Maternal youth and pregnancy outcomes: Middle school versus high school age groups compared with women beyond the teen years

Satin, Andrew J.; Leveno, Kenneth J.; Sherman, M. L.; Reedy, Nancy Jo; Lowe, T. W.; McIntire, Donald D.

doi:10.1016/0002-9378(94)90467-7

Cited by 120 publications

(81 citation statements)

References 7 publications

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“…No entanto, contrariando essa teoria da imaturidade biológica, a freqüência de cesárea em muitas casuísticas com adolescentes tem sido menor que em mulheres adultas 1,9,10,14,15 . As razões para esta associação não são claras.…”

Section: Resultsunclassified

Gestação na adolescência precoce e tardia: há diferença nos riscos obstétricos?

Magalhães

Furtado

Nogueira

et al. 2006

Rev. Bras. Ginecol. Obstet.

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RESUMOObjetivos: descrever aspectos da assistência e resultados obstétricos da gravidez em adolescentes atendidas em um centro de atendimento terciário do Ceará e comparar os resultados maternos e perinatais entre adolescentes precoces e tardias. Métodos: em estudo transversal, analítico, avaliaram-se 2.058 casos, sendo 322 (15,6%) de adolescentes precoces e 1.736 (84,4%) tardias, atendidas no ano de 2000. Foram analisados as intercorrências clínicas no pré-natal, tipo de parto, indicações de cesárea, idade gestacional no parto, peso do recém-nascido ao nascimento, adequação do peso à idade gestacional, índices de Apgar no primeiro e quinto minuto de vida, presença de malformações e óbito neonatal. Utilizaram-se o teste exato de Fisher e o χ 2 na comparação entre os dois grupos. Calculou-se também a razão de prevalência. Resultados: do total de partos ocorridos no período, 25,9% eram de adolescentes e a média de idade destas foi de 17,2 anos. Constatouse que 88% freqüentaram o pré-natal, sendo 60% com número insufi ciente de consultas. As intercorrências clínicas mais freqüentes foram a pré-eclâmpsia (14,7%), a anemia (12,9%) e a infecção do trato urinário (6,4%), sem diferença de freqüência entre os grupos. Ocorreram 31,3% de nascimentos por cesárea, sendo a pré-eclâmpsia a principal indicação nas duas faixas etárias (25 e 23%, respectivamente). A freqüência de Apgar menor que 7 no primeiro minuto foi de 19,9% no grupo das adolescentes precoces e 14,2% entre as tardias (x²=6,96, p=0,008). Não houve diferença quanto à freqüência de prematuridade (20,2 vs 16,1%), recém-nascido pequeno para idade gestacional (12,4 vs 10,4%), baixos escores de Apgar de quinto minuto (5,3 vs 3,3%), malformações congênitas (3,1 vs 2,7%) e morte neonatal (1,6 vs 3,1%). Conclusões: as gestantes adolescentes precoces e tardias apresentaram evolução da gestação e desempenho obstétrico semelhantes, exceto pela diferença nos escores de Apgar no primeiro minuto. PALAVRAS-CHAVE:Gravidez na adolescência; Pré-eclâmpsia; Assistência perinatal; Resultado da gravidez ABSTRACT Purpose: to describe the obstetric outcomes in pregnant adolescents at a tertiary hospital and to compare the maternal and labor outcomes between precocious and late adolescents. Methods: in a transversal analytical study, 2058 cases were evaluated, considering 322 (15.65%) from the precocious group and 1736 (84.35%) from the late group that delivered at the "Maternidade Escola Assis Chateaubriand/UFC" from January 1, 2000 to December 31, 2000. The clinical complications in the prenatal period, kind of delivery, indications for cesarean section, birth gestational age at birth, birth weight, comparison of birth weight and gestational age, Apgar score at the fi rst and fi fth minute, presence of malformations, and neonatal death were analyzed. The exact Fisher and the χ 2 tests were used to compare both groups. The prevalence ratio was calculated. Results: from of total of deliveries, 25.95% belonged to adolescents. The average age was 17.19 years. Prenatal visits were made by...

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Section: Resultsunclassified

Gestação na adolescência precoce e tardia: há diferença nos riscos obstétricos?

Magalhães

Furtado

Nogueira

et al. 2006

Rev. Bras. Ginecol. Obstet.

