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青少年妊娠的产前和围产期发病率:来自希腊一家三级中心的结果。

Teenage pregnancy antenatal and perinatal morbidity: results from a tertiary centre in Greece.

作者信息

Pergialiotis V, Vlachos D-E G, Gkioka E, Tsotra K, Papantoniou N, Vlachos G D

机构信息

a 1st Department of Obstetrics and Gynecology , Athens University, Alexandra Hospital , Greece.

b Laboratory of Experimental Surgery and Surgical Research N.S. Christeas , Athens , Greece.

出版信息

J Obstet Gynaecol. 2015;35(6):595-9. doi: 10.3109/01443615.2014.991285. Epub 2014 Dec 19.

Abstract

We present the experience of a tertiary referral hospital in Greece, evaluating obstetric and perinatal outcomes among teenage and average maternal age (AMA) women. We retrospectively assessed all singleton pregnancies during a twelve-month period (January-December 2012). A total of 1,704 cases were reviewed and divided into two groups: one of AMA mothers (20-34 years old) (1,460 women) and the other of teenage mothers (12-19 years old) (244 women). We observed significantly higher incidence rates of preterm births (p < 0.001), preterm premature rupture of the membranes (p < 0.001), gestational hypertension (p < 0.001), preeclampsia (p = 0.043) and Apgar scores < 7 at 5 min (p = 0.015) among teenage mothers. Antenatal surveillance was decreased among teenage mothers (p < 0.001), while rates of anaemia were higher (p < 0.001). Teenage pregnancy is accompanied by significant antenatal and perinatal complications that need specific obstetrical attention. Obstetricians should be aware of these complications in order to ameliorate the antenatal outcome of childbearing teenagers.

摘要

我们介绍了希腊一家三级转诊医院的经验,评估青少年孕妇和适龄孕妇(AMA)的产科及围产期结局。我们回顾性评估了为期十二个月(2012年1月至12月)的所有单胎妊娠情况。共审查了1704例病例,并将其分为两组:一组为适龄母亲(20 - 34岁)(1460名女性),另一组为青少年母亲(12 - 19岁)(244名女性)。我们观察到青少年母亲的早产发生率(p < 0.001)、胎膜早破(p < 0.001)、妊娠期高血压(p < 0.001)、先兆子痫(p = 0.043)以及5分钟时阿氏评分<7的发生率(p = 0.015)显著更高。青少年母亲的产前监测减少(p < 0.001),而贫血发生率更高(p < 0.001)。青少年怀孕伴有显著的产前和围产期并发症,需要特殊的产科关注。产科医生应了解这些并发症,以改善青少年生育的产前结局。

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