Obstetrics and perinatal outcomes of Thai pregnant adolescents: A retrospective study

Thato, Sathja; Rachukul, Suchada; Sopajaree, Chompunut

doi:10.1016/j.ijnurstu.2006.05.016

Cited by 34 publications

(52 citation statements)

References 15 publications

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“…Anemia was found to be significantly associated with adolescent pregnancy in this study (Pb 0.001) as well as others, in which a 2-to 3-fold increase in the risk of anemia was reported [1,2,23,24]. We (Pb 0.001), as well as others [24,25], found preterm labor to be another significant complication.…”

Section: Discussionsupporting

confidence: 86%

Adolescent pregnancy outcomes and risk factors in Malaysia

Omar

Hasim²,

Muhammad

et al. 2010

Intl J Gynecology & Obste

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Section: Discussionsupporting

confidence: 86%

Adolescent pregnancy outcomes and risk factors in Malaysia

Omar

Hasim²,

Muhammad

et al. 2010

Intl J Gynecology & Obste

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“…The cesarean section rate was found to be lower in pregnant women ≤ 16 years which could be from the low birth weight of infants commonly found in this age group; therefore normal vaginal delivery was possible. However this study did not support a previous study of Thai pregnant adolescents [28].…”

Section: Discussioncontrasting

confidence: 99%

“…As a result of less than optimal mental and physical conditions, lack of care and attention to their health, those will be adverse effects on the mother and fetus during pregnancy in young pregnant women [28]. Additionally, recent studies have concluded that advanced maternal age is a predictor of adverse neonatal outcomes relating to underlying diseases such as hypertension, diabetes mellitus and obesity [29,30].…”

Section: Discussionmentioning

confidence: 99%

Adverse pregnancy outcomes in extremely maternal age

Chawanpaiboon¹,

Hengrasmee²

2013

OJOG

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Objective: To study the adverse outcome in pregnant women ≤ 16 and ≥ 40 years. Study Design: A total of 1100 cases, 1061 cases of pregnant women ≤ 16 years, 20 -29 and ≥ 40 years with completed charts between 1st January, 2006 to 31st December, 2010, were enrolled in this study. The patient data includeing demographic data, hospital course, maternal laboratory investigations, maternal complications, placental complications and neonatal outcomes were recorded. SPSS version 14, one-way Anowa, Chi-square and analysis of varience were used to compare the data among two and three groups. Results: Anemia, underlying medical diseases including heart, thyroid and pulmonary diseases, obstetric complications including severe pre-eclampsia and gestational diabetes mellitus, placenta previa and preterm labour; medical administrations including magnesium sulfate, dexamethasone and bricanyl, outcome of deliveries and neonatal outcomes, were different with statistical significance between the 3 groups of pregnant women. Conclusion: Adverse maternal and neonatal outcomes were mostly found in the pregnant women ≤ 16 and ≥ 40 years. Education of contraception, safe sex and effective care during pregnancy of both extremely maternal age groups should be implemented to reduce those poor outcomes.

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“…4,16,21,27,28 Consistent with previous studies, we found a significantly lower risk of caesarean section deliveries among adolescents aged 16-19 years compared with women aged 20-24 years. 4,[29][30][31] This may be partly explained by the fact that adolescents generally have smaller babies than older women. 30 The lower rates of caesarean section among those aged 16-19 years may not necessarily indicate that younger mothers had fewer obstetric complications, as the decision to perform a caesarean section is likely to be influenced by the practitioner's policy and maternal opinion.…”

Section: Discussionmentioning

confidence: 99%

Maternal and perinatal outcomes among nulliparous adolescents in low‐ and middle‐income countries: a multi‐country study

Ganchimeg

Mori

Ota

et al. 2013

BJOG

111

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Objective To investigate the risk of adverse pregnancy outcomes and caesarean section among adolescents in low-and middle-income countries.Design Secondary analysis using facility-based cross-sectional data from the World Health Organization (WHO) Global Survey on Maternal and Perinatal Health.Setting Twenty-three countries in Africa, Latin America, and Asia.Population Women admitted for delivery in 363 health facilities during 2-3 months between 2004 and 2008.Methods We constructed multilevel logistic regression models to estimate the effect of young maternal age on risks of adverse pregnancy outcomes.Main outcome measures Risk of adverse pregnancy outcomes among young mothers.Results A total of 78 646 nulliparous mothers aged ≤24 years and their singleton infants were included in the analysis. Compared with mothers aged 20-24 years, adolescents aged 16-19 years had a significantly lower risk of caesarean section (adjusted OR 0.75, 95% CI 0.71-0.79). When the analysis was restricted to caesarean section indicated for presumed cephalopelvic disproportion, the risk of caesarean section was significantly higher among mothers aged ≤15 years (aOR 1.27, 95% CI 1.07-1.49) than among those aged 20-24 years. Higher risks of low birthweight and preterm birth were found among adolescents aged 16-19 years (aOR 1.10, 95% CI 1.03-1.17; aOR 1.16, 95% CI 1.09-1.23, respectively) and ≤15 years (aOR 1.33, 95% CI 1.14-1.54; aOR 1.56, 95% CI 1.35-1.80, respectively).Conclusions Adolescent girls experiencing pregnancy at a very young age (i.e. <16 years) have an increased risk of adverse pregnancy outcomes.

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Obstetrics and perinatal outcomes of Thai pregnant adolescents: A retrospective study

Cited by 34 publications

References 15 publications

Adolescent pregnancy outcomes and risk factors in Malaysia

Adolescent pregnancy outcomes and risk factors in Malaysia

Adverse pregnancy outcomes in extremely maternal age

Maternal and perinatal outcomes among nulliparous adolescents in low‐ and middle‐income countries: a multi‐country study

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