Perinatal outcomes of adolescent pregnancy: A single-center experience

Perinatal outcomes of adolescent pregnancy: A single-center experience

Aim: To compare the delivery methods and maternal and fetal outcomes of adolescent and adult pregnancies.Material and Methods: This study enrolled 420 pregnant adolescents aged between 14 and 19 years and 940 pregnant women aged between 20 and 40 years who gave birth in our maternity clinic between January 2010 and December 2014. Their demographic and clinical data were reviewed.Results: There were no significant differences between the two groups in terms of their birth patterns. The risks for preeclampsia, intrauterine growth retardation (IUGR), and placental abruption increased with decreasing maternal age. The adjusted analyses suggested that adolescent pregnant women were at a significantly increased risk for very preterm birth (adjusted OR = 4.40, [95% CI: 1.90-10.30]) but not late preterm birth (adjusted OR = 0.90, [95% CI: 0.50-1.40])Conclusions: Adolescent pregnancy is a risk factor for early preterm birth, placental abruption, IUGR, and preeclampsia, with significant potential clinical implications.

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  • 1. WHO. Early Marriages, Adolescent and Young Pregnancies. World Health Organization Assem 2012. pp. 16-9.
  • 2. Baltag V. Adolescent pregnancy: a culturally complex issue. Bull World Health Organ 2009;87:410-1.
  • 3. Ganchimeg T1, Mori R, Ota E, et al. Maternal and perinatal outcomes among nulliparous adolescents in low-and middle-income countries: a multi-ountry study. Br J Obstet Gynaecol 2013;120:1622-30.
  • 4. Medhi R, Das B, Das A, et al. Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in North-East India. Adolesc Health Med Ther 2016;7:37-42.
  • 5. Kirbas A , Gulerman HC , Daglar K. Pregnancy in adolescence: is it an obstetrical risk?.J pediatr Adolesc gynecol 2016;29:367-71.
  • 6. Kütük S. A dölesange gebelikleri ve sorunları. Türkiye AileHekimliği Dergisi 2012;16:31-34
  • 7. Thaithae S, Thato R. Obstetric and perinatal outcomes of teenage pregnancies in thailand. J Pediatr Adolesc Gynecol 2011;24:342-6.
  • 8. Jolly MC, Sebire N, Harris J, et al. Obstetric risks of pregnancy in women less than 18 years old. Obstet Gynecol 2000;96:962-6.
  • 9. Iacobelli S, Robillard PY, Gouyon JB, et al. Obstetric and neonatal outcomes of adolescent primiparous singleton pregnancies: a cohort study in the South of Reunion Island, Indian Ocean. J Matern Fetal Neonatal Med 2012;25:2591-6.
  • 10. Karabulut A, Ozkan S, Bozkur, AI, et al. Perinatal outcomes and risk factors in adolescent and advanced age pregnancies: comparison with normal reproductive age women. J Obstet Gynaecol 2013;33: 346-50.
  • 11. Briggs MM, Hopman WM, Jamieson MA. Comparing pregnancy in adolescents and adults: obstetric outcomes and prevalence of anemia. J Obstet Gynaecol Can 2007;29:546-55.
  • 12. Bildircin FD, Kurtoglu E, Kokcu A, et al. Comparison of perinatal outcome between adolescent and adult pregnancies. J Matern Fetal Neonatal Med 2014;27:829-32.
  • 13. de Vienne CM, Creveuil C, Dreyfus M. Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study. Eur J Obstet Gynecol Reprod Biol 2009;147:151-6.
  • 14. Sagili H, Pramya N, Prabhu K, et al. Are teenage pregnancies at high risk? A comparison study in a developing country. Arch Gynecol Obstet 2012;285:573-7.
  • 15. Tufail A, Hasmi HA. Maternal and perinatal outcomes in teenage pregnancy in a community based hospital. Pak J Surg 2008;24:130-4.
  • 16. Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J Obstet Gynecol2005;192:342-9.
  • 17. Studd J. Partograms and nomograms of cervical dilatation in management of primigravid labour. Br Med J 1973;4:451-5.
  • 18. Dupuis O, Silveira R, Zentner A, et al. Birth simulator: reliability of transvaginal assessment of fetal head station as defined by the American College of Obstetricians and Gynecologists classification. Am J Obstet Gynecol 2005;192:868-74.
  • 19. Alves JG, Cisneiros RM, Dutra LP, et al. Perinatal characteristics among early (10–14 years old) and late (15–19 years old) pregnant adolescents. BMJ Res Notes 2012;5:531.
  • 20. Olausson PM, Cnattingius S, Goldenberg RL. Determinants of poor pregnancy outcomes among teenagers in Sweden. Obstet Gynecol 1997;89:451-7.
  • 21. Jacobsson B, Ladfors L, Milsom I. Advanced maternal age and adverse perinatal outcome. Obstet Gynecoly 2004;104:727-33.
  • 22. Carolan M, Frankowska D. Advanced maternal age and adverse perinatal outcome: a review of the evidence. Midwifery 2011;27:793-801.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi