Comparison of Perinatal and Neonatal Outcomes of Very Advanced Maternal Aged Pregnants and Early Adolescent Pregnant Women
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Advanced Maternal Age Pregnancy
- Sponsor
- Siirt University
- Enrollment
- 297
- Primary Endpoint
- Delivery type in pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Maternal age is an important factor affecting the pregnancy process and its results. Adverse obstetric outcomes such as preterm birth, stillbirth, and infant mortality are more common in women older than 35 years and younger than 20 years compared to women aged 20-29. Adolescent pregnancies have been associated with an increased risk of adverse pregnancy outcomes such as preterm birth, low birth weight, perinatal death, and maternal mortality.
Advanced maternal age pregnancies were associated with higher rates of maternal hypertension and diabetes, and progressively worsening perinatal outcomes such as stillbirth, preterm birth, and low birth weight.
Although the investigators' region has high birth rates, as far as they have observed, the rates of early and advanced maternal age are also quite high. the investigators' aim in this study is to determine the absolute effects of early and advanced maternal age on pregnancy and to investigate the pregnancy outcomes of these mothers.
Detailed Description
The investigators' aim in this study is to determine the absolute effects of early and advanced maternal age on pregnancy and to investigate the pregnancy outcomes of these mothers. For this purpose, the information of 90 pregnant women followed in Siirt Training and Research Hospital between 2017-2021 will be accessed through the hospital's data system. Maternal age, pregnancy history, Assisted reproductive technologies history, laboratory findings, screening test results, mode of delivery, baby birth information, pregnancy complications and complications during delivery will be recorded. In the light of the information gathered, the rates of negative effects of gestational age on pregnancy will be calculated.
Investigators
Serif Aksin
associate professor
Siirt University
Eligibility Criteria
Inclusion Criteria
- •Pregnants under the age of 16 and younger
- •pregnants over the age of 45 and older
Exclusion Criteria
- •history of chronic hypertension
- •history of pre gestational diabetes
- •history of chronic diseases
- •excessive consumption of alcohol
- •smoking pregnants
- •kidney disorders
Outcomes
Primary Outcomes
Delivery type in pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
The % of delivery type (vaginal delivery/ cesarean section) will be compared between the three groups
Abortion ratio of pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of abortion will be compared between the three groups
Intrauterine growth retardation ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of intrauterine growth retardation (IUGR) will be compared between the three groups
Postpartum hemorrhage ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of postpartum hemorrhage will be compared between the three groups
Placenta previa ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of placenta previa will be compared between the three groups
Mean fetal weight of pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1month
The fetal weight (in grams) will be compared between the three groups
Ratio of male, female gender in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
% of male, female gender will be compared between the three groups
Mean APGAR scores in the 1st minute in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
APGAR scores in the 1st minute (by numbers) will be compared between the three groups
Mean APGAR scores in the 5th minute in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
APGAR scores in the 5th minute (by numbers) will be compared between the three groups
Neonatal death ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of neonatal death will be compared between the three groups
Premature rupture of membranes in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of premature rupture of membranes (PROM) will be compared between the three groups
Preterm labor ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of preterm labor will be compared between the three groups
Ablatio placentae ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of ablatio placentae will be compared between the three groups
Fetal Distress ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of fetal distress will be compared between the three groups
Intrauterine death ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of intrauterine death will be compared between the three groups
Gestational diabetes ratio in pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of gestational diabetes mellitus (GDM) will be compared between the three groups
Preeclampsia ratio in pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of preeclampsia will be compared between the three groups
Surmaturation ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of surmaturation will be compared between the three groups
Polyhydramnios ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of polyhydramnios will be compared between the three groups
Oligohydramnios ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of oligohydramnios will be compared between the three groups
Presentation anomaly ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of presentation anomaly will be compared between the three groups
Multiple pregnancy ratio in pregnancies of pregnant women under the age of 16 ( group 1), over the age of 45 (group 2) and between the age of 25-35 (group 3).
Time Frame: 1 month
Rate and % of multiple pregnancy will be compared between the three groups