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从不良妊娠结局角度看青少年年龄上限的定义

The Definition of the Upper Limit of Adolescent Age in Terms of Adverse Pregnancy Outcomes.

作者信息

Arda Düz Senem, Tuncay Görkem, Cengiz Murat, Karaer Abdullah

机构信息

Obstetrics and Gynecology, Inonu University, Malatya, TUR.

出版信息

Cureus. 2021 Dec 22;13(12):e20591. doi: 10.7759/cureus.20591. eCollection 2021 Dec.

Abstract

Introduction This study aims to reveal the maternal and neonatal adverse outcomes, associated with adolescent pregnancies in our country, to investigate whether the 20 to 21-year-age group, which is very close to the adolescent age, is similar to the adolescent age group in terms of adverse outcomes, and so to contribute to the definition of the upper limit in adolescent age for pregnancy. Methods Four hundred and twenty-four pregnant women under the 20-year-age, 450 pregnant women at 20 to 21-year-age, and 450 pregnant women between 22 and 25-year-age were included in this retrospective study. Maternal demographic features, clinical characteristics, obstetric complications, maternal outcomes, neonatal complications, and neonatal outcomes were collected from the medical records of the participants. Results There were statistically significant differences between under 20-year-age and 22 to 25-year-age, regarding gestational age at birth, maternal duration of hospitalization after delivery, mode of delivery, preterm delivery rate, very low birth weight, and low birth weight, first minute Apgar score, the presence of transient tachypnea of the newborn. Conclusion The upper age limit for the adolescent age, which is considered risky in terms of maternal and neonatal adverse outcomes, was found to be compatible with the upper age limit, which is 19 years, defined by World Health Organization.

摘要

引言 本研究旨在揭示我国青少年妊娠相关的母婴不良结局,调查与青少年年龄非常接近的20至21岁年龄组在不良结局方面是否与青少年年龄组相似,从而有助于确定青少年妊娠年龄的上限。方法 本回顾性研究纳入了424名20岁以下的孕妇、450名20至21岁的孕妇和450名22至25岁的孕妇。从参与者的医疗记录中收集产妇的人口统计学特征、临床特征、产科并发症、产妇结局、新生儿并发症和新生儿结局。结果 在出生孕周、产后产妇住院时间、分娩方式、早产率、极低出生体重和低出生体重、1分钟阿氏评分、新生儿短暂性呼吸急促的发生率方面,20岁以下年龄组与22至25岁年龄组之间存在统计学显著差异。结论 在母婴不良结局方面被认为有风险的青少年年龄上限,被发现与世界卫生组织定义的19岁上限相符。

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