Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America:: Cross-sectional study
Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America:: Cross-sectional study
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DOI：
10.1016/j.ajog.2004.10.593
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发表时间：
2005-02-01
影响因子：
9.8
通讯作者：
Lammers, C
中科院分区：
文献类型：
--
作者：
Conde-Agudelo, A;Belizán, JM;Lammers, C
目的：这项研究进行，以确定是否青春期怀孕与不良妊娠outcome.Study设计的风险增加：我们研究了854,377拉丁美洲妇女谁是年轻的25岁，在1985年至2003年期间使用的信息记录在围产期信息系统数据库的拉丁美洲中心围产期和人类发展，蒙得维的亚，乌拉圭。调整后的优势比，通过logistic回归analysis.Results：调整后的16个主要混杂因素，15岁或以下的青少年有较高的风险，孕产妇死亡，早期新生儿死亡，贫血相比，20至24岁的女性。此外，所有年龄组的青少年都有较高的风险，产后出血，产褥期尿道炎，手术阴道分娩，会阴切开术，低出生体重，早产，和小于胎龄儿。所有的青少年母亲剖宫产，妊娠晚期出血，妊娠diabetes.Conclusion的风险较低：在拉丁美洲，青少年怀孕是独立的不良妊娠结局的风险增加。(C)2005年爱思唯尔公司All rights reserved.
Objective: This study was undertaken to determine whether adolescent pregnancy is associated with increased risks of adverse pregnancy outcomes.Study design: We studied 854,377 Latin American women who were younger than 25 years during 1985 through 2003 using information recorded in the Perinatal Information System database of the Latin American Center for Perinatology and Human Development, Montevideo, Uruguay. Adjusted odds ratios were obtained through logistic regression analysis.Results: After an adjustment for 16 major confounding factors, adolescents aged 15 years or younger had higher risks for maternal death, early neonatal death, and anemia compared with women aged 20 to 24 years. Moreover, all age groups of adolescents had higher risks for postpartum hemorrhage, puerperal endometritis, operative vaginal delivery, episiotomy, low birth weight, preterm delivery, and small-for-gestational-age infants. All adolescent mothers had lower risks for cesarean delivery, third-trimester bleeding, and gestational diabetes.Conclusion: In Latin America, adolescent pregnancy is independently associated with increased risks of adverse pregnancy outcomes. (C) 2005 Elsevier Inc. All rights reserved.