Adverse perinatal outcome in teenage pregnancies: an analysis of a 5-year period in Southeastern Hungary (original) (raw)
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International Journal of Environmental Research and Public Health
Background: Despite being a very well-documented subject in the literature, there are still conflicting results regarding teenage pregnancies and their fetal outcomes. Methods: We conducted a retrospective, comparative cohort study that included 1082 mothers aged less than 18 years, compared to 41,998 mothers aged over 18 years, who delivered in our tertiary referral center between January 2015 and December 2021. To check for significant differences between the two groups, the chi-qquared or Fisher’s test for categorical variables were used. Results: We detected statistically significant higher rates of fetal malformation, premature birth, FGR and SGA fetal growth conditions, preeclampsia, condylomatosis and vaginal infection with E. coli in our cohort of teenagers. In this subpopulation of teenagers, the rate for premature birth at less than 32 weeks of gestation was 3.26-fold higher and 3.25-fold higher for condylomatosis, and these results referred to the cohort of adult patients...
Balkan Medical Journal, 2015
Background: Young maternal age is variously defined in studies of its effect on obstetrics and perinatal outcomes. Also, pregnancy has been reported as the leading cause of death in adolescent girls in low-and middle-income countries. Aims: The aim of the study was to evaluate whether young maternal age was associated with an increased risk of obstetrics and perinatal adverse outcomes. Study Design: Case-control study. Methods: This case-control study was derived from a database of the medical records between January 2008 and December 2012. In the present study, 1374 teenage pregnancy and 1294 adult pregnancy cases were included. After restriction of analyses to singleton primiparous women, 1282 teenage pregnancy and 735 adult pregnancy cases were analyzed. Maternal age was separated into three groups: 15 and less, 16-19, and 20-34 years. Adjusted odds ratios (ORs) were derived through logistic regression models for the potential confounding factors. Results: Adolescents aged 15 years and younger had higher risks of preterm delivery, early preterm delivery, intrauterine fetal death and neonatal death compared with women aged 20 to 34 years after adjustment for confounding factors. In addition, both groups of adolescents had higher risks for anemia and episiotomy and lower risk of cesarean delivery. The rates of preeclampsia, gestational diabetes, chronic diseases, intrauterine growth restriction (IUGR) were higher in the adult group. Conclusion: Younger maternal age was correlated with increased risks of preterm delivery, fetal and neonatal death and anemia.
Perinatal outcomes of adolescent pregnancies at a university hospital in Turkey
Journal of the Turkish German Gynecology Association Artemis
Objective: Adolescent pregnancies have increased over the past years, being considered a significant social and reproductive concern and 15-20% of all births are to adolescent mothers. The purpose of this study was to compare the perinatal outcomes of women aged 19 or less with adult pregnancies between 20-38 years-old women in our institution. Materials and Methods: The hospital admission charts of 715 adolescents (adolescent group) and 4560 adults aged 20-38 years (control group) delivered in a university hospital in Turkey were retrospectively studied. Maternal data including maternal age at delivery, gravidity, parity, gestational age at delivery, delivery mode, indications for cesarean section, and obstetric complications and also fetal outcome such as birth weight, Apgar scores, neonatal gender, neonatal morbidity and mortality were recorded. Results: The median ages of the adolescent and the control group were 18 and 27 years, respectively. The ratios of low birth weight and macrosomia in adolescent and control groups were 26.4% vs. 22.9% and 2% vs. 5.6%, respectively. First minute Apgar score <7 in the newborns of the adolescent group was 23.9% compared to 20.7% in control group. The ratios of cesarean section delivery in adolescent and control groups were 30% and 52.7%, respectively. In adolescents the most common indications for cesarean section were acute fetal distress (31.3%), malpresentation (23.3%), and previous cesarean section (22.2%). The most common obstetric complications in adolescent pregnancies versus pregnancies in control group were premature rupture of membranes 49 (13.9% vs. 7.2%) (p<0.05), preterm delivery 39 (11.1% vs. 4.2%) (p<0.05), and eclampsia 18 (5% vs. 1.5%) (p<0.05). Discussion: The prevalence of teenage pregnancies in Turkey remains high. Most teenage mothers and their newborn infants are vulnerable to a variety of potentially serious obstetric problems, and accordingly need appropriate help and support.
