertiary Center Experience in Turkey

Authors

  • Mustafa Behram Department of Perinatology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, https://orcid.org/0000-0003-0461-263X
  • Süleyman Cemil Oğlak Department of Obstetrics and Gynecology, Health Sciences University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, https://orcid.org/0000-0001-7634-3008 https://orcid.org/0000-0001-7634-3008
  • Zeynep Gedik Özköse Department of Perinatology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, https://orcid.org/0000-0001-6662-8042 https://orcid.org/0000-0001-6662-8042
  • Sema Süzen Çaypınar Department of Perinatology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, https://orcid.org/0000-0001-9482-5481 https://orcid.org/0000-0001-9482-5481
  • Yusuf Başkıran Department of Perinatology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, https://orcid.org/0000-0003-1123-6062
  • Salim Sezer Department of Perinatology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, https://orcid.org/0000-0003-1287-4306
  • Cihan Bademkıran Department of Obstetrics and Gynecology, Health Sciences University, Gazi Yaşargil Training and Research Hospital, Diyarbakır, https://orcid.org/0000-0002-1791-7523
  • İsmail Özdemir Department of Perinatology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, https://orcid.org/0000-0002-9043-1431

DOI:

https://doi.org/10.46328/aejog.v2i3.60

Keywords:

Adolescent pregnancy, congenital malformation, infant

Abstract

Objective: Adolescent pregnancies are more severe and dangerous for both mother and baby than adult pregnancies. Low birth weight, infections, intrauterine growth restriction, sudden infant death syndrome, and death risk are higher in neonates of adolescent pregnant women. Besides, anomalies of central nervous, gastrointestinal, and musculoskeletal systems are also seen frequently. The purpose of this study is to investigate congenital malformations of infants born from adolescent mothers. In this study, malformations were grouped according to the systems.

Material and Methods: In this retrospective study, 166 pregnant women aged 18 and under who had fetal anomaly were included in the study and their charts reviewed. Descriptive information about the adolescents and information about the fetuses and anomalies were recorded. Maternal and neonatal characteristics were calculated as frequency and percentage.

Results: The most common anomalies were the central nervous (40.5%), cardiovascular (15.8%), and urinary (10.8%) system. The anomalies related to the skin and phalanges, including the face, accounted for 8.1% of the cases. Ventricular dilatation (10,4%), neural tube defect (7,2%), and hydrocephalus (7,2%) were the most common abnormalities of the central nervous system. Ventricular septal defect (5,9%), pulmonary artery anomaly (2,7%), and tricuspid valve anomaly (2,3%) were the most common cardiovascular system anomalies. Intrauterine growth restriction (3,6%), pleural effusion/hydrothorax (3,2%), pes equinovarus (2,7%), diaphragmatic hernia (2,3%), cystic hygroma (2,3%), oligohydramnios (2,3%), polyhydramnios (2,3%), and cleft palate/lip (2,3%) were the most common anomalies among the other system and organ anomalies.

Conclusion: Adolescent pregnancy was partially associated with an increased risk of severe neonatal anomalies especially in the central nervous, cardiovascular, and urinary systems. Pediatric health care providers should have a low threshold for suspecting pregnancy in adolescents.

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Published

2020-11-20

How to Cite

1.
Behram M, Oğlak SC, Gedik Özköse Z, Süzen Çaypınar S, Başkıran Y, Sezer S, Bademkıran C, Özdemir İsmail. The Distribution of Congenital Malformations in Adolescent Pregnancies: A Single Tertiary Center Experience in Turkey . Aegean J Obstet Gynecol [Internet]. 2020 Nov. 20 [cited 2021 May 14];2(3):14-8. Available from: https://aejog.com/index.php/aejog/article/view/60

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