Ketscher K D, Retzke U, Schöne E
Frauenklinik, Bezirkskrankenhauses Suhl, Suhl/Thüringen.
Geburtshilfe Frauenheilkd. 1990 Nov;50(11):850-5. doi: 10.1055/s-2008-1026380.
All pregnant women living in the district of Suhl were observed and delivered in our Department for Obstetrics and Gynaecology, County Hospital of Suhl. In a retrospective study, the course and outcome of 732 pregnancies in adolescents (less than or equal to 19 years) were analysed. In all women bearing to maturity, the course of delivery and the neonatal outcome were studied. All results were compared with those of an equal-sized group of women of 20-24 years of age. Out of the 732 adolescent pregnancies, nearly 62% gave birth; in 30% an artificial abortion was undertaken. In a subgroup of 179 adolescents aged less than 18 years, the rate of artificial abortion was 61.5%. Only 34% gave birth to a child. The course of pregnancy in adolescents was not more complicated as it was in older patients (comparison group). The rate of premature delivery was not increased and premature rupture of membranes was even rarer. During birth, there were no increased risks, the duration of birth being identical in both groups. In adolescents, there were a few more spontaneous deliveries. Body weights and neonatal conditions were the same as in the comparable group. Consequently, pregnancy in adolescents is not accompanied by increased risks for mother or child.
所有居住在苏尔地区的孕妇均在苏尔县医院妇产科接受观察并分娩。在一项回顾性研究中，分析了732例青少年（小于或等于19岁）妊娠的过程及结局。对所有足月分娩的妇女，研究了分娩过程及新生儿结局。所有结果均与一组年龄在20 - 24岁的同等规模女性的结果进行比较。在732例青少年妊娠中，近62%分娩；30%进行了人工流产。在179例年龄小于18岁的青少年亚组中，人工流产率为61.5%。只有34%生育了孩子。青少年的妊娠过程并不比年龄较大的患者（对照组）更复杂。早产率没有增加，胎膜早破甚至更罕见。分娩期间，风险没有增加，两组的分娩持续时间相同。青少年中自然分娩的情况略多一些。出生体重和新生儿状况与对照组相同。因此，青少年妊娠对母亲或孩子而言并没有增加风险。
