Adölesan veya İleri Anne Yaşı: Yenidoğan İçin Risk midir?: Tek Bir Merkezin Retrospektif Sonuçları (Is Adolescent or Advanced Maternal Age Risky for Newborn?: Retrospective Results of a Single Center)

Amac: Son yillarda adolesan ve ileri yas gebelikler artmis ve onemli bir sosyal konu halini almistir. Bu gebeliklerin maternal ve perinatal sonuclari konusunda tartismali sonuclar mevcuttur. Bu calismanin amaci hastanemizde gerceklesen dogumlarda ≤18 yas (adolesan) ve ≥35 yas (ileri yas) annelerin bebekleriyle, 19-34 yaslarinda (kontrol) olan anne bebeklerinin erken donem sonuclarinin karsilastirilmasidir Yontem: Ocak 2011-Ocak 2013 arasinda Zeynep Kamil Kadin ve Cocuk Hastaliklari Egitim ve Arastirma Hastanesi’nde dogan ve yenidogan yogun bakim unitesinde yatarak izlenen hastalarin antenatal ve yenidogan donemi verileri retrospektif olarak incelendi. Bulgular: Calisma suresince hastanemizde dogum yapan 511 (%2.5) adolesan (≤18 yas),  16840 (%83) kontrol grubu (19-34 yas), 2891 (%14.5) ileri yas (≥35 yas) gebe olmak uzere toplam 20242 olgu calismaya dahil edildi. Adolesan anne bebeklerinin %16’si (n= 84),19-34 yas arasi anne bebeklerinin %14’u (n=2262), ≥35 yas anne bebeklerinin %17’sinin (n=502) YYBU’ne yatisi yapilmisti (p 1 , p 2 , p 3 =NS). Ileri yas annelerde yardimci ureme teknigi kullanimi, cogul gebelik, gestasyonel diyabet ve preeklampsi sikligi diger gruplara gore daha fazlaydi (p<0.001). Antenatal bakim sikligi ile neonatal mortalite ve morbidite her uc grupta da benzer oranlardaydi.  Sonuc: Adolesan veya ileri anne yasinin yeterli antenatal ve neonatal bakim varliginda yenidoganin erken donem sonuclari uzerinde olumsuz etkisi olmadigi gorulmustur. Anahtar kelime: Adolesan, ileri maternal yas, yenidogan, yenidogan yogun bakim Abstract Aim: Recently, number of adolescent and advanced age pregnancies increased and became an important social issue. There are conflicting results on maternal and perinatal outcomes of those pregnancies. The objective of this study is to compare the short-term outcomes of  ≤18 (adolescent) years old and  ≥35 years old (advanced age) mothers’ infants with 19-34 years old (control group) mothers’ infants.  Methods: Medical records of infants hospitalised in the neonatal intensive care unit of Zeynep Kamil Maternity and Children Research and Training Hospital between January 2011- January 2013 were evaluated retrospectively. Results: Overall, 20242 pregnancies in different age groups: 511 (2.5%) adolescent, 16840 (83%) control group, 2891 (14.5%) advanced age were included in the study. Sixteen percent (n=84), 17% (n=2262), and 14% (n=502) of infants of adolescent mothers, advanced age mothers, and control group mothers were hospitalised, respectively (p 1 , p 2 , p 3 =NS). Assisted reproductive technology, multiple pregnancy, gestational diabetes, and preeclampsia were more common in advanced age group (p<0.001). Rates of antenatal care, neonatal mortality and morbidity were similar in all groups. Conclusion: Adolescent or advanced maternal age do not have an adverse effect on short term neonatal outcome in presence of adequate antenatal and neonatal care. Keywords: Adolescent, advanced maternal age, newborn, neonatal intensive care unit