Serious Medical and Psychosocial Complications in Pregnant and Postpartum Adolescents at a Pediatric Emergency Department.

IF 1.3 Q3 PEDIATRICS Turkish archives of pediatrics Pub Date : 2024-07-01 DOI:10.5152/TurkArchPediatr.2024.24072
Leman Akcan Yıldız, Halise Akça, Funda Kurt, Ayla Akça Çağlar
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Abstract

This study aimed to describe the clinical characteristics and serious medical and psychosocial complications of pregnant and postpartum adolescent patients at a pediatric emergency department (PED). Demographic and clinical data of all pregnant and postpartum adolescents who presented to the PED of a single tertiary referral hospital between January 2020 and January 2023 were collected and documented retrospectively. Twenty-seven patients with a mean age of 16.7 ± 0.8 years were included in the study. The main presenting complaints were abdominal pain (n = 9), suspicion of pregnancy (n = 5), cough, seizure, and vomiting (3 patients each). Potentially life-threatening medical complications included stroke (n = 3), placental abruption (n = 1), and carbon monoxide intoxication (n = 1). Sexual assault (n = 4), physical assault (n = 2), recurrent pregnancies (n = 5), and suicide attempts (n = 4) were serious psychological and social complications in our patient group. Pregnant and post-partum adolescents may present to PED with serious lifethreatening complications, and permanent sequelae may occur. In addition to sexual and physical violence, various psychological problems are comorbid conditions. These patients should be managed with a multidisciplinary biopsychosocial approach, and these issues considered in their acute treatment and follow-up at emergency departments.

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儿科急诊室中怀孕和产后青少年的严重医疗和心理并发症。
本研究旨在描述一家儿科急诊科(PED)的怀孕和产后青少年患者的临床特征以及严重的医疗和心理并发症。研究收集并回顾性记录了2020年1月至2023年1月期间在一家三级转诊医院儿科急诊科就诊的所有怀孕和产后青少年的人口统计学和临床数据。研究共纳入 27 名患者,平均年龄(16.7±0.8)岁。主要主诉为腹痛(9 例)、怀疑怀孕(5 例)、咳嗽、抽搐和呕吐(各 3 例)。可能危及生命的医疗并发症包括中风(3 例)、胎盘早剥(1 例)和一氧化碳中毒(1 例)。性侵犯(4 例)、人身攻击(2 例)、反复妊娠(5 例)和自杀未遂(4 例)是本组患者严重的心理和社会并发症。怀孕和产后的青少年到 PED 就诊时可能会出现严重的危及生命的并发症,并可能出现永久性后遗症。除了性暴力和身体暴力,各种心理问题也是并发症。这些患者应采用多学科生物-心理-社会方法进行管理,并在急诊科的急性治疗和随访中考虑这些问题。
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