Pregnancy outcomes in younger and older adolescent mothers with severe preeclampsia

Abstract

BackgroundAdolescent mothers are at higher risk for preeclampsia, but the effect of their age on the outcome of the pregnancy complication is not clear.ObjectiveTo describe maternal and neonatal outcomes among singleton adolescent pregnancies complicated with severe preeclampsia in a low-income-setting hospital and compare results according to age.Materials and methodsMaternal and neonatal outcomes of 213 adolescent mothers complicated with severe preeclampsia delivering at the Enrique C. Sotomayor Obstetrics and Gynecology Hospital (Guayaquil, Ecuador) were analyzed and compared according to their age (16 or less years, n=82 vs 17–19 years, n=131).ResultsCesarean section rate was high in both studied groups; otherwise, obstetrical outcome did not differ and there were no maternal deaths or severe complications. Neonatal outcome was adverse in the two groups evidenced by high rates of preterm birth, small-for-gestational-age and low-birth-weight infants, low first-minute Apgar scores and admissions to neonatal intensive care; however, it was not significantly different between the analyzed groups. There were no neonatal deaths among mothers aged 16 or less and 4 in the group aged 17–19 years. This was, however, not significant (p=0.30).ConclusionPregnancy outcome in this adolescent population with severe preeclampsia was similarly adverse, independent of maternal age.

Changing trends of adverse pregnancy outcomes with maternal age in primipara with singleton birth: A join point analysis of a multicenter historical cohort study in China in 2011‐2012

“…join age was not similar to the threshold age after which the risk of specific adverse outcomes started to increase statistically significantly as compared with the reference age. Our results were in line with those of previous studies on the effect of maternal age (analyzed by age groups), and the risks of adverse pregnancy and birth outcomes increased in both younger (<20 years) 12,13 and older (≥35 years) mothers. [14][15][16] Therefore, there is good reason to believe that most of our results for the association of adolescent and advanced maternal age with adverse pregnancy outcomes are applicable to other reports.…”

An Evaluation of Sociodemographic Characteristics and Pregnancy-Related Psychological Problems in Pregnant Adolescents

“…In addition to psychiatric difficulties, many physical illnesses are more frequent in adolescent pregnancies. 24,25 However, in our study, there was no difference between the groups in terms of physical problems. The rates of having no physical and mental disorders in our study were higher in the adolescent pregnancies.…”

Emergency Cesarean Section for Teenagers at Yalgado Ouedraogo Teaching Hospital (YOTH), Ouagadougou, Burkina Faso: Frequency, Indications, Maternal and Perinatal Prognosis

“…These teenage mothers are exposed to cardiovascular pathologies such as pre-eclampsia, eclampsia and bone dystocia due to the immaturity of the pelvis, thus increasing caesarean section rates in this population group [6] [7] [8]. Children of teenage mothers are more exposed to low birth weight, with long-term complications [6] [7]. Teenage pregnancy is a risky pregnancy due to physical immaturity, nutritional status, socioeconomic factors, partner abuse and emotional superposition [5] [7].…”

“…Children of teenage mothers are more exposed to low birth weight, with long-term complications [6] [7]. Teenage pregnancy is a risky pregnancy due to physical immaturity, nutritional status, socioeconomic factors, partner abuse and emotional superposition [5] [7]. These risks may be of varying importance depending on the family, socio-economic and religious context [5].…”