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青少年妊娠的母婴结局:一项叙述性综述

Maternal and Neonatal Outcomes of Adolescent Pregnancy: A Narrative Review.

作者信息

Maheshwari Marvi V, Khalid Nabeeha, Patel Pragnesh D, Alghareeb Rahmah, Hussain Afshan

机构信息

Research, Our Lady of Fatima University College of Medicine, Valenzuela, PHL.

Cardiology, Omar Hospital and Cardiac Center, Lahore, PAK.

出版信息

Cureus. 2022 Jun 14;14(6):e25921. doi: 10.7759/cureus.25921. eCollection 2022 Jun.

Abstract

Adolescent pregnancy is the pregnancy of girls aged 10-19 years, leading to many maternal and neonatal adverse effects. These pregnancies have been a global concern for many decades and yet are still prevailing. This article has reviewed the significant determinants of adolescent pregnancy and various maternal adverse effects, including preeclampsia, preterm premature rupture of the membrane (PPROM), maternal anemia, sexually transmitted diseases, postpartum depression, and maternal deaths, and adverse neonatal outcomes, including low birth weight (LBW), prematurity, stillbirths, early neonatal demise, and low Apgar score. Various pathophysiologic events that lead to such adverse consequences have been briefly discussed in the article and how such occurrences can be overcome. This article has also emphasized the need to implement various modalities such as sex education, availability of contraceptives, and bringing community-level awareness to lower the prevalence of adolescent pregnancy.

摘要

青少年怀孕是指年龄在10至19岁女孩的怀孕,会导致许多孕产妇和新生儿的不良后果。几十年来,这些怀孕情况一直是全球关注的问题,然而仍然普遍存在。本文回顾了青少年怀孕的重要决定因素以及各种孕产妇不良影响,包括先兆子痫、胎膜早破、孕产妇贫血、性传播疾病、产后抑郁症和孕产妇死亡,以及不良新生儿结局,包括低出生体重、早产、死产、早期新生儿死亡和低阿氏评分。本文简要讨论了导致这些不良后果的各种病理生理事件以及如何克服这些情况。本文还强调了实施各种方式的必要性,如性教育、避孕药具的可获得性以及提高社区层面的认识,以降低青少年怀孕的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/228d/9282583/2c82a39705cb/cureus-0014-00000025921-i01.jpg

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