Gynecologic age is an important risk factor for obstetric and perinatal outcomes in adolescent pregnancies

Gynecologic age is an important risk factor for obstetric and perinatal outcomes in adolescent pregnancies
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DOI:
10.1016/j.wombi.2015.07.002
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发表时间:
2015-12-01
期刊:
影响因子:
3.8
通讯作者:
Ata, Baris
Ata, Baris
中科院分区:
医学2区
文献类型:
--
作者:
Kaplanoglu, Mustafa;Bulbul, Mehmet;Ata, Baris

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背景:青少年怀孕是一个重要的公共卫生问题。生理成熟度影响产科和围产期结局。几乎所有对青少年怀孕的评估都是基于实际年龄。妇科年龄 (GA) 的定义是受孕年龄减去初潮年龄,它是生理成熟度的指标。目的:比较根据 GA 分类的成人和青少年妊娠的产科和围产期结局。方法:在这项回顾性研究中,根据 GA 3 年将 233 名青少年孕妇分为两组(132 名女性)。他们的产科和围产期结果与同期分娩的 202 名成人妊娠进行了比较。结果显示:研究组之间的分娩胎龄、APGAR 评分、出生体重、早产发生率、入住新生儿重症监护病房 (NICU)、宫内生长受限、低出生体重和胎膜早破等方面存在显着差异。与 GA > 3 年的青少年怀孕相比,患有 GA 的青少年怀孕
Background: Adolescent pregnancy is an important public health problem. Physiological maturity affects obstetric and perinatal outcomes. Almost all assessments of adolescent pregnancies are based on chronological age. Gynecologic age (GA) is defined as age in years at conception minus age at menarche and it is an indicator of physiological maturity.Aim: To compare obstetric and perinatal outcomes between adult and adolescent pregnancies as categorized according to GA.Methods: In this retrospective study, 233 adolescent pregnant women were divided into two groups based on GA 3 years (132 women). Their obstetric and perinatal results were compared with 202 adult pregnancies who gave birth in the same period.Findings: Gestational age at delivery, APGAR scores, birth weight, and incidence of preterm birth, admission to neonatal intensive care unit (NICU), intrauterine growth restriction, low birth weight, and premature rupture of membranes were significantly different between the study groups. Compared to adolescent pregnancies with GA > 3 years, adolescent pregnancies with GA