Vytiska-Binstorfer E, Skodler W D, Grünberger W
Klin Padiatr. 1987 Jan-Feb;199(1):48-51. doi: 10.1055/s-2008-1026759.
This retrospective study reports on the course of pregnancy and delivery in 12- to 14-year old girls during a period of 8 years. At the time of delivery 44 mothers (0.3%) out of 13,178 had not finished their 15th year; this adolescent primiparae were compared to a group of equal size including primiparae between 20 and 30 years of age. Whereas other studies report a higher risk of several pregnancy-related complications, our investigation mainly found a higher percentage of premature deliveries (13.6%). A significantly shorter duration of pregnancy resulted in lower birth weights in the adolescent group. Furthermore we noted a higher frequency of pyelitis gravidarum in this group. Operative delivery had to be performed in 9.1% of the cases (3 X cesarean sections, 1 X forceps), compared to 13.6% in the control group (3 X cesarean sections, 3 X forceps). In the adolescent group no other obstetric complications occurred; whereas a higher incidence of puerperal infections (endometritis) was noted. 26 adolescent mothers were foreigners of southern European descendence; in only 8 cases the putative father was notified; a third of the young mothers decided to enter their child in the state adoption program.
这项回顾性研究报告了12至14岁女孩在8年期间的妊娠和分娩过程。在分娩时，13178名母亲中有44名（0.3%）未满15岁；这些青春期初产妇与一组年龄在20至30岁之间的同等规模初产妇进行了比较。其他研究报告了几种与妊娠相关并发症的较高风险，而我们的调查主要发现早产百分比更高（13.6%）。青春期组妊娠持续时间显著缩短导致出生体重较低。此外，我们注意到该组肾盂肾炎的发生率更高。9.1%的病例需要进行手术分娩（3例剖宫产，1例产钳助产），而对照组为13.6%（3例剖宫产，3例产钳助产）。青春期组未发生其他产科并发症；然而，产褥感染（子宫内膜炎）的发生率较高。26名青春期母亲是南欧后裔的外国人；只有8例通知了推定父亲；三分之一的年轻母亲决定将孩子送入国家收养计划。
