Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy.
Citation: Journal of Pediatric & Adolescent Gynecology. 29(2):130-6, 2016 Apr.PMID: 26327561Institution: MedStar Health Research Institute | MedStar Washington Hospital Center | MedStar Washington Hospital Center | MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology, Maternal-Fetal Medicine | Obstetrics and Gynecology/Maternal-Fetal Medicine | Obstetrics and Gynecology/Pediatric and AdolescentForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cesarean Section/sn [Statistics & Numerical Data] | *Obstetric Labor Complications/ep [Epidemiology] | *Pregnancy Complications/ep [Epidemiology] | *Pregnancy in Adolescence/sn [Statistics & Numerical Data] | *Pregnancy Outcome | Adolescent | Cephalopelvic Disproportion/ep [Epidemiology] | Cephalopelvic Disproportion/et [Etiology] | Female | Humans | Infant, Newborn | Obstetric Labor Complications/et [Etiology] | Odds Ratio | Parity | Postpartum Hemorrhage/ep [Epidemiology] | Postpartum Hemorrhage/et [Etiology] | Pregnancy | Pregnancy Complications/et [Etiology] | Premature Birth/ep [Epidemiology] | Premature Birth/et [Etiology] | Retrospective Studies | United States/ep [Epidemiology] | Young AdultYear: 2016Local holdings: Available online through MWHC library: 2002 - presentISSN:- 1083-3188
| Item type | Current library | Collection | Call number | Status | Date due | Barcode |
|---|---|---|---|---|---|---|
| Journal Article | MedStar Authors Catalog | Article | 26327561 | Available | 26327561 |
Available online through MWHC library: 2002 - present
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.
English