T\u00fcrk Jinekoloji ve Obstetrik Derne\u011fi (TJOD) Ankara \u015eube Ba\u015fkan\u0131 Prof. Dr. Yaprak \u00dcst\u00fcn, 17 ya\u015f\u0131n alt\u0131ndaki gebelerde orta ya\u015ftaki annelere g\u00f6re gebelik risklerinin artt\u0131\u011f\u0131n\u0131 s\u00f6yledi.<\/p>\n
TJOD Ankara \u015eube Ba\u015fkan\u0131 Prof. Dr. Yaprak \u00dcst\u00fcn, k\u00fc\u00e7\u00fck ya\u015fta hamileli\u011fe ili\u015fkin a\u00e7\u0131klamalarda bulundu. Ad\u00f6lesan hamileliklerin normal ya\u015ftaki hamileliklere g\u00f6re \u00e7ok daha riskli oldu\u011funu kaydeden \u00dcst\u00fcn, \u2019\u2019Ad\u00f6lesan terimi \u00e7ocukluktan eri\u015fkinli\u011fe ge\u00e7i\u015fi tan\u0131mlamaktad\u0131r. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (WHO) ad\u00f6lesanl\u0131\u011f\u0131n 10-19 ya\u015flar aras\u0131nda oldu\u011funu belirtmektedir\u2019\u2019 ifadelerini kulland\u0131.<\/p>\n
Geli\u015fmekte olan \u00fclkelerde ad\u00f6lesan gebeliklerin \u00e7ok daha yayg\u0131n oldu\u011funun alt\u0131n\u0131 \u00e7izen \u00dcst\u00fcn, \u2019\u2019Yap\u0131lan \u00e7al\u0131\u015fmalar ad\u00f6lesan gebeliklerin olu\u015fmas\u0131nda menar\u015f ya\u015f\u0131, seks\u00fcel ili\u015fki s\u0131kl\u0131\u011f\u0131, \u0131rk, etnik durum, evlilik durumu, aile yap\u0131s\u0131, \u00e7iftlerin ileti\u015fimi, e\u011fitim ve i\u015f durumu, sosyo-ekonomik d\u00fczey ve sosyal destek kaynaklar\u0131n\u0131n etkisi oldu\u011funu g\u00f6stermi\u015ftir. Ad\u00f6lesan gebeli\u011fin risk fakt\u00f6rleri \u00e7ok y\u00f6nl\u00fcd\u00fcr. Abortus, erken do\u011fum tehdidi, gebelikte hipertansiyon, anemi, d\u00fc\u015f\u00fck do\u011fum a\u011f\u0131rl\u0131\u011f\u0131, konjentinal anomali riski, m\u00fcdahaleli do\u011fum, HIV riski, sigara ve keyif verici madde kullan\u0131m\u0131, malaria, yetersiz antenatal bak\u0131m ve kontrasepsiyon bunlar aras\u0131ndad\u0131r\u2019\u2019 dedi.<\/p>\n
\u2019\u2019Ad\u00f6lesan gebeler, \u00f6zellikle 17 ya\u015f\u0131n alt\u0131ndakiler orta ya\u015ftaki annelere g\u00f6re gebelik ve yeni do\u011fana ait artm\u0131\u015f risk ta\u015f\u0131maktad\u0131r\u2019\u2019<\/p>\n
\u00dcst\u00fcn, vatanda\u015f\u0131n bu konuda ciddi bilgilendirilmesi gerekti\u011fine inand\u0131\u011f\u0131n\u0131n alt\u0131n\u0131 \u00e7izerek, \u2019\u20192017 T\u00dc\u0130K verilerine g\u00f6re \u00fclkemizde ad\u00f6lesan gebelik oran\u0131 y\u00fczde 5,4\u2019t\u00fcr. Ad\u00f6lesan gebeler, \u00f6zellikle 17 ya\u015f\u0131n alt\u0131ndakiler, orta ya\u015ftaki annelere g\u00f6re gebelik ve yeni do\u011fana ait artm\u0131\u015f risk ta\u015f\u0131maktad\u0131r. Gebelik sonu\u00e7lar\u0131n\u0131 olumlu y\u00f6nde etkileyecek antenatal bak\u0131m veren ad\u00f6lesan odakl\u0131 \u00e7ok disiplinli bir merkezde kad\u0131n do\u011fum uzman\u0131, pediatrist, ebe, psikolog, sosyal hizmet uzman\u0131 ve fizyoterapistten olu\u015fan bir ekip \u00e7al\u0131\u015fmas\u0131na ihtiya\u00e7 