Teenage pregnancy and fetal outcome
Background: pregnancy in teenagers is not free of risks. The risk of low birth weight (LBW) and preterm delivery is particularly high among teenagers. LBW is significantly higher in young teenagers aged 13–19 years. Objectives: Evaluation of fetal outcome in teenage pregnancy in Assiut governorate, Egypt. Patients and methods: This study was conducted in the department of obstetrics and gynecology of Al-Azhar University Hospital (Assiut) Egypt, as a descriptive comparative study that compares the fetal outcome of teenage pregnancy with that of adult pregnancy, in 3 years, retrospective in (2011and 2012) and prospective in (2013).there were a 953 and 1162 woman in a teenage and an adult groups respectively fulfilled the inclusion criteria. Result: There was a significantly increased risk of preterm labor more in teenager group (13.1% vs 3.0% P=0.001) while post term more in Adults group (3.3%vs13.0% P=0.001). On the other hand Low birth weight (LBW), intra uterine growth retardations (IUGR), Neonatal death, intra uterine fetal death (IUFD), low APGAR score: At 1 and 5 min. respiratory distress syndrome (RDS), and admission to neonatal intensive care unit (NICU) were significantly increased in teenage group. Conclusion: Teenage mothers are at a higher risk of developing preterm, Low birth weight, IUGR, Neonatal death<48 h, IUFD, low APGAR score: At 1 and 5 min and admission to NICU.
Obstetric and perinatal outcomes of teenage pregnant women: a retrospective study
Epidemiology Biostatistics and Public Health, 2013
Background: teenage pregnancy is a worldwide social problem. The aim of this study is to provide more data for a better understanding of the possible maternal and foetal risks associated with teenage pregnancies. MeThods: the hospital records of all pregnant women, aged between 14 and 19, from the obstetric registers of the Policlinico umberto I hospital in rome, between 2000 and 2010, have been completely reviewed (n=184). For each pregnant woman socio-demographic characteristics, obstetric history, pregnancy and birth outcomes were also determined. our results were compared with a control group composed of 150 primigravida adult women aged 20-29 years who delivered at the Policlinico umberto I hospital in rome in the same period. resulTs: the mean age ± sd of the study group was 17.9 ± 1.2, while that of the control group was 25.4 ± 2.4. The control group had a significantly lower risk of preterm delivery (p=0.000). The rate of low birth weight babies born to the young mothers was significantly higher than that of babies born to the adult mothers (p=0.036). The study group had a lower risk of instrumental delivery and a higher proportion of spontaneous delivery (p=0.000). Finally, we observed a statistically significant difference of the aPgar score at the fifth minute between the two groups (p=0.004). conclusIons: our results seemed to confirm the outcomes of previous studies for adolescent pregnant women, mainly regarding the increased risks of preterm deliveries and low birth weight babies, the higher incidence of spontaneous vaginal delivery and the lower incidence of instrumental delivery.
Obstetrics and perinatal outcomes of teenage pregnant women: a retrospective study
Background: teenage pregnancy is a worldwide social problem. The aim of this study is to provide more data for a better understanding of the possible maternal and foetal risks associated with teenage pregnancies. MeThods: the hospital records of all pregnant women, aged between 14 and 19, from the obstetric registers of the Policlinico umberto I hospital in rome, between 2000 and 2010, have been completely reviewed (n=184). For each pregnant woman socio-demographic characteristics, obstetric history, pregnancy and birth outcomes were also determined. our results were compared with a control group composed of 150 primigravida adult women aged 20-29 years who delivered at the Policlinico umberto I hospital in rome in the same period. resulTs: the mean age ± sd of the study group was 17.9 ± 1.2, while that of the control group was 25.4 ± 2.4. The control group had a significantly lower risk of preterm delivery (p=0.000). The rate of low birth weight babies born to the young mothers was significantly higher than that of babies born to the adult mothers (p=0.036). The study group had a lower risk of instrumental delivery and a higher proportion of spontaneous delivery (p=0.000). Finally, we observed a statistically significant difference of the aPgar score at the fifth minute between the two groups (p=0.004). conclusIons: our results seemed to confirm the outcomes of previous studies for adolescent pregnant women, mainly regarding the increased risks of preterm deliveries and low birth weight babies, the higher incidence of spontaneous vaginal delivery and the lower incidence of instrumental delivery.
