专门的产前诊所对青少年孕妇产科和新生儿结局的影响。

The impact of a dedicated antenatal clinic on the obstetric and neonatal outcomes in adolescent pregnant women.

作者信息

Das S, Dhulkotia J S, Brook J, Amu O

机构信息

Department of Obstetrics and Gynaecology, Royal Oldham Hospital, Greater Manchester, UK.

出版信息

J Obstet Gynaecol. 2007 Jul;27(5):464-6. doi: 10.1080/01443610701406042.

DOI:10.1080/01443610701406042

PMID:17701790

Abstract

This retrospective observational study was designed to study the impact of a dedicated antenatal clinic service on obstetric and neonatal outcomes among teenage mothers in the maternity unit of a district general hospital in the UK. Outcomes were measured to investigate improvement in obstetric and neonatal outcomes before, and 12 months after the establishment of dedicated clinic for teenage pregnant women. Significant improvement in the birth weight was observed p = 0.01. A modest decrease in neonatal admission to special care unit by 6% was observed. Rate of spontaneous vaginal deliveries increased p = 0.0009. There was significant uptake of contraception and continuation of breast-feeding in this group of young women (p < 0.0001).

摘要

这项回顾性观察性研究旨在探讨在英国一家地区综合医院产科设立专门的产前门诊服务对青少年母亲的产科和新生儿结局的影响。在为青少年孕妇设立专门门诊之前及之后12个月，对产科和新生儿结局进行测量，以调查改善情况。观察到出生体重有显著改善（p = 0.01）。新生儿入住特殊护理病房的比例略有下降，降幅为6%。自然阴道分娩率有所上升（p = 0.0009）。在这群年轻女性中，避孕措施的采用率和母乳喂养的持续率都有显著提高（p < 0.0001）。