夸祖鲁-纳塔尔省一家地区医院的青少年妊娠与成年妊娠的特征和产科结局比较。

Profile and obstetric outcome of teenage pregnancies compared with pregnant adults at a district hospital in KwaZulu-Natal.

机构信息

Department of Family Medicine, Faculty of Health Sciences, University of KwaZulu-Natal, Durban.

出版信息

S Afr Fam Pract (2004). 2021 Sep 7;63(1):5290. doi: 10.4102/safp.v63i1.5290.

DOI:10.4102/safp.v63i1.5290

PMID:34677079

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8517738/

Abstract

BACKGROUND

Teenage pregnancy remains a major public health concern and a challenge for developing countries. Young maternal age can lead to serious physical, social and psychological consequences as teenage mothers are less likely to gain full educational potential and are at higher risk of poverty and complications of pregnancy. The objective of the study was to describe the profile and obstetric outcome of teenage pregnancy compared with that of pregnant adults at a district hospital in KwaZulu-Natal.

METHODS

A retrospective descriptive study utilising data obtained from randomly selected hospital records of 216 teenage mothers compared the socio-demographic profile, foetal and maternal outcomes to that of pregnant adults.

RESULTS

The mean age of the teenage group was 17.6 and 26.0 years for the adults (control group). Both groups had a remarkable booking status (97.2% vs. 100%) and antenatal attendance (62.5% vs. 66.2% with ≥ 5 visits). No significant difference in anaemia, caesarean delivery and obstetric complications were found in both groups. There was, however, a significant risk of hypertensive disorder of pregnancy (39.8% vs. 26.4%, p = 0.030) and higher risk of episiotomy being carried out during delivery (31.5% vs. 13.0%). On the other hand, the control group had a significant higher risk of HIV infection (12.5% vs. 38.4% p = 0.000).

CONCLUSION

The study showed that teenage pregnancy has a similar obstetric risk to adult pregnant patients except for hypertension disorder of pregnancy. Although this study demonstrated improved antenatal attendance by pregnant teenagers, the psychosocial impact on young mothers requires further research.

摘要

背景

青少年怀孕仍然是一个主要的公共卫生问题，也是发展中国家面临的挑战。年轻的母亲年龄较小，更不可能充分发挥教育潜力，并且更容易陷入贫困和怀孕并发症的风险之中，因此她们可能会面临严重的身体、社会和心理后果。本研究的目的是描述夸祖鲁-纳塔尔省一家地区医院的青少年怀孕与成年孕妇的特征和产科结局。

方法

本研究采用回顾性描述性研究方法，利用随机选取的 216 名青少年母亲的医院记录数据，将其社会人口统计学特征、胎儿和产妇结局与成年孕妇进行比较。

结果

青少年组的平均年龄为 17.6 岁，成年组（对照组）的平均年龄为 26.0 岁。两组的预约状况（97.2%对 100%）和产前就诊率（62.5%对 66.2%，≥5 次就诊）都非常显著。两组在贫血、剖宫产分娩和产科并发症方面没有显著差异。然而，青少年组妊娠高血压疾病的风险显著升高（39.8%对 26.4%，p=0.030），分娩时行会阴切开术的风险也更高（31.5%对 13.0%）。另一方面，对照组的 HIV 感染风险显著更高（12.5%对 38.4%，p=0.000）。