Gestation Course, Delivery and Perinatal Outcomes in Adolescents of Arkhangelsk Region, a Comparative Study in 20 Years

Abstract

Aim. To estimate social and somatic statuses, key-indicators of pregnancy, childbirth and condition of neonates in female adolescents living on the territory of the Arkhangelsk region for the period of 20 years. Methods. A comparative assessment of clinical scores of pregnancy and childbirth in women under the age of 18 years, residing in Arkhangelsk region for 1990-1995 and 2011-2014 years was performed on the basis of medical records and questionnaire survey. Results. A decrease of employed adolescents (6.6% currently vs. 42.4 % in the 90s) and the increase of students (61.5 % in 20112014 and 25.8 % in 1990 1995) were found over the past 20 years. Chronic extragenital pathology in minors increased (43.5 % in the 90 years and 65.9 % - in 2011-2014). The complications structure and the incidence of pregnancy and childbirth in adolescents over the past 20 years have been quite comparable. The increase in the IUGR rate (from 6.7 % to 12.6 %) and cesarean section (from 5.5 % to 13.0 %) in young women was stated Conclusions. Pregnant adolescent's social status has been changed to increasing number of students. The rate of comorbidity in minors has grown. There were no significant differences in the frequency and structure of pregnancy and childbirth complications, as well as perinatal outcomes in young women for the period of 20 years.