Comparison of perinatal outcome between adolescent and adult pregnancies

Bıldırcın, Fatma Devran; Kurtoğlu, Ertuğrul; Kökçü, Arif; Işık, Yüksel; Ozkarci, Murat; Kuruoğlu, Serkan

doi:10.3109/14767058.2013.829816

Cited by 20 publications

(24 citation statements)

References 24 publications

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“…In accordance with the previous reports from either developed or developing countries, we found that adolescent mothers more frequently experienced anemia than adult mothers (3)(4)(5)(6)9,10). Iron requirements during adolescence significantly increase due to faster growth spurts and the start of menses (29).…”

Section: Discussionsupporting

confidence: 91%

“…On the contrary, some large population studies reported that fetal death was usually either unaffected or decreased in cases with younger maternal age (3,4,13,15). Also, conflicting results were reported in previous investigations about neonatal mortality in adolescent pregnancy (4,6,(8)(9)(10)(11)13,14). In our study, infants from younger adolescent mothers showed a higher risk of early neonatal death related to preterm delivery and LBW (adjusted OR: 21.09), although this may be due to the small sample numbers.…”

Section: Discussioncontrasting

confidence: 90%

“…In low-and middle-income countries, pregnancy has been reported as the main factor of death in adolescent girls (1). Young maternal age has usually been considered a high risk in relation to adverse pregnancy outcomes (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Possible explanations for adverse pregnancy outcomes have been thought to be their biological immaturity or poor social, economic and behavioral factors such as smoking, alcohol/substance abuse, malnutrition and inadequate prenatal care (17)(18)(19)(20)(21)(22).…”

mentioning

confidence: 99%

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Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey

Demirci¹,

Yilmaz²,

Tosun³

et al. 2015

Balkan Med J

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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. Adolescent pregnancy is defined as pregnancy in girls aged less than 20 years. It is estimated that 16 million 15-19 yearold women give birth every year, accounting for approximately 11% of all births worldwide (1). In low-and middle-income countries, pregnancy has been reported as the main factor of death in adolescent girls (1). Young maternal age has usually been considered a high risk in relation to adverse pregnancy outcomes (1-16). Possible explanations for adverse pregnancy outcomes have been thought to be their biological immaturity or poor social, economic and behavioral factors such as smoking, alcohol/substance abuse, malnutrition and inadequate prenatal care (17-22). However, the previous studies had conflicting findings regarding whether the effect of young maternal age on adverse pregnancy outcomes were caused by their biological immaturity or poor social, economic and behavioral factors (17)(18)(19)(20)(21)(22). ConclusionThe aim of the present study was to investigate whether there is an association between young maternal age and poor maternal and perinatal outcomes independent of possible confounding factors.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 90%

mentioning

confidence: 99%

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Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey

Demirci¹,

Yilmaz²,

Tosun³

et al. 2015

Balkan Med J

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“…With respect to gestational age, results showed that 87% were between 37-41 weeks and only 6% were between 33-36 weeks, thus not confirming the hypothesis of other studies, that the probability of premature births would higher among adolescents. The higher incidence of preterm birth among adolescents was observed in several national and international studies, given the lack of physical maturity of adolescent pregnancy, complications during gestation, inadequate care during the prenatal period and delivery, the number of prenatal consultations, the type of pregnancy, and delivery by cesarean section ( 11 , 12 , 19 , 20 ) .…”

Section: Discussionmentioning

confidence: 99%

Obstetric profile of pregnant adolescents in a public hospital: risk at beginning of labor, at delivery, postpartum, and in puerperium

Martínez

Silva

Cabrera

et al. 2015

Rev. Latino-Am. Enfermagem

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Objective: describe the obstetric profile of adolescents at beginning of labor, at delivery, postpartum, and in puerperium. Method: Cross-sectional descriptive study with 85 pregnant adolescents, selected by convenience, referred by health centers to a public hospital in Mexico City. Risks were evaluated before, during and after delivery and in puerperium, and measured respectively with the "Previgenes" that compose the Reproductive and Perinatal Risk Assessment System. Results: socioeconomic status, occupation and education level had influence on the emotionality of adolescents in relation to labor, whose obstetric risk was low for 55%, medium for 35%, and high for 10%. Risk in labor was low for 55%, medium for 18%, and high for 27%. Risk postpartum was low for 50%, medium for 25%, and high for 25%. In puerperium, most adolescents (90%) had low risk. Conclusion: most adolescents had low risk in the stages evaluated. The study contributed to identify strategies to approach risk considering the vulnerability inherent in this type of population and favored the conduct of appropriate interventions for the respective needs.

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“…La adolescencia según su desarrollo psicosocial se clasifica en temprana (10-13 años), media (14 a 16 años) y tardía (17 a 19 años) 4 , lo que nos hace entender como una etapa crítica del crecimiento ya que un 20% de la talla se logra en este periodo y el embarazo interfiere con dicho proceso y resulta preocupante porque puede estar relacionado a más complicaciones perinatales en relación inversa a la edad materna en comparación con las gestantes mayores de 19 años [5][6][7][8] .…”

Section: Introductionunclassified

Anemia y su asociación con el peso del recién nacido en gestantes adolescentes: ¿mito o realidad?

Arango-Ochante¹,

Pinto²,

Gonzales-Medina³

et al. 2019

Investigación Materno Perinatal

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Objetivo. Determinar la relación existente entre la hemoglobina materna de gestantes adolescentes y el peso de los recién nacidos en el Instituto Nacional Materno Perinatal (INMP). Material y métodos. Transversalmente se analizaron 914 gestantes seleccionadas mediante criterios de inclusión y exclusión de 2729 partos de adolescentes atendidas en el INMP correspondiente al año 2017. Los datos se recogieron del registro de partos y las historias clínicas, las variables de interés fueron la hemoglobina materna y el peso del recién nacido. Resultados. De los 914 partos 299 madres (32%) presentaron anemia y 615 (68%) no la presentaron, el grupo etario predominante fueron las adolescentes en la etapa tardía 73% (con anemia) y 71% (sin anemia). En el control prenatal predominó los insuficiente o sin control 74% (con anemia) y 73%(sin anemia). Las solteras fueron el grupo mayoritario, 91% (con anemia) y 93% (sin anemia). La procedencia de los distritos con quintiles IV y V fue el 90% (con anemia) y el 87% (sin anemia). No se encontró asociación entre el peso del recién nacido y la hemoglobina del tercer trimestre de la madre (r de Pearson = -0,0141; valor p = 0,6702). Conclusiones. No encontramos relación entre la hemoglobina materna baja y el peso al nacimiento de gestaciones a término de adolescentes, esto podría deberse a que en el control del peso fetal existirían múltiples factores que podrían ser más influyentes en este grupo de gestantes adolescentes.

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Comparison of perinatal outcome between adolescent and adult pregnancies

Abstract: These results show that the perinatal care is fairly improved in Turkey.

Cited by 20 publications

References 24 publications

Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey

Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey

Obstetric profile of pregnant adolescents in a public hospital: risk at beginning of labor, at delivery, postpartum, and in puerperium

Anemia y su asociación con el peso del recién nacido en gestantes adolescentes: ¿mito o realidad?

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