Labor and Delivery Outcomes Among Young Adolescents

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

doi:10.1016/j.jpag.2015.02.033

Cited by 6 publications

(16 citation statements)

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“…The findings of our study are consistent with those of previous studies describing that adolescents are more likely to deliver vaginally 7, 11, 13, 14, 15 even though it has been suggested that an immature structure to the pelvis risks higher rates of failure to progress or cephalopelvic disproportion. 17 In our study, adolescents had a lower risk of cesarean for failure to progress or cephalopelvic discproportion, although only reaching statistical significance for the older adolescent group.…”

Section: Discussionsupporting

confidence: 92%

“…The studies by de Vienne et al and Torvie et al reported lower risks for operative vaginal delivery, whereas that by Konje et al reported a 2-fold increase in the rate of forceps delivery. 13, 15, 18 Our study did not demonstrate an increased risk of operative vaginal delivery in adolescents.…”

Section: Discussioncontrasting

confidence: 42%

“…4, 5, 6 Previous studies have reported that adolescent pregnacy and delivery are associated with adverse maternal and neonatal outcomes, such as low birth weight, stillbirth, preterm delivery, maternal anemia, postpartum depression, eclampsia, maternal death and postnaonatal death. 5, 7, 8, 9, 10, 11, 12, 13 However, there has been conflicting findings from previous studies especially in women aged ≤15 years, primarily due to small sample size, differences in medical services, women’s social backgrounds, and homogeneous racial/ethnic populations. 12, 13 …”

Section: Introductionmentioning

confidence: 99%

“…5, 7, 8, 9, 10, 11, 12, 13 However, there has been conflicting findings from previous studies especially in women aged ≤15 years, primarily due to small sample size, differences in medical services, women’s social backgrounds, and homogeneous racial/ethnic populations. 12, 13 …”

Section: Introductionmentioning

confidence: 99%

“…7 However, many recent studies have found that adolescent mothers were more likely to have vaginal delivery. 7, 11, 13, 14, 15 The indication of primary cesarean delivery in adolescent pregnancy is not well studied. Also, limited data exists regarding duration of labor in adolescent pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy

Kawakita

Wilson

Grantz

et al. 2016

Journal of Pediatric and Adolescent Gynecology

171

152

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Study Objective To investigate the outcomes of adolescent pregnancy. Design Retrospective cohort study from the Consortium on Safe Labor between 2002 and 2008. Setting 12 clinical centers with 19 hospitals in the United States. Participants 43,537 nulliparous women <25 years, including 1,189 younger adolescents (age ≤15.9), 14,703 older adolescents (age 16–19.9)], and 27,645 young adults (age 20–24.9). Interventions aOR with 95%CI were calculated, controlling for maternal characteristics and pregnancy complications (young adults as a reference group). Main outcome Measure Maternal, neonatal outcomes, cesarean indications, and length of labor. Results Younger adolescents had increased risk of maternal anemia (aOR=1.25; 95%CI=1.07–1.45), preterm delivery <37 weeks of gestation (aOR=1.36; 95%CI=1.14–1.62), postpartum hemorrhage (aOR=1.46; 95%CI=1.10–1.95), preeclampsia/HELLP syndrome (aOR=1.44; 95%CI= 1.17–1.77) but had decreased risk of cesarean delivery (aOR=0.49; 95%CI= 0.42–0.59), chorioamnionitis (aOR=0.63; 95%CI=0.47–0.84), and neonatal intensive care unit (NICU) admission (aOR=0.80; 95%CI=0.65–0.98). Older adolescents had increased risk of maternal anemia (aOR=1.15; 95%CI= 1.09–1.22), preterm delivery at <37 weeks of gestation (aOR=1.16; 95%CI=1.08–1.25), and blood transfusion (aOR=1.21; 95%CI=1.02–1.43), but had decreased risk of cesarean delivery (aOR=0.75; 95%CI= 0.71–0.79), chorioamnionitis (aOR=0.83; 95%CI=0.75–0.91), major perineal laceration (aOR=0.82; 95%CI= 0.71–0.95), and NICU admission (aOR=0.89; 95%CI=0.83–0.96). Older adolescents were less likely to have cesarean for failure to progress or cephalopelvic disproportion (aOR=0.89; 95%CI 0.81–0.98). For adolescents who entered spontaneous labor, second stage of labor was shorter (P<.01). Conclusion Adolescents were less likely to have cesarean delivery. Failure to progress or cephalopelvic disproportion were decreased in older adolescents. Adolescents who entered spontaneous labor had shorter second stage of labor.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 42%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy

