Is adolescent pregnancy associated with adverse perinatal outcome?
Is adolescent pregnancy associated with adverse perinatal outcome?
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DOI：
10.1515/jpm.1999.028
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发表时间：
1999-01-01
影响因子：
2.4
通讯作者：
Kovács, L
中科院分区：
文献类型：
--
作者：
Orvos, H;Nyirati, I;Kovács, L
工作背景：在世界范围内，少女怀孕的数量不断增加，据报道，这些怀孕与较高的母婴并发症发生率有关。本研究的目的：评估18岁以下母亲怀孕的社会环境、产前、产时监测结果和围产期结局。1991年1月1日至1996年12月31日期间，在本部门出生的婴儿有13131名。在此期间，207名未成年母亲生育了209名新生儿。我们比较了青少年母亲的数据与研究期间在匈牙利分娩的所有母亲的数据。结果：209名新生儿中有39名（18.6%）在妊娠37周前分娩，34名（16.3%）新生儿出现宫内生长迟缓（IUGR）的迹象。未成年母亲的孕产率为72.0%，其中131例（63.3%）为初产妇，136例（65.7%）接受了充分的产前检查.产妇并发症（妊娠高血压综合征，先兆早产，妊娠期糖尿病和先兆子痫）和不良围产期结局（IUGR和围产期死亡率较高的比率）被发现更频繁地在青少年pregnances.Conclusions：年轻的孕产妇年龄与不利的胎儿结局的风险增加，少女母亲需要改善产前护理和劳动过程中增加观察。此外，还应建议改善青少年的社会环境，防止少女怀孕。
Background: The number of teenage pregnancies has increased throughout the world and these pregnancies are reported in association with a higher rate of maternal and fetal complications.Aim of the study: To evaluate the social surroundings; the results of ante-, intrapartum surveillance and perinatal outcome in adolescent pregnancies where mothers were below the age of 18.Methods: Between Ist January, 1991 and 31st December, 1996 there were 13 131 births at our department. During this period, 209 newborns were born of 207 adolescent mothers. We compared the data of adolescent mothers with the data of all mothers who delivered in Hungary during the study period.Results: 39 (18.6 %) from 209 newborns were delivered before 37th week of gestation, and 34 (16.3 %) newborns showed signs of intrauterine growth retardation (IUGR). The rate of primiparous adolescent mothers was 72.0 %, 131 (63.3 %) were primigravidae, and 136 (65.7 %) received adequate prenatal care. Maternal complications (pregnancy induced hypertension, threatened preterm delivery, gestational diabetes and preeclampsia) and adverse perinatal outcome (higher rate of IUGR and perinatal mortality) were found more frequently in adolescent pregnancies.Conclusions: As young maternal age is associated with an increased risk of unfavourable fetal outcome, teenage mothers need improved prenatal care and increased observation during labour. In addition, improvement of the social environment of adolescents and the prevention of teenage pregnancies should be recommended.