Perkins R P, Nakashima I I, Mullin M, Dubansky L S, Chin M L
Obstet Gynecol. 1978 Aug;52(2):179-88.
Adolescent pregnancy has long been considered high risk perinatally. It is also a symptom of social disorder. Older studies provided ominous portents of increased risk of toxemia, prematurity, anemia, cephalopelvic disproportion, and perinatal wastage. Studies during the past decade have shown more encouraging data, especially when representing a concerted effort toward this age group. The first 2 years of an intensive and individual approach to gravidas under age 17 are discussed. A total of 135 young women were studied and compared with 100 controls of similar age, treated routinely, and with 100 women of more nearly ideal childbearing age. Perinatal and social data are shown. The implications of the data are discussed in light of other studies. Few, if any, medical differences between the two groups of adolescents and the older women are noted. More important are the social and emotional factors in determining future difficulties.
青少年怀孕长期以来一直被视为围产期高风险情况。它也是社会失调的一种表现。早期研究曾预示着子痫、早产、贫血、头盆不称及围产期损耗风险增加，令人担忧。过去十年的研究给出了更令人鼓舞的数据，尤其是当针对这个年龄组齐心协力开展研究时。本文讨论了对17岁以下孕妇采取强化个体化方法的头两年情况。共研究了135名年轻女性，并与100名年龄相仿、接受常规治疗的对照者以及100名生育年龄更接近理想状态的女性进行了比较。展示了围产期和社会数据。结合其他研究对这些数据的影响进行了讨论。两组青少年与年长女性之间几乎没有医学差异。在决定未来困难方面，更重要的是社会和情感因素。
