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青少年妊娠结局与危险因素。

Adolescent Pregnancy Outcomes and Risk Factors.

机构信息

Department of Public Health and Hygiene, Medical Faculty, University of Pavol Jozef Šafárik, Šrobárova 2, 041 80 Košice, Slovakia.

Department of Gynaecology and Obstetrics, Medical Faculty, Louis Pasteur University Hospital, University of Pavol Jozef Šafárik, Trieda SNP 1, 040 11 Košice, Slovakia.

出版信息

Int J Environ Res Public Health. 2023 Feb 25;20(5):4113. doi: 10.3390/ijerph20054113.

Abstract

One of the major social and public health problems in the world is adolescent pregnancy. Adolescent pregnancy is strongly associated to less favorable results for both the mother and the newborn. We conducted this research to ascertain the impact of teenage age on neonatal outcomes and also observed the lifestyles of pregnant teenage girls. We conducted a study of 2434 mothers aged ≤19 years (n = 294) or 20-34 years (n = 2140) who gave birth in 2019-2020 at the Department of Gynaecology and Obstetrics of Louis Pasteur University Hospital in Košice. The data on mothers and newborn infants have been reported from the reports on mothers at childbirth. Women between the ages of 20 and 34 served as the reference group. The teenage mothers were more likely to become pregnant if they were unmarried (OR = 14.2; 95% CI = 9.3-21.6; < 0.001) and had a basic education or lack of education (OR = 16.8; 95% CI = 11.5-24.6; < 0.001). Additionally, they were more likely to smoke when pregnant (OR = 5.0; 95% CI = 3.8-6.6; < 0.001). Low birth weight was more common in newborns born to adolescent mothers than in those born to adult mothers ( < 0.001). Our findings showed that infants of teenage mothers often had lower birth weights (-332.6 g, < 0.001). Adolescent mothers were associated with lower Apgar scores at the first minute ( = 0.003). As compared with the control group, pregnant teenage girls had a greater prevalence of preterm deliveries in our research ( = 0.004). This study finds significant age-related disparities in neonatal outcomes between mothers. These results might be used to identify vulnerable groups who need special assistance and actions to reduce the probability of negative outcomes for such groups.

摘要

青少年怀孕是全球主要的社会和公共卫生问题之一。青少年怀孕与母婴双方较差的结果密切相关。我们进行这项研究是为了确定青少年年龄对新生儿结局的影响,并观察青少年孕妇的生活方式。我们对 2019-2020 年在路易·巴斯德大学医院妇产科分娩的 2434 名母亲进行了研究,年龄≤19 岁(n=294)或 20-34 岁(n=2140)。母亲和新生儿的数据来自分娩时母亲的报告。20-34 岁的女性为参考组。研究发现,如果未婚(OR=14.2;95%CI=9.3-21.6;<0.001)和具有基本教育或缺乏教育(OR=16.8;95%CI=11.5-24.6;<0.001),青少年母亲更有可能怀孕。此外,她们在怀孕期间更有可能吸烟(OR=5.0;95%CI=3.8-6.6;<0.001)。与成年母亲所生的新生儿相比,青少年母亲所生的新生儿体重更轻(<0.001)。我们的研究结果表明,青少年母亲所生的婴儿出生体重往往较低(-332.6g,<0.001)。青少年母亲在第一分钟的阿普加评分较低(=0.003)。与对照组相比,在我们的研究中,青少年孕妇早产的发生率更高(=0.004)。这项研究发现,母亲的年龄与新生儿结局之间存在显著的差异。这些结果可用于确定需要特殊援助和行动的弱势群体,以降低这些群体发生负面结果的概率。

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