vard\u0131r. Pospartum d\u00f6nemde ad\u00f6lesana y\u00f6nelik depresyon \u00f6l\u00e7ekleri uygulamas\u0131 \u00f6nemlidir. Ad\u00f6lesan annelerin emzirmeye ba\u015flama ve devam olas\u0131l\u0131klar\u0131 daha azd\u0131r. Bu durumla ba\u015f edebilmek i\u00e7in ad\u00f6lesanlara antenatal d\u00f6nemde gebe okullar\u0131nda emzirme ile ilgili e\u011fitim verilmeli ve postpartum d\u00f6nemde ebe ve hekim taraf\u0131ndan ad\u00f6lesana proaktif emzirme deste\u011fi verilmelidir. Ad\u00f6lesanlar postpartum k\u0131sa d\u00f6nemde tekrarlayan gebelik ya\u015famamas\u0131 i\u00e7in taburculuk \u00f6ncesi e\u015fi ile birlikte kullanabilecekleri kontraseptif y\u00f6ntemler hakk\u0131nda bilgilendirilmelidir. Ad\u00f6lesan annelere taburculuk sonras\u0131 emzirmeyi, ana babal\u0131k kabiliyetlerini destekleyecek evde sa\u011fl\u0131k bak\u0131m deste\u011finin verilece\u011fi programa ihtiya\u00e7 vard\u0131r. Ad\u00f6lesanlar do\u011fum s\u0131ras\u0131nda aile bireylerinden izole edilmemeli ve bebe\u011fin babas\u0131n\u0131n veya ad\u00f6lesan\u0131n se\u00e7ti\u011fi bir eri\u015fkinin do\u011fuma e\u015flik etmeleri sa\u011flanmal\u0131d\u0131r. Ad\u00f6lesan anneyi fiziksel ve psiko-sosyal a\u00e7\u0131dan destekleyecek \u00e7ok payda\u015fl\u0131 koordine programlar ad\u00f6lesan anne ve bebe\u011finin kar\u015f\u0131 kar\u015f\u0131ya kald\u0131\u011f\u0131 problemleri a\u015fmas\u0131na yard\u0131m edecek ve sa\u011fl\u0131kl\u0131 aile birli\u011fi olu\u015fturmalar\u0131na yard\u0131m edecektir\u2019\u2019 a\u00e7\u0131klamalar\u0131nda bulundu.<\/p>\n","protected":false},"excerpt":{"rendered":"
AD\u00d6LESAN HAM\u0130LEL\u0130\u011eE \u0130L\u0130\u015eK\u0130N \u00d6NEML\u0130 A\u00c7IKLAMALARDA BULUNAN T\u00dcRK J\u0130NEKOLOJ\u0130 VE OBSTETR\u0130K DERNE\u011e\u0130 (TJOD) ANKARA \u015eUBES\u0130 BA\u015eKANI PROF. DR. YAPRAK \u00dcST\u00dcN, ”AD\u00d6LESAN GEBEL\u0130\u011e\u0130N R\u0130SK FAKT\u00d6RLER\u0130 \u00c7OK Y\u00d6NL\u00dcD\u00dcR” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":31005,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[658],"tags":[4041,12214,12215,5404],"class_list":["post-31004","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-altindaki","tag-gebelikte","tag-riskler","tag-yas"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/02\/17-yas-altindaki-gebelikte-riskler_2f10e08.jpg?fit=1000%2C970","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-844","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/31004","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=31004"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/31004\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/31005"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=31004"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=31004"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=31004"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}