Introduction. In Ukraine, the state of pregnancy in adolescent girls aged 13–17 years is considered early or adolescent pregnancy. The problems of teenage pregnancy are extremely relevant in Ukraine: in ten years, almost 100,000 girls aged 16–17 became mothers, solving the problems of teenage births. The urgency of the problem of pregnancy in young girls gives grounds to consider and treat this issue as a serious social and psychological problem that requires further study and development of measures to prevent it.
Purpose. The purpose of the research is to study the state of reproductive health in young women among the population of Lviv region, determining the frequency of adolescent pregnancy and taking into account the contribution of gynecological pathology and menstrual disorders.
Materials and Methods. A retrospective analysis of the primary medical records of 134 young women was conducted. We studied the frequency of adolescent births, social status, medical surveillance coverage during pregnancy, reproductive history in adolescent women for 4 years in Lviv Regional Clinical Hospital.
Conclusions. Analysis of the prevalence of adolescent pregnancy showed that the frequency of childbirth in young women remained stable for four years: in 2014–2017, in the maternity wards of Lviv Regional Clinical Hospital, 134 women under the age of 18 gave birth, which is 0.82–0.98% of the total number of births.
A significant majority (p <0.05) of them (78 women) were 17 years old (that is 58.2%) and 84 women lived in rural areas (62.7%); 97 women were not married (72.4%). Only 1/3 (34.3%) of young women were registered in a women's clinic before 12 weeks of pregnancy, and 10.4% of them were not followed up by doctors at all during pregnancy. The study of menstrual dysfunction, namely irregular menstruation, showed the presence of this indicator in more than 1/2 (80–59.7%) out of 134 young women. According to the results of the study, despite their young age, 127 (94.8%) of 134 women were pregnant for the first time, and 7 (5.2%) women had consecutive pregnancy. Among 7 (5.2%) women who had consecutive pregnancy, only 4 (3.0%) had an uncomplicated pregnancy, and three (2.2%) subjects had a history of one (0.7%) silent miscarriage, premature birth, medical abortion. More than 1/3 (50–37.3%) of young women gave birth to children with poor health. The most common cause of reproductive disorders in young women of the main group was prematurity of newborns (37.3%). The data obtained indicate the feasibility of studying adolescent motherhood, which will be especially valuable in the context of developing effective demographic policies.
2. Kaminskyi VV, Konoplianko VV, Shalko MN, Ratushniak NIa. [Modern approaches in the treatment of miscarriage]. Reproduktivnoe zdorov'e. 2018;8(1):24-33. (in Ukrainian).
3. Tatarchuk TF, Kosej NV, Regeda SI, YArockaya NV, Gorohova AA. [Hyperprolactinemia in the genesis of stress-induced infertility. Possibilities of herbal medicine]. Zdorov'e zhenshchiny. 2017;3: 28-36. https://med-expert.com.ua/journals/ua/publishing-activity-uk/zdorove-zhenshchiny-publishing-activity-uk/zdorovja-zhinki-wh_03_2017/ (in Ukrainian).
4. Petelytskyi OO, Tsysar YuV. [Pathophysiological aspects of the development of pubertal uterine bleeding in girls with concomitant pathology]. Medychnyi forum. 2019;18(18):30-2. (in Ukrainian).
5. Nachetova TN. Perinatal'nyj analiz i osobennosti funkcii reproduktivnoj sistemy materej devochek-podrostkov s vtorichnoj amenoreej [Perinatal analysis and features of the reproductive system function of mothers of adolescent girls with secondary amenorrhea]. Zdorov'e rebenka. 2014;2(53):50-3. (in Russian).
6. Maybin JA, Critchley HO. Menstrual physiology: implications for endometrial pathology and beyond. Human Reproduction Update. 2015;21(6):748-61. https://doi.org/10.1093/humupd/dmv038; PMid:26253932 PMCid:PMC4594618
7. Foxman B. Urinary tract infection syndromes: occurrence, recurrence, bacteriology, risk factors, and disease burden. Infect. Dis. Clin. North Am. 2014;28(1):1-13. doi: 10.1016/j.idc.2013.09.003. Epub 2013 Dec 8.
8. Davydova YuV, Bulavenko OV, Limanskaya AYu, Gromova AL, Kondratyuk VK, ZHuk SI, Kravchenko OV. [Topical issues of maternity and childhood protection in Ukraine]. Retrieved from: Medicinskie aspekty zdorov'ya zhenshchiny. 2015;8:22-40. Rezhim dostupu: http://nbuv.gov.ua/UJRN/mazv_2015_8_6. (in Ukrainian).
9. Makarchuk OM, Dzombak VB. [Impaired menstrual function and its impact on a woman's reproductive potential]. Halytskyi likarskyi visnyk. 2017;3:36-8. (in Ukrainian).
10. Podol'skij VV. [The reproductive health of women is the most important problem of our time]. Zdorov'e zhenshchiny. 2013;1:100-102. Rezhim dostupu: http://nbuv.gov.ua/UJRN/Zdzh_2013_1_100. (in Ukrainian).
11. Omani Samani R, Almasi Hashiani A, Razavi M, Vesali S, Rezaeinejad M .The prevalence of menstrual disorders in Iran: A systematic review and meta-analysis. Int. J. Reprod. Biomed (Yazd). 2018; 16 (11):665-78. https://pubmed.ncbi.nlm.nih.gov/30775681/. PMCID: 30775681; PMC 6350848.
12. Veropotvelyan PN. [A woman's reproductive health is one of the most important problems of the state]. Medicinskie aspekty zdorov'ya zhenshchiny. 2017;3:34-46. http://nbuv.gov.ua › j-pdf › Zdzh_2019_3_1. (in Ukrainian).
13. Hruzieva TS. [Innovative nature and strategic and practical potential of the new European Health Policy 2020]. Visnyk problem biolohii i medytsyny. 2014;3,1(110):25-33. (in Ukrainian).
14. Hadley A, Ingham R, Chandra-Mouli V. Implementing the United Kingdom's ten-year teenage pregnancy strategy for England (1999-2010): How was this done and what did it achieve? Reprod Health. 2016;13 (1):139. doi: 10.1186/s12978-016-0255-4.
15. Suzuki S. Clinical significance of pregnancy in adolescence in Japan. The Journal of Maternal-Fetal & Neonatal Medicine. 2019; 32(11):1864-1868. doi: 10.1080/14767058.2017.1421928.
16. Joemer C. Maravilla, Kim S. Betts, Rosa Alati. Increased risk of maternal complications from repeat pregnancy among adolescent women. International Journal of Gynecology & Obstetrics. 2019; 145(1):154-61. DOI: 10.1002/ijgo.12776.
This work is licensed under a Creative Commons Attribution 4.0 International License.