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Adverse perinatal outcomes in young adolescents.
J Reprod Med. 1997 Sep; 42(9):559-64.JR

Abstract

OBJECTIVE

To determine whether pregnant adolescents < or = 15 years of age developed more perinatal complications than older adolescents or adult women.

STUDY DESIGN

We conducted a study of 147 nulliparous adolescents < or = 15 years of age who initiated prenatal care at the University of Texas Medical Branch at Galveston between January 1, 1992, and April 27, 1994. For purposes of analyses, these patients were then compared to two groups: (1) all nulliparas between the ages of 16 and 17 (n = 287) and (2) those 20-22 years old (n = 107) who delivered an infant of > or = 20 weeks' gestation and initiated care during the same interval at this same facility. Chi-square, Kruskall-Wallis or Student's t test initially was used to identify differences between groups in demographic characteristics and perinatal complications. Logistic regression analyses were then performed to determine whether observed differences in outcomes remained while controlling for potentially confounding variables.

RESULTS

Adolescents < or = 15 years of age were more likely to develop anemia and less likely to deliver an infant who required admission to the intensive care unit. No differences were observed between groups in the prevalence of pregnancy-induced hypertension, preterm labor, preterm premature rupture of membranes, chorioamnionitis, meconium staining, endometritis, preterm delivery, low birth weight, low Apgar score or fetal demise.

CONCLUSION

Adolescents < or = 15 years of age experience perinatal outcomes similar to those of older adolescents and young adult women.

Authors+Show Affiliations

Berenson AB
Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston 77555-0587, USA.
Wiemann CM
No affiliation info available
McCombs SL
No affiliation info available

MeSH

AdolescentAdultAnemiaApgar ScoreCesarean SectionChorioamnionitisFemaleFetal Membranes, Premature RuptureHumansHypertensionInfant MortalityInfant, Low Birth WeightInfant, NewbornInfant, PrematureIntensive Care, NeonatalObstetric Labor, PrematurePregnancyPregnancy ComplicationsPregnancy in Adolescence

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

9336751

Citation

Berenson, A B., et al. "Adverse Perinatal Outcomes in Young Adolescents." The Journal of Reproductive Medicine, vol. 42, no. 9, 1997, pp. 559-64.
Berenson AB, Wiemann CM, McCombs SL. Adverse perinatal outcomes in young adolescents. J Reprod Med. 1997;42(9):559-64.
Berenson, A. B., Wiemann, C. M., & McCombs, S. L. (1997). Adverse perinatal outcomes in young adolescents. The Journal of Reproductive Medicine, 42(9), 559-64.
Berenson AB, Wiemann CM, McCombs SL. Adverse Perinatal Outcomes in Young Adolescents. J Reprod Med. 1997;42(9):559-64. PubMed PMID: 9336751.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adverse perinatal outcomes in young adolescents. AU - Berenson,A B, AU - Wiemann,C M, AU - McCombs,S L, PY - 1997/10/23/pubmed PY - 1997/10/23/medline PY - 1997/10/23/entrez KW - Adolescents KW - Adolescents, Female KW - Age Factors KW - Americas KW - Correlation Studies KW - Demographic Factors KW - Developed Countries KW - Maternal Age KW - North America KW - Northern America KW - Parental Age KW - Population KW - Population Characteristics KW - Pregnancy KW - Pregnancy Outcomes KW - Pregnant Women KW - Reproduction KW - Research Methodology KW - Research Report KW - Statistical Studies KW - Studies KW - Texas KW - United States KW - Youth SP - 559 EP - 64 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 42 IS - 9 N2 - OBJECTIVE: To determine whether pregnant adolescents < or = 15 years of age developed more perinatal complications than older adolescents or adult women. STUDY DESIGN: We conducted a study of 147 nulliparous adolescents < or = 15 years of age who initiated prenatal care at the University of Texas Medical Branch at Galveston between January 1, 1992, and April 27, 1994. For purposes of analyses, these patients were then compared to two groups: (1) all nulliparas between the ages of 16 and 17 (n = 287) and (2) those 20-22 years old (n = 107) who delivered an infant of > or = 20 weeks' gestation and initiated care during the same interval at this same facility. Chi-square, Kruskall-Wallis or Student's t test initially was used to identify differences between groups in demographic characteristics and perinatal complications. Logistic regression analyses were then performed to determine whether observed differences in outcomes remained while controlling for potentially confounding variables. RESULTS: Adolescents < or = 15 years of age were more likely to develop anemia and less likely to deliver an infant who required admission to the intensive care unit. No differences were observed between groups in the prevalence of pregnancy-induced hypertension, preterm labor, preterm premature rupture of membranes, chorioamnionitis, meconium staining, endometritis, preterm delivery, low birth weight, low Apgar score or fetal demise. CONCLUSION: Adolescents < or = 15 years of age experience perinatal outcomes similar to those of older adolescents and young adult women. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/9336751/Adverse_perinatal_outcomes_in_young_adolescents_ L2 - https://medlineplus.gov/healthproblemsinpregnancy.html DB - PRIME DP - Unbound Medicine ER -