与青少年怀孕相关的不良生殖结局。
Adverse reproductive outcomes associated with teenage pregnancy.
作者信息
Yadav Siddhartha, Choudhary Dilip, Narayan K C, Mandal Rajesh Kumar, Sharma Achyut, Chauhan Siddharth Singh, Agrawal Pawan
机构信息
Boys' Hostel, Maharajgunj Campus, Institute of Medicine (IOM),Maharajgunj Kathmandu Nepal.
出版信息
Mcgill J Med. 2008 Jul;11(2):141-4.
INTRODUCTION
It is debated whether teenage pregnancy is associated with an adverse reproductive outcome. This study assessed the reproductive outcomes in teenage pregnancy in Nepal, a developing setting.
METHODS
A hospital based retrospective cohort study of 4,101 deliveries to compare the outcomes between teenage and non-teenage pregnancies.
RESULTS
Pregnancy in teenagers was associated with significantly increased risk (P<0.05) of delivery of very and moderately preterm births and Low Birth Weight babies. There was no significant difference in risk of having small for gestational age babies, low APGAR score at birth at 1 min and 5 min, stillbirth, neonatal death, and post partum hemorrhage. However, the risk of having delivery by episiotomy, vacuum or forceps and Caesarean section was significantly lower (P<0.05) among teenage mothers.
CONCLUSION
Teenage women were more likely to have preterm births and low birth weight babies. However, they were less likely to have delivery by episiotomy, forceps or vacuum and Caesarean sections. In other respects, there were no significant differences between teenage and non-teenage mothers.
引言
青少年怀孕是否与不良生殖结局相关存在争议。本研究评估了尼泊尔这一发展中地区青少年怀孕的生殖结局。
方法
一项基于医院的回顾性队列研究，对4101例分娩进行分析，以比较青少年怀孕和非青少年怀孕的结局。
结果
青少年怀孕与极早产和中度早产以及低体重儿分娩的风险显著增加（P<0.05）相关。在小于胎龄儿、出生后1分钟和5分钟时低阿氏评分、死产、新生儿死亡及产后出血的风险方面无显著差异。然而，青少年母亲经会阴切开术、真空吸引或产钳助产及剖宫产分娩的风险显著较低（P<0.05）。
结论
青少年女性更有可能早产和产下低体重儿。然而，她们经会阴切开术、产钳或真空吸引助产及剖宫产分娩的可能性较小。在其他方面，青少年母亲和非青少年母亲之间无显著差异。
Zotero 插件