Department of Obstetrics and Gynecology, University of Rochester, Rochester, New York.
Semin Reprod Med. 2022 Mar;40(1-02):98-106. doi: 10.1055/s-0041-1734020. Epub 2021 Aug 10.
Teenage pregnancy is a complex issue that can have negative socioeconomic and health outcomes. About 11% of births worldwide are by adolescents aged between 15 and 19 years and middle- and low-income countries account for more than 90% of these births. Despite the downward trend in international adolescent pregnancy rates, 10 million unplanned adolescent pregnancies occur annually. Adolescents are also at increase risks of poor obstetric outcomes including preterm delivery, low birth weight, eclampsia, postpartum hemorrhage, anemia, and infant, as well as maternal morbidity. Important additional considerations include increased risk of depression, poor social support, and the need for a multidisciplinary approach to their obstetric care. We look to highlight both the unique socioeconomic and medical factors to consider when caring for these patients and demonstrate that these factors are intertwined.
青少年怀孕是一个复杂的问题,可能会导致负面的社会经济和健康后果。全球约有 11%的婴儿是由 15 至 19 岁的青少年所生,而中低收入国家占这些婴儿的 90%以上。尽管国际青少年怀孕率呈下降趋势,但每年仍有 1000 万例意外的青少年怀孕。青少年还面临着较差的产科结局的风险增加,包括早产、低出生体重、子痫、产后出血、贫血和婴儿以及母亲的发病率。其他重要的考虑因素包括抑郁风险增加、社会支持不佳,以及需要多学科方法来照顾他们的产科护理。我们希望强调在照顾这些患者时需要考虑的独特的社会经济和医疗因素,并表明这些因素是相互交织的。