Maternal-fetal outcome associated with adolescent pregnancy in a tertiary referral center: a cross-sectional study

Ergen, Evrim Bostancı; Yayla, Cigdem Abide; Sanverdi, Ilhan; Özkaya, Enis; Kılıççı, Çetin; Kocakuşak, C Kabaca

doi:10.5603/gp.a2017.0120

Cited by 20 publications

(17 citation statements)

References 17 publications

(26 reference statements)

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“…Previous studies carried out in industrialized countries, like a Korea, Canada, Slovenia and Iran have revealed no excess risks of preeclampsia among adolescents [6], [10], [28], [42], whereas higher risks have been reported in developing countries, like a Turkey and Zambia [43], [44]. Our results do not support earlier findings of a higher risk of gestational hypertension and preeclampsia in teenage mother’s compared to adults [45].…”

Section: Discussionmentioning

confidence: 99%

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Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy

Rexhepi

Besimi

Rufati

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Adolescent pregnancy, defined as a pregnancy in girls aged 10 to 19 years. Adolescent mothers are at high risk for maternal and neonatal complications. AIM: To compare maternal, perinatal and neonatal outcomes in adolescents and adult women aged 20-24 years. MATERIAL AND METHODS: This retrospective cohort study included all singleton pregnancies during a three-year period (January 2016-December 2018) who gave birth in a Clinical Hospital in Tetovo, Republic of Macedonia. After exclusion criteria, a total of 932 cases were reviewed and divided into two groups: one of the teenage mothers (< 19 years old) (115 women) and the other of adult mothers (20-24 years old) (817 women). RESULTS: Of the total number of 5643 births, 128 (2.27%) were from adolescent pregnancies. Of them, nulliparous adolescent women were 115 (2.04%). Adolescents compare to adult mothers had a higher rate of urinary tract infections (33% vs. 22%), increased rate of maternal anemia (26% vs. 15%), preterm birth, small for gestational age newborns (25.2% vs. 17.1%), lower high school attendance (0 vs. 21.9%) and inadequate prenatal care. Spontaneous labour was more common in adolescents (73% vs 63.5%), while Caesarean sections were less common than in women aged 20-24 years (25.2% vs 33.5%). The rate of other perinatal outcomes was not significantly different between the 2 groups. CONCLUSIONS: The results of the study showed that the frequencies of some maternal, perinatal and neonatal complications were considerably higher in adolescent mothers. nal and perinatal complications were considerably higher in adolescent mothers.

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Section: Discussionmentioning

confidence: 99%

“…In our study, we have found a decreased risk of the need for neonatal transfer in adolescents compared to adults. Other authors reported contradictory results [43]. Usynina A et al, (2018) reported for a higher rate of neonatal transfer to higher level hospital of adolescent women compared to adults (11.2% vs 9.8%, p = 0.042) [40].…”

Section: Discussionmentioning

confidence: 99%

Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy

Rexhepi

Besimi

Rufati

et al. 2019

Open Access Maced J Med Sci

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“…The rate of pregnancy among adolescents is increasing, especially in developing countries, with higher adverse health outcomes [3]. More than 11 percent of births globally were because of adolescent mothers [4, 5]. Previous studies have shown that adolescent pregnancy is associated with physical, social problems [2], and affects the economic status of girls, their families, and countries [2, 6].…”

Section: Introductionmentioning

confidence: 99%

Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia

et al. 2019

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Background Adolescents have physical, social and psychological characteristics that are different from adults. Adolescent pregnancy results in pregnancy and childbirth complications- an area neglected in developing countries like Ethiopia. This study, therefore, was conducted to assess the adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. Methods Institutional-based study was conducted in East Gojjam zone, Northwest Ethiopia. A total of 374 adolescent (15–19 years) and 760 adult (20–34 years) women were included in this study. Data were collected among women who came to randomly selected health facilities in East Gojjam zone. Data were collected by trained research assistants using a structured data collection questionnaire. Descriptive statistics, chi-square test, and Student's t-tests were utilized. Bivariate and multivariable logistic regression analysis were employed to adjust for confounding factors of adverse neonatal outcomes. Statistical significance was declared when the p-value was less than 0.05. Results Higher proportion of adolescent than adult women were from rural area (57.2% vs 44.7%), were not married (5.1% vs 1.7%), were pregnant for the first time (91.7% vs 34.1%), didn’t attend antenatal care (ANC) follow-up (12% vs 4.5%), and had late initiation of ANC follow-up. After adjusting for known confounding factors, the odds of low birth weight (LBW) was higher among adolescents than adult women (AOR 2.14; 95% CI, 1.36, 3.36, p-value = 0 . 001 ). Similarly, the odds of preterm birth was higher among adolescents than adult women (AOR 1.65; 95% CI, 1.09, 2.49, p-value = 0 . 017 ). There was no statistically significant difference in the rate of low Apgar score at first and five minutes after birth and neonatal Intensive Care Unit (ICU) admission between babies born from adolescent and adult women. Conclusions Adolescent women were less likely to receive ANC service. Babies born from adolescent women are at higher odds of adverse neonatal outcomes like LBW and preterm birth than babies born from adult women. Use of community- and health facility-based intervention programs that can prevent adolescent pregnancy and reduce adverse neonatal outcomes among adolescent girls is recommended.

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“…Adolescent pregnancies are a public health problem because of the negative consequences these pregnancies can have on maternal health [2]. Adolescent mothers have an increased risk of preeclampsia [3], inadequate gestational weight gain, [4], and height stunting [5] due to a nutrient competition between the mother and the fetus [6,7]. Maternal growth retardation has, in turn, been associated with adverse maternal and neonatal outcomes [8].…”

Section: Introductionmentioning

confidence: 99%

Associations between prenatal serum levels of leptin, IGF-I, and estradiol and adolescent mothers’ height gain during and after pregnancy

Sámano¹,

Martínez-Rojano²,

Chico-Barba³

et al. 2020

PLoS ONE

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Mexico is within the top three Latin American countries with the highest proportion of adolescent pregnancies while being in the lowest ten Latin American countries in terms of height. It is still unclear how much growth in adolescence is affected by pregnancy; therefore, this study was designed to study the association between prenatal serum concentrations of leptin, IGF-I, and estradiol and the increase in the height of a group of pregnant adolescents between the 28 th week of gestation to one year postpartum. We conducted a cohort study from 2009 to 2017 in pregnant adolescents in their third trimester of pregnancy receiving prenatal care at Mexico's National Institute of Perinatology. Data on hormones, other covariates, and confounding variables were analyzed through bivariate analysis and then a linear univariate analysis. Our patients were an average of 15.5±1 years and gained an average of 9.5 mm during the study period. A Pearson's correlation showed a positive and significant height increase between height and leptin and IGF-I, and negative between height and estradiol. The general linear model (adjusted by age, bone age, gynecological age, parent's stature, breastfeeding, body fat, energy intake, and BMI) found that leptin and estradiol serum concentrations explained 39.6% of height increase; IGF-I did not have any predictive effect. Leptin and estradiol concentrations in the third trimester of pregnancy are associated with increased height in our group of teenage mothers. No effect association was observed between height and IGF-I concentrations.

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Maternal-fetal outcome associated with adolescent pregnancy in a tertiary referral center: a cross-sectional study

Cited by 20 publications

References 17 publications

Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy

Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy

Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia

Associations between prenatal serum levels of leptin, IGF-I, and estradiol and adolescent mothers’ height gain during and after pregnancy

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