青少年怀孕：青少年是高危群体吗？

Teenage pregnancy: are teenagers a high risk group?

作者信息

Mahfouz A A, el-Said M M, al-Erian R A, Hamid A M

机构信息

Department of Family and Community Medicine, Abha College of Medicine, King Saud University, Saudi Arabia.

出版信息

Eur J Obstet Gynecol Reprod Biol. 1995 Mar;59(1):17-20. doi: 10.1016/0028-2243(94)02012-4.

DOI:10.1016/0028-2243(94)02012-4

PMID:7781855

Abstract

OBJECTIVES

To study health profile of pregnant teenagers and their pattern of utilization of primary health care services in comparison with pregnant women aged 20-35 years in Abha, Saudi Arabia.

STUDY DESIGN

A cohort of 1938 Saudi pregnant women (214 teenagers less than 20 years and 1724 aged 20-35 years) was selected by stratified random sampling technique. They were screened for anemia and hypertension using WHO criteria and followed until delivery to observe the method of delivery.

RESULTS

The prevalence of anemia (9.6% and 12.0%, respectively) and hypertension (1.1% and 3.5%, respectively) was not significantly different among primigravida of both age groups. The same trend was observed among multigravida. Follow-up showed that the rate of abnormal deliveries among primigravida of both groups was not significantly different, and even lower among multigravida teenagers. Pregnant women in both groups had similar average prenatal visits (6.6 +/- 1.1 and 6.7 +/- 1.2 respectively, P < 0.05) and the majority contacted the primary health care center early in pregnancy (87.4% and 88.9%, respectively, P < 0.05).

CONCLUSION

These results indicate that pregnant teenagers are not a high risk group if good prenatal care is provided.

摘要

目的

研究沙特阿拉伯阿卜哈地区怀孕青少年的健康状况及其初级卫生保健服务利用模式，并与20至35岁的孕妇进行比较。

研究设计

采用分层随机抽样技术选取了1938名沙特孕妇队列（214名年龄小于20岁的青少年和1724名年龄在20至35岁之间的孕妇）。使用世界卫生组织标准对她们进行贫血和高血压筛查，并随访至分娩以观察分娩方式。

结果

两个年龄组初产妇的贫血患病率（分别为9.6%和12.0%）和高血压患病率（分别为1.1%和3.5%）无显著差异。经产妇中也观察到相同趋势。随访显示，两组初产妇的异常分娩率无显著差异，经产青少年的异常分娩率甚至更低。两组孕妇的产前检查平均次数相似（分别为6.6±1.1次和6.7±1.2次，P<0.05），且大多数在妊娠早期就联系了初级卫生保健中心（分别为87.4%和88.9%，P<0.05）。