Kawakita

Wilson

Grantz

et al. 2016

Journal of Pediatric and Adolescent Gynecology

171

152

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Information behaviors in disadvantaged and dependent circumstances and the role of information intermediaries

Buchanan

Jardine

Ruthven

2018

Asso for Info Science & Tech

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This article provides the first empirical study focused exclusively on the information intermediary role in disadvantaged (socioeconomic) and dependent (support) circumstances. We report findings from interviews and focus groups with 49 UK state and voluntary sector professionals providing support to young (<21) mothers from areas of multiple deprivations. We evidence an important information intermediary role with three key contributions to information behaviors in disadvantaged and dependent circumstances. Intermediaries: facilitate information needs recognition, and consider purposeful action within problematic situations; are a key source of information in themselves, and a key integrative connection to other external sources not otherwise accessed; and tailor and personalize information for relevance, and communicate via incremental and recursive cycles that take into account learning needs. We provide parameters for a theory of information intermediary intervention to guide future examination of an important and understudied role; and conceptualize important theoretical relationships between information behavior and social capital, and in particular shared concepts of social integration, and the progressive and integrative intermediary role within. Our findings have significant practical implications for public health policy and digital health strategies, as they evidence an important human information intermediary role among an at‐risk group, with implications for disadvantaged and vulnerable populations more broadly.

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Adverse Perinatal and Neonatal Outcomes among Adolescent Pregnancies in the United States

et al. 2023

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Background: Despite a downward trend in recent years, adolescent pregnancies in the United States remain higher than any other Western country. Adolescent pregnancies have been inconsistently associated with adverse perinatal outcomes. Objective: To investigate the association between adolescent pregnancies and adverse perinatal and neonatal outcomes in the United States. Methods: This is a retrospective cohort study of singleton births in the US from 2014 to 2020 using national vital statistics data. Perinatal outcomes included gestational diabetes (GDM), gestational hypertension (gHTN), preterm delivery <37 weeks (PTB), cesarean delivery (CD), chorioamnionitis, small for gestational age (SGA), large for gestational age (LGA), and neonatal composite outcome. Chi-square tests were used to compare outcomes among adolescent (13-19 years) vs. adult (20-29 years) pregnancies. Multivariable logistic regression models were used to examine association of adolescent pregnancies with perinatal outcomes. For each outcome, we utilized three models: unadjusted logistic regression, adjusted for demographics, and adjusted for demographics and medical comorbidities. Similar analyses were used to compare younger (13-17 years) and older (18-19 years) adolescent pregnancies to adults. Results: In a cohort of 14,014,078 pregnancies, we found that adolescents were at an increased risk of PTB (adjusted odds ratio (aOR) 1.12, 99% confidence interval (CI)1.12-1.13) and SGA (aOR 1.02, 99% CI 1.01-1.03) compared to adult pregnancies. We also found that multiparous adolescents with a prior history of CD were at an increased risk of CD, compared to adults. For all other outcomes, adult pregnancies were at higher risk for adverse outcomes in the adjusted models. When comparing birth outcomes among adolescents, we found that older adolescents are at an increased risk of PTB, while younger adolescents are at an increased risk of both PTB and SGA. Conclusion: After adjusting for confounders, our study demonstrates adolescents have an increased risk of preterm birth and SGA, compared to adults.

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Labor and Delivery Outcomes Among Young Adolescents

Cited by 6 publications

References 0 publications

Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy

Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy

Information behaviors in disadvantaged and dependent circumstances and the role of information intermediaries

Adverse Perinatal and Neonatal Outcomes among Adolescent Pregnancies in the United States

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