青少年产科表现。

Akinola S E, Manne N C, Archibong E I, Sobande A A

Department of Obstetrics and Gynecology, Muhayl General Hosptial, Muhayl, Kingdom of Saudi Arabia.

Saudi Med J. 2001 Jul;22(7):580-4.

OBJECTIVE

To study the pregnancy outcome in teenage primigravida women admitted and delivered in our unit between April 1997 and March 1998, and to compare the outcome with other primigravida above 20 years old.

METHODS

Data was collected from primigravidae in respect of age, last menstrual period, history of booking at Primary Health Center and complications of pregnancies were identified. The process of labor and delivery were monitored and the outcome recorded.

RESULTS

During the period of study, 2,650 women delivered in the unit, 171 (6%) were primigravida, out of which 116 (68%) were teenagers, ages between 13 and 19 years old, 55 (32%) were above 20 years of age. All the primigravidas were married and therefore had their husband and parental support. Forty three percent of the teenagers plan to return to school after delivery. The length of the 2nd stage of labor (67.7 minutes) in the young teenagers aged 13 to 15 years was significantly longer than of the older teenagers 16 to 19 years old and that of the control group ages above 20 years old, P<0.0001. The mean birth weight (2.45 kgm) in the younger teenagers were also lower than that of the older teenagers and the control group (3 kgm and 3.25 kgm) P<0.0001. There was no significant difference between the teenagers ages 13 to 19 years old and the control group regarding normal vagina delivery, lower segment cesarean, ventouse delivery, number of anemic patients and the mean birth weight as shown by the P-values. There was no significant difference in the numbers and types of medical complications identified between the teenagers and the control group.

CONCLUSION

The younger teenage group (13 to 15 years) has been identfied as the high-risk group in this study but there was no significant difference in the pregnancy outcome of the teenagers (13 to 19 years old) in general compared with the control group. Attention must therefore be turned to the young teenagers pregnancy, labor and delivery. To avoid poor outcome in this age group, age at first pregnancy should be encouraged from 16 years and above.

目的

研究1997年4月至1998年3月间在我院住院分娩的初产妇青少年的妊娠结局，并与其他20岁以上的初产妇的结局进行比较。

方法

收集初产妇的年龄、末次月经时间、在初级卫生保健中心的建档史，并确定妊娠并发症。监测分娩过程并记录结局。

结果

在研究期间，该单位有2650名妇女分娩，其中171名（6%）为初产妇，其中116名（68%）为青少年，年龄在13至19岁之间，55名（32%）年龄在20岁以上。所有初产妇均已婚，因此有丈夫和父母的支持。43%的青少年计划产后重返学校。13至15岁的年轻青少年第二产程时长（67.7分钟）显著长于16至19岁的年长青少年及20岁以上的对照组，P<0.0001。年轻青少年的平均出生体重（2.45千克）也低于年长青少年和对照组（3千克和3.25千克），P<0.0001。13至19岁的青少年与对照组在正常阴道分娩、下段剖宫产、胎头吸引分娩、贫血患者数量及平均出生体重方面，P值显示无显著差异。青少年与对照组在已确定的医疗并发症数量和类型上无显著差异。