Adolescent pregnancy and anemia. Ten years of referrals in Northern Greece.

IF 0.3 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Hippokratia Pub Date : 2024-01-01

S Theodoridou, A Vyzantiadis, A Theodoridis, A Sotiriadis, A Mamopoulos, K Dinas

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Abstract

Background: Births from adolescent mothers account globally for 10 % of all births and 23 % of maternal morbidity and mortality. Adolescence is a period of rapid biological changes; therefore, teens have a risk of developing iron deficiency anemia. The present study aimed to determine the hematological profile and compare the distribution and the severity of anemia among pregnant adolescents (12-19 years old) over ten years in Northern Greece.

Material and methods: We conducted a retrospective study of pregnant adolescents' medical records and laboratory data recorded during their first prenatal consultation. The laboratory workout was performed in the Thalassemia Prevention Unit of the Hippokration Hospital of Thessaloniki, Greece, from 2013 to 2022.

Results: Two hundred nine of the adolescents were of Greek Nationality (88.3 %) (86 Greek natives of the general population; 41.1 %, 112 members of the Roma community; 53.5 %, 11 members of the Muslim minority of Thrace; 5.2 %) and 29 (11.6 %) were immigrants from the Balkans, Middle East, and Asia. The mean age (± standard deviation) of the 238 pregnant women in our study's cohort was 16.67 ± 1.67 years, and the majority of them (90 %) were approximately between 15-19 years, and 10 % were between 12-14 years. Half of the cohort were Greek Roma (47 %) and were our study's youngest (15.9 ± 1.3 years old) adolescent pregnant women. All registered pregnant adolescents had abandoned school. Our data shows anemia in 33.6 %, iron deficiency anemia in 28.5 %, and iron deficiency in 54.6% of these pregnant adolescents. Migrants and Roma had the lowest hemoglobin levels in the second and third trimesters of pregnancy, respectively, while we found the lowest ferritin levels in Roma and Muslims of Thrace.

Conclusions: Despite existing knowledge regarding adolescent pregnancy prevalence and its adverse effects, it nonetheless remains a socio-medical problem and a matter of concern in our country. HIPPOKRATIA 2024, 28 (1):11-16.

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少女怀孕与贫血。希腊北部十年来的转诊情况。

背景：在全球范围内，青少年母亲所生的孩子占所有新生儿的 10%，占孕产妇发病率和死亡率的 23%。青春期是生理快速变化的时期，因此，青少年有患缺铁性贫血的风险。本研究旨在确定希腊北部怀孕青少年（12-19 岁）的血液学特征，并比较十年来贫血的分布和严重程度：我们对怀孕少女的病历和首次产前检查时记录的实验室数据进行了回顾性研究。实验室工作于 2013 年至 2022 年在希腊塞萨洛尼基 Hippokration 医院地中海贫血预防科进行：其中 29 名青少年为希腊国籍（88.3%）（86 名希腊本地居民；41.1%，112 名罗姆社区成员；53.5%，11 名色雷斯穆斯林少数民族成员；5.2%），29 名（11.6%）为来自巴尔干半岛、中东和亚洲的移民。在我们的研究队列中，238 名孕妇的平均年龄（± 标准差）为 16.67±1.67 岁，其中大多数（90%）约在 15-19 岁之间，10%在 12-14 岁之间。其中一半是希腊罗姆人（47%），也是本研究中年龄最小的青少年孕妇（15.9 ± 1.3 岁）。所有登记在册的怀孕少女均已辍学。我们的数据显示，在这些怀孕少女中，33.6%患有贫血，28.5%患有缺铁性贫血，54.6%患有缺铁性贫血。移民和罗姆人的血红蛋白水平在怀孕的第二和第三季度分别最低，而我们发现色雷斯的罗姆人和穆斯林的铁蛋白水平最低：尽管我们已经了解了少女怀孕的普遍性及其不良影响，但这仍然是一个社会医疗问题，也是我国需要关注的问题。Hippokratia 2024，28 (1)：11-16。

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来源期刊

Hippokratia MEDICINE, GENERAL & INTERNAL-

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hippokratia journal is a quarterly issued, open access, peer reviewed, general medical journal, published in Thessaloniki, Greece. It is a forum for all medical specialties. The journal is published continuously since 1997, its official language is English and all submitted manuscripts undergo peer review by two independent reviewers, assigned by the Editor (double blinded review process). Hippokratia journal is managed by its Editorial Board and has an International Advisory Committee and over 500 expert Reviewers covering all medical specialties and additionally Technical Reviewers, Statisticians, Image processing Experts and a journal Secretary. The Society “Friends of Hippokratia Journal” has the financial management of both the printed and electronic edition of the journal.