Ha Nguyen Thi Thu, Thuong Phan Thi Huyen, Hai Dang Hong, Giang Duong Thi Tra, Anh Nguyen Duy
National Assisted Reproductive Center, National Hospital of Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Department of Assisted Reproduction, Hanoi Obstetrics and Gynecology Hospital, Hanoi, Vietnam.
Med Arch. 2024;78(3):220-225. doi: 10.5455/medarh.2024.78.220-225.
Adolescent pregnancy is a global concern worldwide. According to the World Health Organization (WHO), adolescent pregnancy, also known as teenage pregnancy, is defined as pregnancy in girls between the ages of 10 and 19, with those aged 10 to 15 years termed younger adolescents.
The aim of this study was to evaluate the maternal and neonatal outcomes of adolescent pregnancy.
This descriptive cross-sectional study included 333 singleton pregnancies aged under 19 years at the time of delivery, and delivering at Hanoi Obstetrics and Gynecology Hospital from January 2022 to December 2022. The maternal and neonatal outcomes were collected.
The rate of at least one maternal or neonatal adverse outcomes was 84.7%. There were 26.4% anemia, 18.9% preterm birth, 1.8% pre-eclampsia, 2.4% gestational diabetes mellitus, 30.9% urinary tract infection, 41.4% cesarean delivery and 21.0% neonatal low birth weight. Comparable to older adolescents (aged 16-19 years), younger (aged under 16 years) were at higher risk for complications regarding maternal anemia (43.8 vs. 24.6%, p < 0.05), threatened abortion (15.6 vs. 5.0%, p < 0.05), and urinary tract infection (50.0 vs. 28.9%, p < 0.05).
Almost adolescent pregnancies have at least one maternal or neonatal adverse outcome. In which, anemia, preterm birth, and neonatal low birth weight are of concern. Thus, it is prior to provide various modalities and improve the antenatal quality to reduce pregnant complication for adolescents.
青少年怀孕是一个全球普遍关注的问题。根据世界卫生组织（WHO）的定义，青少年怀孕，也称为少女怀孕，是指年龄在10至19岁之间的女孩怀孕，其中10至15岁的女孩被称为年轻青少年。
本研究旨在评估青少年怀孕的母婴结局。
这项描述性横断面研究纳入了2022年1月至2022年12月在河内妇产科医院分娩时年龄未满19岁的333例单胎妊娠。收集母婴结局数据。
至少出现一种母婴不良结局的发生率为84.7%。贫血发生率为26.4%，早产发生率为18.9%，先兆子痫发生率为1.8%，妊娠期糖尿病发生率为2.4%，尿路感染发生率为30.9%，剖宫产率为41.4%，新生儿低出生体重发生率为21.0%。与年龄较大的青少年（16 - 19岁）相比，年龄较小的青少年（未满16岁）在母亲贫血（43.8%对24.6%，p < 0.05）、先兆流产（15.6%对5.0%，p < 0.05）和尿路感染（50.0%对28.9%，p < 0.05）方面发生并发症的风险更高。
几乎所有青少年怀孕都至少有一项母婴不良结局。其中，贫血、早产和新生儿低出生体重值得关注。因此，应优先提供多种方式并提高产前保健质量，以减少青少年怀孕并发症。
