A retrospective study regarding the method of delivery of adolescents in a Romanian Hospital

Uzunov, Ana; Bohîlțea, Roxana Elena; Munteanu, Octavian; Nemescu, Dragoş; Cîrstoiu, Monica Mihaela

doi:10.3892/etm.2020.8835

Cited by 4 publications

(4 citation statements)

References 17 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The literature demonstrates controversial results related to the particularities of pregnancy evolution and birth in the adolescent population. Some studies report higher percentages of C-sections [ 41 , 42 , 43 ], some report similar C-section rates compared to adult pregnancies [ 44 , 45 , 46 ], and some studies report lower percentages of adolescent C-section birth [ 47 , 48 ]. As depicted in many previous studies, we observed a statistically significantly lower number of C-sections performed for various indications in the pregnant adolescent group when compared with pregnant women between 20 and 24 years old ( p -value less than 0.01).…”

Section: Discussionmentioning

confidence: 99%

Mirroring Perinatal Outcomes in a Romanian Adolescent Cohort of Pregnant Women from 2015 to 2021

et al. 2023

View full text Add to dashboard Cite

Although the rates of adolescent pregnancies appear to have dropped according to the World Health Organization (WHO), the decrease in the age of the first menarche and better nutrition seems to contribute to the otherwise high rate of adolescent pregnancy worldwide, despite the efforts of different organizations to improve upon this trend. We conducted a population-based retrospective cohort study from January 2015 to December 2021 using our hospitals’ database. We totaled 2.954 adolescent and 6.802 adult pregnancies. First, we compared younger adolescents’ outcomes with those of older adolescents, as well as with adolescents aged between 18 and 19 years old; secondly, we compared adolescent pregnancies with adult ones. We detected higher percentages of cephalo-pelvic disproportion (43.2%), cervical dystocia (20.7%), and twin pregnancy (2.7%) in underage adolescents compared with 32%, 14.1%, and 1% in older underage adolescents, respectively, and 15.3%, 3.1%, and 0.6% in older ones. As teens became older, the likelihood of malpresentations and previous C-sections rose, whereas the likelihood of vaginal lacerations declined. When comparing adolescents with adult women, we found more cases that required episiotomy (48.1% compared with 34.6%), instrumental delivery (2.1% compared with 1%), and cervical laceration (10.7% compared with 8.4%) in the adolescent group, but the rates of malpresentation (11.4% compared with 13.5%), previous C-section (13.9% compared with 17.7%), and placenta and vasa praevia (4.5.6% compared with 14%) were higher in the adult women group. Adolescent pregnancy is prone to being associated with higher risks and complications and continues to represent a challenge for our medical system.

show abstract

Section: Discussionmentioning

confidence: 99%

Mirroring Perinatal Outcomes in a Romanian Adolescent Cohort of Pregnant Women from 2015 to 2021

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Multiple studies evaluated the mode of delivery among adolescent patients, but the results vary and may be contradictory depending on demographic characteristics [7,45,50,51]. Most reports demonstrate that cesarean section in developed countries is less frequent in patients under 18 years [7,45], while in developing countries the rate of cesarean section is higher in adult and adolescent patients, representing almost one-third of all surgeries [52,53].…”

Section: Discussionmentioning

confidence: 99%

“…Most reports demonstrate that cesarean section in developed countries is less frequent in patients under 18 years [7,45], while in developing countries the rate of cesarean section is higher in adult and adolescent patients, representing almost one-third of all surgeries [52,53]. A study analyzing 343 patients aged between 12 and 17 showed that half required cesarean section [50]. Another study found a higher cesarean rate at <15 years of age (28.1%) compared to 23% at 16-17 years [2].…”

Section: Discussionmentioning

confidence: 99%

Mode of Delivery and Neonatal Outcome in Adolescent Pregnancy (13–16 Years Old) Associated with Anemia

et al. 2022

View full text Add to dashboard Cite

Background: Adolescent pregnancy represents an important public-health problem due to its maternal and fetal outcomes. Adolescent patients are predisposed to multiple obstetrical complications, including anemia and preterm birth which has a higher incidence among this population; withal, in the specialty literature, anemia is considered to be a risk factor for preterm delivery; furthermore, multiple studies have demonstrated that a very young age is an independent risk factor for preterm birth. Objectives: The study aims to reveal if anemia during adolescent pregnancy has a negative impact on the time and mode of delivery and newborns’ outcomes. Patients and methods: We performed a retrospective multicentric study on adolescent pregnancy. We analyzed 172 patients aged between 13 and 16 years who delivered in two large tertiary hospitals between 1 October 2018 and 15 April 2022. We divided the patients into two groups—a study group (n = 64) with anemia and a control group (n = 108) without anemia. We evaluated the modes of delivery, the times of birth, and the neonatal outcomes by 1-min newborn’s Apgar score, neonatal intensive-care unit (NICU) admission, and the newborns’ weights. Results: The rate of cesarean section was higher in patients with anemia than in the control group (45.31% vs. 38.88%, p < 0.001). We found that patients between 13 and 16 years diagnosed with anemia have a higher risk of preterm birth than those without anemia (35.93% vs. 21.29%, p < 0.001); however, an increased rate of LBW neonates was observed in the anemic adolescent group ≤14 years (p < 0.001). Regarding the newborns’ 1-min Apgar score, NICU admission, no statistically significant differences were recorded between the two groups according to the severity of anemia. In the anemic patients’ group, prenatal screening was identified in 9.37% of cases, while in the control group, in 16.67% (p = 0.034), which represents negative predictive factors, along with a low socio-economic status for the presence of anemia in young adolescent patients. Conclusions: Anemia is a risk factor for preterm birth, LBW, and cesarean section in young adolescent pregnancy. The association of lack of prenatal care and low socio-economic status worsens maternal and neonatal outcomes.

show abstract

“…In their original study entitled ‘A retrospective study regarding the method of delivery of adolescents in a Romanian Hospital’, Uzunov et al ( 20 ) aimed to analyze the pregnancy-related conditions, the way of delivery and the neonatal outcome of all the patients who delivered in the Department of Obstetrics and Gynecology of University Emergency Hospital in Bucharest, a tertiary unit in Romania over a period of 5 years, on a group of 686 patients. As regards their results, 464 of the 686 patients did not undergo any medical visits during pregnancy.…”

mentioning

confidence: 99%

[Editorial] 2nd Special Issue: Tackling key immunological and immuno-dermatological pathways and their link to treatment options

Boda

2020

Exp Ther Med

View full text Add to dashboard Cite

A retrospective study regarding the method of delivery of adolescents in a Romanian Hospital

Cited by 4 publications

References 17 publications

Mirroring Perinatal Outcomes in a Romanian Adolescent Cohort of Pregnant Women from 2015 to 2021

Mirroring Perinatal Outcomes in a Romanian Adolescent Cohort of Pregnant Women from 2015 to 2021

Mode of Delivery and Neonatal Outcome in Adolescent Pregnancy (13–16 Years Old) Associated with Anemia

[Editorial] 2nd Special Issue: Tackling key immunological and immuno-dermatological pathways and their link to treatment options

Contact Info

Product

Resources

About