Ressel M, Schmitz P
Klinik für Gynäkologie und Geburtshilfe des Bereichs Medizin der Ernst-Moritz-Arndt-Universität Greifswald.
Zentralbl Gynakol. 1989;111(10):686-91.
During the investigation period from 1978 to 1986 the adolescents had been compared with two control groups. When comparing obstetrical parameters such as pre-eclampsia, prematurity, operative delivery, Apgar under 4, acidosis with a pH-value of blood under 7.10, malformation and perinatal death significant differences could not been proved. The statistically guaranteed high quota of perinatal mortality in prematurities under 2.500 g gives occasion to pay attention to predisposing factors in the prenatal care as well as focusing the good neonatal management. The investigations exhibit the delivery in adolescents as a small side group, which portion shows a falling tendency in the whole delivery group. They must be cared for attentively in fundamental prenatal care, whereas there is no higher obstetrical risk for adolescent primipara. The comparatively higher portion of primigravida teenagers in the whole interruptio group points out the problems in applying contraceptional measures at this age.
在1978年至1986年的调查期间，将青少年与两个对照组进行了比较。在比较诸如先兆子痫、早产、手术分娩、4分以下的阿氏评分、血液pH值低于7.10的酸中毒、畸形和围产期死亡等产科参数时，未发现显著差异。统计数据表明，体重低于2500克的早产儿围产期死亡率较高，这促使人们关注产前护理中的易感因素，并注重良好的新生儿管理。调查显示，青少年分娩是一个较小的子群体，其在整个分娩群体中的比例呈下降趋势。在基本的产前护理中必须对他们给予悉心照料，而青少年初产妇并没有更高的产科风险。在整个流产群体中，初孕青少年的比例相对较高，这指出了该年龄段应用避孕措施存在的问题。
