Comparison of Maternal and Neonatal Outcomes of Teenage versus Adult Pregnancies at Buddhachinaraj Hospital

Lalita Kositworakitkun, Wiset Watcharoton, Chokdee Junlapakee
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引用次数: 3

Abstract

Objective: To compare outcomes of teenage pregnancy (maternal age younger than 20 years) with adult pregnancy (maternal age 20-34 years). Materials and Methods: A retrospective cohort study compared first birth teenage deliveries to adult deliveries at Buddhachinaraj Hospital from January 2012 to December 2013. Main Outcome Measurement: Maternal outcomes were anemia, hypertensive disorder, gestational diabetes mellitus, mode of delivery, and postpartum hemorrhage. Neonatal outcomes included preterm delivery, low birth weight, fetal growth restriction and birth asphyxia. Results: The prevalence of teenage pregnancy in this study was 17%. Teenage mothers had less frequent antenatal care. Rates of anemia, preterm delivery and low birth weight were significantly higher in teenage compared to adult pregnancy, whereas the rates of gestational diabetes mellitus and postpartum hemorrhage were lower. Rate of normal vaginal delivery was significantly higher in the teenage group compared to the adult pregnancies. No difference in outcome between groups was demonstrated for hypertensive disorder, infectious disorder, fetal growth restriction and birth asphyxia. Conclusion: Teenage pregnancy had preferable obstetric outcomes for the prevalence of vaginal delivery and postpartum hemorrhage, but had increased neonatal adverse events.
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budachinaraj医院青少年与成人妊娠的孕产妇和新生儿结局比较
目的:比较少女怀孕(产妇年龄小于20岁)与成人怀孕(产妇年龄20-34岁)的结局。材料与方法:一项回顾性队列研究比较了2012年1月至2013年12月在achinaraj医院首次分娩的青少年分娩和成人分娩。主要结局测量:产妇结局为贫血、高血压、妊娠期糖尿病、分娩方式、产后出血。新生儿结局包括早产、低出生体重、胎儿生长受限和出生窒息。结果:本研究青少年怀孕率为17%。少女母亲的产前护理频率较低。与成年孕妇相比,青少年孕妇的贫血、早产和低出生体重的发生率明显更高,而妊娠期糖尿病和产后出血的发生率较低。正常阴道分娩率在青少年组明显高于成人怀孕。在高血压疾病、感染性疾病、胎儿生长受限和出生窒息方面,两组间的结果没有差异。结论:少女怀孕对阴道分娩和产后出血的发生率有较好的产科结局,但增加了新生儿不良事件。
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来源期刊
Thai Journal of Obstetrics and Gynaecology
Thai Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
3
审稿时长
24 weeks
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