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INTRODUCTION: Adolescent pregnancies are considered medically and socially complicated. The aim of this study is to define the medical and sociodemographic characteristics of adolescent pregnancies in our province and to review the health problems of the babies. METHODS: In this study, records of all cases diagnosed as "pregnancy" in the 10-19 age group who administered to the Department of Obstetrics and Gynaecology between January 1, 2014 and January 2018 and their babies in the Department of Child Health and Diseases were examined retrospectively from the patient files and the electronic system of the hospital. One hundred eight pregnancies and 99 babies were evaluated. Data were presented with descriptive statistics. RESULTS: The mean age of marriage of the pregnant women was 17.01 ± 0.90. Although most of them had education level eight years or more, none of them was employed. Hyperemesis, anemia, cephalopelvic incompatibility were important medical and obstetric problems, 96% of pregnancies resulted in caesarean operation. Adolescent pregnancy rate was below the average in Turkey. Respiratory distress and jaundice were the common problems in newborn period. Respiratory tract infections and anemia in infancy were common health problems. DISCUSSION and CONCLUSION: Increased quality of antenatal care in adolescent pregnancies may decrease medical complications. However, even if the education rate is high, it seems to be preventing active participation in working life. The sensitivity of all parts of society should be increased. Marriage and pregnancy processes should be ensured at the age of individual competence. Thus, social complications may decrease. [ABSTRACT FROM AUTHOR]

Introduction: Spontaneous uterine rupture is potentially catastrophic for both the mother and fetus. It is associated with risk factors, such as uterine abnormalities, uterine scar, macrosomic fetus, cephalopelvic disproportion, and use of uterotonic agents for induction of labor. We present a case of spontaneous rupture of an unscarred primigravid uterus, which is extremely rare. Case Report: A 22-year-old primigravida at 22 weeks presented to the emergency department with complaints of syncope and mild dyspnea. On her physical examination, she had a Glasgow coma scale of 15, tension arterial of 60/30 mmHg, and pulse rate of 110 beats/minute. Her first abdominal ultrasound was reported as normal. After consultation, the obstetrician reported that the fetus had normal fetal heart rate, and there had been no abnormality with the patient's pregnancy. After intravenous infusion of 1000 ml saline, her hypotension still proceeded, and her second USG revealed free fluid in the abdomen. An emergency laparotomy was performed for a probable diagnosis of intra-abdominal hemorrhage and the fetus found floating freely in the peritoneal cavity. The patient recovered and discharged healthy 5 days after the operation, while the fetus could not survive. Conclusion: Although it is extremely rare in primigravidas, an emergency physician should consider spontaneous uterine rupture in pregnant patients with hemodynamic instability. [ABSTRACT FROM AUTHOR]