Open Journal of Obstetrics and Gynecology, 2021
Backgrounds: Teenage pregnancies are generally considered as a high-risk however, sufficient data is lacking in the area, Cairo Egypt. We attempted to determine whether teenage pregnancies show poorer outcomes than adult-age pregnancies. Objectives: Finding out the prevalence of teenage pregnancy and its maternal and fetal outcome in comparison. Subjects and methods: A retrospective analytical case-control study was conducted on patients who had attended for delivery at Al-Galaa Maternity Teaching Hospital during the period of one year from March 2015 to February 2016. A total of included 538 patients aged 16-19 years as study group and adult age group: included 609 patients aged 25-29 years as the control group. The only primigravid was enrolled. The study records were retrieved for review. Comparisons were made between the two groups regarding maternal demographics, socioeconomic status, medical disorders, major antenatal complications, the outcome of labor, mode of delivery, and perinatal complications. Results: The prevalence of teenage pregnancy, was 46.9%. Teenage group, compared with the adult group, P-value < 0.05 was considered the significant prevalence of teenage pregnancy, was 46.9%. Teenage group, compared with the adult group, P-value < 0.05 was considered significant. Teenagers had a lower antenatal care attendance (63.8% vs 76.7%; P = 0.001), a higher incidence of Eclampsia (2.1% vs 0%; P = 0.000), vaginal deliveries (70.1% vs 51.9%; P = 0.000). And a higher maternal ICU admission (1.4% vs 0.0.7%), and maternal death (0.5% vs 0%),especially in low socioeconomic. On the other hand, the adult group pregnancies had a higher incidence of gestational hypertension, gestational diabetes, and cesarean delivery. Conclusions: Teenager primigravid women should be considered as a high-risk pregnancy and thus require special medical attention to avoid adverse maternal and neonatal outcomes.
Perinatal Outcomes and Risk Factors of Turkish Adolescent Mothers
Journal of Pediatric and Adolescent Gynecology, 2007
Study Objective: Adolescent pregnancy is considered a high risk for both the mother and infant. The aim of this study was to determine obstetric and neonatal outcomes and risk factors in adolescent pregnant women and to compare perinatal outcomes among the teen age groups and between adolescent and adult women.
Journal of Evolution of medical and Dental Sciences, 2014
BACKGROUND: Teenage pregnancy is the most important risk factor for complications during pregnancy as well as foetal outcome like low birth weight. Adolescent group is already suffering from health problems; in addition to that pregnancy increases the risk to mother as well as foetus. METHODS: the prospective case control study carried out at Obstetric department. Adolescent (13-19yrs) & Control (20-25yrs) age group pregnant women were included for study purpose. Complication during pregnancy like Pregnancy Induced Hypertension, anemia, ante partum hemorrhage, as well as foetus outcome like birth weight, and term pregnancy were recorded. All data analyzed using MS excel 2010. RESULT: A total of 320 i.e. 160 from each group pregnant mother were analyzed. Mean age of adolescent pregnancy was 15.8 yrs of age. 65.3% of total ante partum complication was from adolescent group. Cephalopelvic disproportion (100% vs0.0%), Intra Uterine Growth Retardation (83.3% vs. 16.7%) & anemia (75% vs. ...
Obstetric outcome of teenage pregnancies
Human Reproduction, 1998
A retrospective cohort study was performed in a tertiary centre to determine if teenage nulliparas (aged ഛ19 years, study group) had higher incidences of instrumental and Caesarean deliveries compared with nulliparas aged 20-34 years (control group) selected from the first women in the birth registry who delivered after each study case and satisfying the criteria for controls. The hospital records of the study and control cases were retrieved for review. Comparison was made in the maternal demographics, major antenatal complications, outcome of labour, mode of delivery, and perinatal outcome. In the study group, maternal height was similar but the body mass index was lower. Although the mean birthweight was lower and the incidences of preterm labour and small-for-gestational-age infants higher, there were also increased incidences of large-for-gestational-age and macrosomic infants. While there was no difference in the types of labour, there were fewer Caesarean and instrumental deliveries, a finding that persisted even after excluding the preterm deliveries. Lastly, teenage mothers aged <17 years had similar outcomes to those aged 17-19 years. These results indicated that teenage mothers had better obstetric outcomes, despite the higher incidence of preterm labour, and that young adolescents (<17 years) performed as well as their older peers.