Teenage Pregnancies: Risk Factors and Associated Neonatal Outcomes in an Eastern-European Academic Perinatal Care Center.

Abstract:

OBJECTIVES:This study aims to compare women with early (13-16 years), late teenage (17-19 years), and adult (25-29 years) pregnancies regarding pregnancy risk factors and reproductive outcomes. METHODS:An observational study, utilizing medical charts and direct interview, conducted in an academic hospital during January 2011 and December 2012. Our sample comprised 395 teenage and 736 adult pregnancies. RESULTS:Pregnant teenagers were more likely than adults to be single (41.7 vs. 33.2%; odds ratio [OR]: 1.43, 95% confidence interval [CI]: 1.11-1.84), to live in a rural area (70.9 vs. 53.9%; OR: 2.07, 95% CI: 1.60-2.69), and to live with extended family (74.2 vs. 16.0%; OR: 15.04, 95% CI: 11.15-20.29). Adolescent mothers were more likely than adult mothers to give birth by vaginal delivery (78.5 vs. 69.6%; OR: 1.82, 95% CI: 1.17-2.84), and rate of operative delivery was lower amongst this group (8.6 vs. 9.8%; OR: 0.8, 95% CI: 0.5-1.3). The newborns of adolescent mothers were more likely to be low birth weight (14.9 vs. 9.1%; OR: 1.75, 95% CI: 1.20-2.54) and more likely to successfully breastfeed (91.9 vs. 82.2%; OR: 2.45; 95% CI: 1.63-3.69) but the length of hospital stay was similar with adult mothers' newborns. CONCLUSIONS:The distinct risk factors and behaviors associated with pregnancy, among teenagers may help address the health needs of this unique and vulnerable group and their offspring.

journal_name

Am J Perinatol

authors

Suciu LM,Pasc AL,Cucerea M,Bell EF

doi

10.1055/s-0035-1565917

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

409-14

issue

4

eissn

0735-1631

issn

1098-8785

journal_volume

33

pub_type

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