Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy. 

 -  2016 
<br/><br/>Available online through MWHC library: 2002 - present 
<br/><br/> CONCLUSION: Adolescents were less likely to have a cesarean delivery. Failure to progress or cephalopelvic disproportion occurred less frequently in older adolescents. Adolescents who entered spontaneous labor had a shorter second stage of labor.Copyright (c) 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.  DESIGN: Retrospective cohort study from the Consortium on Safe Labor between 2002 and 2008.  INTERVENTIONS: Adjusted odds ratio (aOR) with 95% confidence interval (CI) were calculated, controlling for maternal characteristics and pregnancy complications (young adults as a reference group).  MAIN OUTCOME MEASURES: Maternal, neonatal outcomes, cesarean indications, and length of labor.  PARTICIPANTS: Nulliparous women (n = 43,537) younger than 25 years of age, including 1189 younger adolescents (age < 15.9 years), 14,703 older adolescents (age 16-19.9 years), and 27,645 young adults (age 20-24.9 years).  RESULTS: Younger adolescents had an increased risk of maternal anemia (aOR = 1.25; 95% CI, 1.07-1.45), preterm delivery at less than 37 weeks of gestation (aOR = 1.36; 95% CI, 1.14-1.62), postpartum hemorrhage (aOR = 1.46; 95% CI, 1.10-1.95), preeclampsia or hemolysis, increased liver enzyme levels, and low platelet syndrome (aOR = 1.44; 95% CI, 1.17-1.77) but had a decreased risk of cesarean delivery (aOR = 0.49; 95% CI, 0.42-0.59), chorioamnionitis (aOR = 0.63; 95% CI, 0.47-0.84), and neonatal intensive care unit admission (aOR = 0.80; 95% CI, 0.65-0.98). Older adolescents had an increased risk of maternal anemia (aOR = 1.15; 95% CI, 1.09-1.22), preterm delivery at less than 37 weeks of gestation (aOR = 1.16; 95% CI, 1.08-1.25), and blood transfusion (aOR = 1.21; 95% CI, 1.02-1.43), but had a decreased risk of cesarean delivery (aOR = 0.75; 95% CI, 0.71-0.79), chorioamnionitis (aOR = 0.83; 95% CI, 0.75-0.91), major perineal laceration (aOR = 0.82; 95% CI, 0.71-0.95), and neonatal intensive care unit admission (aOR = 0.89; 95% CI, 0.83-0.96). Older adolescents were less likely to have a cesarean delivery for failure to progress or cephalopelvic disproportion (aOR = 0.89; 95% CI, 0.81-0.98). For adolescents who entered spontaneous labor, the second stage of labor was shorter (P < .01).  SETTING: Twelve clinical centers with 19 hospitals in the United States.  STUDY OBJECTIVE: To investigate the outcomes of adolescent pregnancy. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>1083-3188 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Cesarean Section/sn [Statistics & Numerical Data]<br/>*Obstetric Labor Complications/ep [Epidemiology]<br/>*Pregnancy Complications/ep [Epidemiology]<br/>*Pregnancy in Adolescence/sn [Statistics & Numerical Data]<br/>*Pregnancy Outcome<br/>Adolescent<br/>Cephalopelvic Disproportion/ep [Epidemiology]<br/>Cephalopelvic Disproportion/et [Etiology]<br/>Female<br/>Humans<br/>Infant, Newborn<br/>Obstetric Labor Complications/et [Etiology]<br/>Odds Ratio<br/>Parity<br/>Postpartum Hemorrhage/ep [Epidemiology]<br/>Postpartum Hemorrhage/et [Etiology]<br/>Pregnancy<br/>Pregnancy Complications/et [Etiology]<br/>Premature Birth/ep [Epidemiology]<br/>Premature Birth/et [Etiology]<br/>Retrospective Studies<br/>United States/ep [Epidemiology]<br/>Young Adult
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Health Research Institute<br/>MedStar Washington Hospital Center<br/>MedStar Washington Hospital Center<br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Obstetrics and Gynecology, Maternal-Fetal Medicine<br/>Obstetrics and Gynecology/Maternal-Fetal Medicine<br/>Obstetrics and Gynecology/Pediatric and Adolescent
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article