[青少年妊娠与分娩：311例病例的特征与概况]

[Pregnancy and delivery in adolescents: characteristics and profile of 311 cases].

作者信息

Hamada H, Zaki A, Nejjar H, Filali A, Chraibi C, Bezad R, Alaoui M Taher

机构信息

Service de Gynécologie-Obstétrique, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2004 Nov;33(7):607-14. doi: 10.1016/s0368-2315(04)96601-x.

DOI:10.1016/s0368-2315(04)96601-x

PMID:15550879

Abstract

OBJECTIVE

Adolescent pregnancy is considered to be a high-risk situation in a large part of the world. The aim of this study is to assess the validity of this notion for Moroccan teenagers.

MATERIAL AND METHODS

From January 1999 to December 2000, there were 311 teenagers who gave birth in the "Les orangers" maternity hospital in Rabat, Morocco. We compared these adolescents with 155 women aged more than 18 years who delivered during the same period.

RESULTS

We were unable to demonstrate a high risk for complications among our adolescent population. The only statistically significant differences found between the two groups concerned use of contraception (22.4% for teenagers vs. 57.6%), traditional practices (6.1% vs. 1.93%), frequency of episiotomy (90% vs. 67.14%), instrumental extraction (37.32% vs. 27.14%), lower birth weight in teenagers (3074 g vs. 3199 g) and a higher rate of low birth weight in unmarried adolescents in comparison with married ones (23.3% vs. 9.6%).

CONCLUSION

Adolescent pregnancy in Morocco remains well accepted, particularly within the context of marriage.

摘要

目的

在世界大部分地区，青少年怀孕被视为一种高危情况。本研究的目的是评估这一观念对摩洛哥青少年的有效性。

材料与方法

1999年1月至2000年12月期间，摩洛哥拉巴特的“Les orangers”妇产医院有311名青少年分娩。我们将这些青少年与同期分娩的155名18岁以上女性进行了比较。

结果

我们未能证明青少年人群中存在并发症的高风险。两组之间唯一具有统计学显著差异的方面涉及避孕措施的使用（青少年为22.4%，而成年女性为57.6%）、传统习俗（6.1%对1.93%）、会阴切开术的频率（90%对67.14%）、器械助产（37.32%对27.14%）、青少年出生体重较低（3074克对3199克）以及未婚青少年低出生体重率高于已婚青少年（23.3%对9.6%）。