Risk of adverse pregnancy outcomes in young adolescent parturients in an inner-city hospital

被引:36
作者
Eure, CR [1 ]
Lindsay, MK [1 ]
Graves, WL [1 ]
机构
[1] Emory Univ, Sch Med, Dept Gynecol & Obstet, Div Maternal Fetal Med, Atlanta, GA 30303 USA
关键词
adolescent pregnancy; young adolescents; adverse pregnancy outcomes;
D O I
10.1067/mob.2002.123986
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: Our purpose was to determine the relationship between adolescence and pregnancy-related outcomes. STUDY DESIGN: A retrospective cohort study was conducted in a population of adolescents delivered in a large inner-city hospital. The study population consisted of 14,718 adolescents and 11,830 nonadolescent controls. Pregnancy outcomes were compared in young adolescents (n = 2930) and mature adolescents (n = 11,788) versus controls. RESULTS: Adolescents were significantly more likely than controls to be African American, single, diagnosed with a sexually transmitted disease during pregnancy, and reside with others (P < .001). Adolescents were significantly more likely than controls to have eclampsia (relative risk [RR] 2.23, 95% Cl 1.37-3.66) and preterm delivery (RR 1.12, 95% Cl 1.04-1.21). Young adolescents were significantly more likely than controls to have preeclampsia (RR 1.33, 95% Cl 1.15-1.54), eclampsia (RR 3.24, 95% Cl 1.70-6.14), preterm delivery (RR 1.47, 95% Cl 1.31-1.64), low-birth-weight delivery (RR 1.47, 95% Cl 1.31-1.64), and very-low-birth-weight delivery (RR 1.25, 95% Cl 1.01-1.56). Finally, mature adolescents were significantly more likely than controls to have eclampsia (RR 1.99, 95% Cl 1.19-3.34). CONCLUSION: Young adolescents are at increased risk for adverse pregnancy outcomes.
引用
收藏
页码:918 / 920
页数:3
相关论文
共 9 条
[1]  
*ACOG, 1996, ACOG TECHN B, V219
[2]  
BATTAGLIA FC, 1963, PEDIATRICS, V32, P902
[3]  
Berenson AB, 1997, J REPROD MED, V42, P559
[4]   PREGNANCY PERFORMANCE OF PATIENTS UNDER 15 YEARS OF AGE [J].
DUENHOELTER, JH ;
JIMENEZ, JM ;
BAUMANN, G .
OBSTETRICS AND GYNECOLOGY, 1975, 46 (01) :49-52
[5]   THE EFFECT OF MATERNAL AGE, PARITY, AND PRENATAL-CARE ON PERINATAL OUTCOME IN ADOLESCENT MOTHERS [J].
ELSTER, AB .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1984, 149 (08) :845-847
[6]   ASSOCIATION OF YOUNG MATERNAL AGE WITH ADVERSE REPRODUCTIVE OUTCOMES [J].
FRASER, AM ;
BROCKERT, JE ;
WARD, RH .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 332 (17) :1113-1117
[7]  
MCARNEY ER, 1989, JAMA-J AM MED ASSOC, V262, P74
[8]  
SATIN AJ, 1994, AM J OBSTET GYNECOL, V171, P1
[9]  
VENTURA SJ, 1995, VITAL HLTH STAT BIRT