Are teenage pregnancies at high risk? A comparison study in a developing country
Are teenage pregnancies at high risk? A comparison study in a developing country
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DOI：
10.1007/s00404-011-1987-6
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发表时间：
2012-03-01
影响因子：
2.6
通讯作者：
Rani, P. Reddi
中科院分区：
文献类型：
--
作者：
Sagili, Haritha;Pramya, N.;Rani, P. Reddi
本研究的目的是比较青少年和非青少年怀孕的产科和围产期结局，我们分析了2008年3月至2009年4月在印度南部本地治里的三级转诊医疗和教学医院Jawaharlal研究生医学教育和研究所分娩的15，498名孕妇的回顾性数据。年龄为千分之一货币符号19岁的女孩与研究期间在同一医院分娩的年龄> 19岁的妇女的妊娠结局进行了比较。共有620名少女怀孕，14 878名非少女怀孕。采用耶茨校正t检验比较研究组和对照组的产科和围产期结局。我们计算了比值比（OR）、95%可信区间（CI）和p值，p < 0.005被认为是显著的。研究中少女怀孕的发生率为4%。少女母亲初次怀孕的比例很高，平均年龄为18.04岁。我们的研究显示，与其他母亲相比，青少年母亲的贫血、过期、胎膜早破（PROM）、正常阴道分娩、会阴切开术、低出生体重的发生率显著较高，剖腹产/会阴撕裂的发生率显著较低。相比之下，高血压，胎儿宫内生长受限，早产和产后出血的发生率在两组中是相似的，我们的研究数据应该更多地揭示了当前对少女母亲面临的产科问题的思考，其中我们的一些结果支持和其他人反驳了几个长期持有的信念，在少女怀孕的风险。早期预约、适当的产前护理和由受过训练的人接生应能改善少女怀孕的产科和围产期结果，尽管发展中国家政府实施了各种方案，但这仍然是一个未解决的问题。
The aim of this study was to compare obstetric and perinatal outcome in teenage and non-teenage pregnancies.We analyzed retrospective data of 15,498 pregnant patients who delivered from March 2008 to April 2009 in Jawaharlal Institute of Postgraduate Medical Education and Research, a referral tertiary care and teaching hospital in Pondicherry, South India. Girls aged a parts per thousand currency sign 19 years were compared with pregnancy outcomes in women aged > 19 years who delivered in the same hospital during the study period. A total of 620 teenage pregnancies were compared with 14,878 non-teenage women. The obstetric and perinatal outcome was compared in the study and control groups using t test with Yates correction. We calculated Odds ratio (OR), 95% confidence intervals(CI) and p values; p < 0.005 was considered significant.The incidence of teenage pregnancy in the study was 4%. A signicant proportion of teenage mothers were in their first pregnancies and their mean age was 18.04 years. Our study showed a significantly higher incidence of anaemia, past dates, premature rupture of membranes (PROM), normal vaginal delivery, episiotomy, low birth weight, and a significantly lower incidence of caesarean sections/perineal tears in teenage mothers compared to other mothers. In contrast, the incidence of hypertension, intrauterine growth restriction of fetus, pre-term labour and postpartum haemorrhage were similar in both the groups.The data in our study should throw more light on the current thinking of the obstetrical problems facing teenage mothers, in which some of our results support and others refute several long held beliefs about the risks in teenage pregnancy. Early booking, adequate antenatal care and delivery by trained people should improve the obstetric and perinatal outcome in teenage pregnancies, which is still an unresolved problem inspite of various government programmes in developing countries.