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青少年怀孕(作者译)

[Pregnancy in teenagers (author's transl)].

作者信息

Hiersche H D, Prillwitz S v, Tietze K W, Miller R

出版信息

Geburtshilfe Frauenheilkd. 1975 Feb;35(2):112-21.

PMID:1079780
Abstract

In this study pregnancy, delivery and the newborn infant of 151 juvenile primiparas and 1034 adolescent primiparas were analyzed and were compared with a group of 3563 primiparas 21, 23 and 25 years of age. Regarding the obstetric history and the intrapartum period there was no increase incidence of complications among the young patients, however we found among the older women an increase in the incidence of operative deliveries. In the postpartum period it was noted that the young primiparas had a higher incidence of postpartum bleeding caused by atonia of the uterus and also an increased incidence of placental complications with a high rate of manual placental extraction and curettages. A positive correlation was found between premature birth and perinatal mortality and the younger the age of the mother. The newborn of the young mothers was also lighter and shorter at birth and had a higher incidence of malformations. This study has shown, that juvenile expectant mothers are a risk group for obstetricians and pediatricians.

摘要

在本研究中,对151名青少年初产妇和1034名青春期初产妇的妊娠、分娩及新生儿情况进行了分析,并与一组年龄分别为21岁、23岁和25岁的3563名初产妇进行了比较。关于产科病史和产程,年轻患者中并发症的发生率并未增加,然而我们发现年龄较大的女性中手术分娩的发生率有所增加。在产后阶段,注意到年轻初产妇因子宫收缩乏力导致产后出血的发生率较高,胎盘并发症的发生率也有所增加,人工剥离胎盘和刮宫的比例较高。早产和围产期死亡率与母亲年龄越小呈正相关。年轻母亲的新生儿出生时体重也更轻、身材更短,畸形发生率更高。这项研究表明,青少年准妈妈对产科医生和儿科医生来说是一个风险群体。

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