Elster A B
Am J Obstet Gynecol. 1984 Aug 15;149(8):845-7. doi: 10.1016/0002-9378(84)90602-1.
Maternal age and prenatal care were found to influence the risk for having a small-for-gestational age infant in white adolescent mothers who had both one and two previous live births. However, poor care exerted a relatively stronger affect than young age for primiparous mothers, while the reverse was found for multiparous mothers. Moreover, for women with first births, there was an interaction between variables in that early prenatal care promoted better pregnancy outcome for younger teenagers than for older teens or adults. These results indicate that the perinatal risks of adolescent pregnancy are affected by both physiologic factors and prenatal care.
研究发现,对于有过一次或两次活产经历的白人青少年母亲而言,母亲年龄和产前护理会影响生出小于胎龄儿的风险。然而,对于初产妇来说,护理不佳比年轻对生出小于胎龄儿的影响相对更大,而经产妇的情况则相反。此外,对于首次生育的女性,各变量之间存在相互作用,即早期产前护理对年轻青少年比对年龄较大的青少年或成年人更能促进更好的妊娠结局。这些结果表明,青少年怀孕的围产期风险受到生理因素和产前护理的双重影响。