Labor and delivery outcomes among young adolescents

Torvie, Ana J.; Callegari, Lisa S.; Schiff, Melissa A.; Debiec, Katherine E.

doi:10.1016/j.ajog.2015.04.024

Cited by 84 publications

(95 citation statements)

References 27 publications

(36 reference statements)

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“…Recent data from Sweden also demonstrated an age‐related risk of obstetric anal sphincter injuries starting at 25 years of age 37. Another population‐based study from the United States found a decreased risk of obstetric anal sphincter injuries in women 15‐19 years of age compared with women aged 20‐24 years 36. Our results likewise suggest a decreased risk of obstetric anal sphincter injuries only in very young women.…”

Section: Discussionsupporting

confidence: 78%

Risk and protective factors for obstetric anal sphincter injuries: A retrospective nationwide study

Marschalek

Worda

Kuessel

et al. 2018

Birth

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BackgroundIn view of the reported increase in obstetric anal sphincter injuries, the objective of this study was to evaluate the incidence of such injuries over time and the associated risk and protective factors.MethodsThis was a retrospective cohort study from a national database of 168 137 primiparous women with term, singleton, cephalic, vaginal delivery between 2008 and 2014. The main outcome measure was obstetric anal sphincter injury. A multivariate regression model was used to identify risk and protective factors.ResultsAge >19 years, birthweight >4000 g, and operative vaginal delivery were independent risk factors for obstetric anal sphincter injuries. Mediolateral episiotomy increased the risk for obstetric anal sphincter injuries in spontaneous vaginal birth (number needed to harm 333), whereas it was protective in vacuum delivery (number needed to treat 50). From 2008 to 2014, there was an increase in the rate of obstetric anal sphincter injuries (2.1% vs 3.1%, P < .01), vacuum deliveries (12.1% vs 12.8%, P < .01), and cesarean delivery after labor (17.1% vs 19.4%, P < .01), while forceps deliveries (0.4% vs 0.1%, P < .01) and episiotomy rate decreased (35.9% vs 26.4%, P < .01).ConclusionsEpisiotomy may be a risk or protective factor depending on the type of episiotomy and the clinical setting in which it is used. Our study supports a restrictive use of mediolateral episiotomy in spontaneous vaginal deliveries. In vacuum deliveries mediolateral episiotomy may help prevent obstetric anal sphincter injuries.

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Section: Discussionsupporting

confidence: 78%

Risk and protective factors for obstetric anal sphincter injuries: A retrospective nationwide study

Marschalek

Worda

Kuessel

et al. 2018

Birth

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“…In the study by Torvie et al (19), where more than 26,000 women were included, the results of labor compared and childbirth among adolescents and adults, showing that both adolescents between 11 and 14 years, as 15 to 19 years had a decreased risk caesarean section and instrumental delivery compared with young adults between 20 and 24 years; Similar data were obtained in other studies (3,(21)(22)(23)(24).…”

Section: Teenage Motherhood and Her Relationship With Caesarean Sectionsupporting

confidence: 75%

“…However, when performing the bivariate analysis through hypothesis testing, it was shown that although the birth weight of the children of adolescent vs. the children of young adults (2,904 g vs. 2,919 g) are similar, the teen age itself is associated with an increased risk of low birth weight (OR 9.4, 95% CI 7.59 to 11.76), as described in several studies (19,22,(24)(25)(26).…”

Section: Teenage Pregnancy and Neonatal Outcomesmentioning

confidence: 99%

“…The main route was vaginal delivery for both cases to controls, no statistically significant difference between the two; there wasn `t a significant difference between cesarean section in adolescents and young adults (32.8 vs. 36.9%) was observed. By comparing these data with recent studies are divergences (5,10,12,18,19). For example, the study by Malaberey et al (18) analyzed a cohort of 6,188,704 cases over a period of 10 years and suggests that adolescents have increased rates of cesarean section, especially those under 12, in whom the immaturity of the pelvis and is the disproportion cephalopelvic main indication for termination of pregnancy by high way, which has been shown in other studies (12,20).…”

Section: Teenage Motherhood and Her Relationship With Caesarean Sectionmentioning

confidence: 99%

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Maternity in adolescents and its association with caesarean labor

Gallardo-Lizarazo

Guerrero-Romero

Niño-González³

et al. 2015

rev. cienc. cuidad.

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Objective: to evaluate the association between adolescence and cesarean section in women aged 10-19 years compared with those found in ages between 19 and 25 years, patients in a hospital, and determine its association with sociodemographic variables and neonatal in terms of prematurity, and Apgar low birth weight. Materials and Methods: a case-control study was performed using a simple random sampling, considering the calculation of a statistical sample. a total of 1,304 cases and 2,608 controls were included. First time mom patients treated at an institution x over a period of three years, to determine associations of risk through analysis of hypothesis testing is included. Results: the risk of caesarean section in teenagers is (OR 1.13, 95% CI 1.10 to 1.51). In addition, it was determined that there is an increased risk of low birth weight (OR 9.4, 95% CI 7.59 to 11.76), with no difference in adolescents in the risk of Apgar down score at minute and 5 minutes later. Conclusion: there is an increased risk of low birth weight and require termination of pregnancy via cesarean in adolescents compared to young adults, especially if they are under 14. It is necessary to promote campaigns to prevent teenage pregnancy, as the main measure of control over these population. Adolescencia materna y su asociación con la realización de cesárea RESUMEN Objetivo: evaluar la asociación entre adolescencia y la realización de cesárea en mujeres de 10 a 19 años, en comparación con las que se encuentran en edades entre 19 y 25 años, atendidas en un hospital X, y determinar su asociación con variables sociodemográficas y neonatales en términos de prematurez, Apgar y bajo peso al nacer. Materiales y Métodos: se realizó un estudio de casos y controles, mediante un muestreo simple aleatorio, teniendo en cuenta el cálculo de una muestra estadística. Se incluyeron un total de 1.304 casos y 2.608 controles. Se incluyeron pacientes primigestantes atendidas en una institución x en un período de tres años, para determinar asociaciones de riesgo mediante análisis de contraste de hipótesis. Resultados: el riesgo de cesárea en adolescentes es de (OR 1,13, IC 95% 1,10-1,51). Además, se determinó que en las adolescentes existe un riesgo mayor de bajo peso al nacer (OR 9,4, IC 95% 7,76), sin diferencia en cuanto al riesgo de Apgar bajo al minuto y los 5 minutos. Conclusión: existe un mayor riesgo de presentar bajo peso neonatal y requerir terminación de la gestación por vía cesárea en adolescentes, en comparación con las adultas jóvenes, especialmente si son menores de 14 años. Se requiere promover campañas para evitar el embarazo adolescente, como principal medida de control sobre esta población. KEYWORDSPALABRAS CLAVE: parto abdominal, parto, complicaciones del embarazo, embarazo en adolescencia, adolescentes. (OR 9,4, IC 95% 7,76), não havendo diferença em adolescentes no risco de baixo índice de Apgar no minuto 5 minutos. Conclusão: há um aumento do risco de baixo peso ao nascer e exigem a interrupção da gravidez através de cesarian...

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“…Buna rağmen yakın tarihli birçok çalışmada da adölesan annelerin vajinal doğum yapmalarının daha yüksek olası oldukları bildirilmiştir (7,9,15,16 …”

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