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“…10,18 The incidence of low birth weight (Ͻ2500 g) is more than double the rate for adults, and the neonatal death rate (within 28 days of birth) is almost three times higher. 9,19 The mortality rate for the mother, although low, is twice that for adult pregnant women.…”

Section: Medical Risks Of Adolescent Pregnancymentioning

confidence: 99%

Adolescent Pregnancy—Current Trends and Issues: 1998

1999

Pediatrics

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ABSTRACT. Although the prevention of unintended adolescent pregnancy is a primary goal of the American Academy of Pediatrics and society, many adolescents continue to become pregnant. Since the last statement on adolescent pregnancy was issued by the Academy in 1989, new observations have been recorded in the literature. The purpose of this new statement is to review current trends and issues on adolescent pregnancy to update practitioners on this topic.

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“…Adverse effects associated with teenage pregnancy include maternal anaemia [1,2], pregnancy induced hypertension [1][2][3] , spontaneous miscarriage [4], low birthweight primarily due to preterm delivery and leading to a high perinatal and postneonatal morbidity and mortality [2,[5][6][7], high maternal mortality [8,9], the mother finding it difficult to cope with the pregnancy [10], and behavioural problems and poor cognitive abilities and achievements in the child later on [11]. There has been a worldwide increase in the rates of teenage pregnancy during the last three decades [12].…”

Section: Introductionmentioning

confidence: 99%

“…There has been a worldwide increase in the rates of teenage pregnancy during the last three decades [12]. Teenage pregnancy is linked to poor education, poverty and social exclusion, and is a major worldwide public health problem [2,[5][6][7][10][11][12] Recently, several authors have suggested that young age itself does not carry a significantly higher risk of adverse pregnancy outcomes. However, they concede that the cumulative effects of the associated social and economic deprivation and exclusion on the health of these mothers and babies is a serious public health problem [1,13].…”

Section: Introductionmentioning

confidence: 99%

“…The proportion of teenage pregnancies was higher ( >11%) in the towns bordering the conflict affected areas [9]. In earlier studies from Colombo [14] and Anuradhapura [15], all the teenagers were grouped together although it is the younger teenager below 17 years who has been shown to have adverse effects in other studies [5][6][7]. The present study was conducted because no data were available from southern Sri Lanka.…”

Section: Introductionmentioning

confidence: 99%

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Adverse effects of teenage pregnancy

Goonewardene

Waduge

2009

Ceylon Med. J.

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Rationale Recent studies have suggested that teenage pregnancies are not as hazardous as thought to be earlier.Objective To compare the sociodemographic data, obstetric complications and attitudes towards family planning in teenagers and older women.Design and Setting A prospective cohort study at the University Obstetrics Unit, Teaching Hospital, Galle. Subjects and MethodSociodemographic data, details of antenatal care and family support, antenatal complications, gestation at delivery, mode of delivery, the proportion of unplanned pregnancies, and the possible effects of contraceptive counselling, in two groups of pregnant teenagers (13-16 years, n = 95 and 17-19 years, n = 250) were compared with a control group of pregnant women (20-24 years, n = 275).Results The teenagers were from lower socioeconomic strata and the younger teenagers were significantly less educated than the controls. Teenagers had a significantly higher risk of anaemia (Odds Ratio (OR) = 2.3, 95%CI = 1.7-3.3, p < 0.001). The younger teenagers had a significantly higher risk of gestational hypertension (OR = 4.8, 95%CI = 1.8-13.0, p < 0.001) and pre-eclampsia (OR = 5.0, 95%CI = 1-27, p = 0.03). The older teenagers had a significantly higher risk of delivery before 34 weeks of gestation (OR = 13.6, 95%CI = 1.8-287, p = 0.001). There were no significant differences in the mode of delivery. The younger teenagers had a much higher proportion (54%) of unplanned pregnancies compared to the controls (16 %). A significantly higher proportion of younger teenagers (48%) and older teenagers (25 %), if counselled, would have delayed their pregnancies compared to the controls (10 %).Conclusion Teenage pregnancies, especially those below 17 years of age have a significantly higher risk of adverse outcomes. A large proportion of these pregnancies is unplanned and could be prevented by counselling.

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Maternal youth and pregnancy outcomes: Middle school versus high school age groups compared with women beyond the teen years

Cited by 120 publications

References 7 publications

Gestação na adolescência precoce e tardia: há diferença nos riscos obstétricos?

Gestação na adolescência precoce e tardia: há diferença nos riscos obstétricos?

Adolescent Pregnancy—Current Trends and Issues: 1998

Adverse effects of teenage pregnancy

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