Good outcome of teenage pregnancies in high-quality maternity care

Raatikainen, Kaisa; Heiskanen, Nonna; Verkasalo, Pia K.; Heinonen, Seppo

doi:10.1093/eurpub/cki158

Cited by 104 publications

(119 citation statements)

References 32 publications

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“…A literature review indicates that the neonatal outcomes in adolescent pregnancies are similar to non-adolescent pregnancies. The overall rate of congenital abnormality, newborn intensive care requirement or neonatal death is very low [2,6,7]. In our study, Apgar score and newborn intensive care requirement is also very low and no neonatal death is recorded.…”

Section: Discussionmentioning

confidence: 43%

“…Incomplete physical and psychological development of the adolescents is the main etiology of pregnancy complications. Comparing to pregnancies of adults population, preterm birth, intrauterine growth retardation, fetal death, abortion, chronic fetal distress, fetal malformation, placental abruption and cesarean or operative birth rate are more frequent in adolescent pregnancies [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

“…Maternal mortality, nutritional issues, economic and social problems, as well as depression, abuse and a tendency to be involved in criminal acts is observed more frequently in pregnant adolescents than adults. Furthermore, adolescent pregnancies are more often complicated with prematurity, IUGR, fetal death, abortion, chronic fetal distress, malformation, placental abruption and lead to more operative deliveries compared to adult age population [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

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Adolescent pregnancies: complications, birth outcomes and the possible solutions

Çift

Korkmazer

Bulut³

et al. 2017

Ginekol Pol

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Objectives: In this study we aim to evaluate antenatal, perinatal and postnatal outcomes and complications of adolescent pregnancies, as well as to discuss the social and psychological consequences of these pregnancies. Material and methods:We compare a total of 243 pregnant women at age 14-18 years to a vast control group at age 19-36 who all delivered at Bursa Yüksek Ihtisas Training and Research Hospital between years 2005-2014.Results: Antenatal care (folic acid supplementation, pre-conception counseling) was significantly higher in adolescent pregnancy group. Unplanned pregnancy rate was significantly higher in in study group (p < 0.001). Preterm delivery (before 37 th week) ratio was statistically higher in pregnancy complications. Conclusions:Adolescent pregnancy is a social entity which should be regulated and prevented by legal measures. Planned pregnancies should be promoted and the public should be educated and informed about the Hazards of adolescent pregnancies. Press institutions, public broadcasting services support the efforts to decrease adolescent pregnancies.

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Section: Discussionmentioning

confidence: 43%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adolescent pregnancies: complications, birth outcomes and the possible solutions

Çift

Korkmazer

Bulut³

et al. 2017

Ginekol Pol

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“…Estudo realizado em Maceió também encontrou uma incidência alta de 54,8% de adolescentes que realizaram menos de seis consultas no pré-natal 28 . No trabalho de Goldenberg et al 7 , verificaram, que somente 28,5% das adolescentes realizaram pré-natal adequado.…”

Section: Discussionunclassified

“…Suporte psicossocial de mães adolescentes pode prevenir marginalização econômica, educacional e social e não se limitar apenas ao atendimento médico necessário. Além do mais, como parturientes adolescentes são mais, frequentemente, desempregadas que outras mulheres de sua idade, suas crianças podem necessitar de suporte e vigilância adicional 28 .…”

Section: Discussionunclassified

Associação de gravidez na adolescência e prematuridade

Martins¹,

Santos²,

Sousa³

et al. 2011

Rev. Bras. Ginecol. Obstet.

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Janne eyre fernandes brito da costa 4 vanda maria ferreira siMões 5Resumo OBJETIVO: Analisar a associação da gravidez na adolescência com prematuridade. MÉTODOS: Foram incluídas todas as pacientes que pariram num hospital terciário universitário do Maranhão, no período de julho a dezembro de 2006, alocando-as em dois grupos: adolescentes (10 a 19 anos de idade) e adultas (20 a 34 anos). As variáveis estudadas foram: escolaridade, situação conjugal, número de consultas no pré-natal, idade gestacional no início do pré-natal, duração da gestação, tipo de parto e peso ao nascer. Os dados foram processados no programa Epi-Info, versão 3.4.1, e foram analisadas as associações entre as variáveis pela razão dos produtos cruzados, a odds ratio (OR), com intervalo de confiança (IC) de 95%; utilizaram-se também modelos de regressão logística. O nível de significância adotado foi de 0,05. RESULTADOS: Foram avaliadas 1.978 pacientes. Verificou-se frequência de 25,4% de partos em adolescentes, que apresentaram baixa escolaridade, ausência de companheiro, menor número de consultas no pré-natal, início tardio do pré-natal, baixo peso ao nascer (BPN) e prematuridade. Realizando a análise, tendo como variável desfecho a prematuridade, verificou-se nítida associação com baixo número de consultas do pré-natal (OR 3,0; IC95% 2,2-4,0) e início tardio do pré-natal (OR 1,9; IC95% 1,3-2,6), baixa escolaridade (OR 1,9; IC95% 1,4-2,5) em relação com a adolescência (OR 1,5; IC95% 1,1-1,9). As adolescentes tiveram menor incidência de cesárea (33,3%) que as adultas (49,4%), com diferença significativa, além de menor associação com pré-eclâmpsia e desproporção cefalopélvica. CONCLUSÕES: A gravidez na adolescência esteve associada a início tardio do pré-natal e baixo número de consultas pré-natal, além de baixa escolaridade, BPN, prematuridade e menor incidência de desproporção cefalopélvica e pré-eclâmpsia. Abstract PURPOSE:To analyze the association of pregnancy in adolescence and prematurity. METHODS: The study included all the patients who delivered at a teaching hospital in Maranhão State, from July to December 2006. The patients were divided into two groups: adolescents (10 to 19 years old) and adults (20 to 34 years old). The variables studied were: educational level, marital status, number of prenatal visits, gestational age at the onset of prenatal care, duration of gestation, delivery route and birth weight. Statistical analysis was performed using the Epi-Info software, version 3.4.1, and the associations between variables were analyzed by the odds ratio (OR), with a 95% confidence interval (CI). Models of logistic regression were also used. The level of significance adopted was 0.05. RESULTS: The study evaluated 1,978 patients. The frequency of deliveries in adolescents was 25.4%. This group presented low educational level, no mates, low number of prenatal visits, late onset of prenatal care, low birth weight and prematurity. In the analysis of prematurity as the outcome variable, there was a clear association with low number of pr...

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