Stevens-Simon C, Kaplan D W, McAnarney E R
Division of Adolescent Medicine, University of Colorado Health Science Center, Denver 80218.
J Adolesc Health. 1993 Jun;14(4):340-2. doi: 10.1016/1054-139x(93)90185-r.
The purpose was to identify characteristics of pregnant adolescents associated with preterm delivery. We studied 126 poor, black, 12 through 18-year-old pregnant adolescents and compared the prevalence of potentially high-risk maternal characteristics and obstetric complications in those who bore preterm and term infants. Of the adolescents studied, 12 (9.5%) delivered prematurely. Five maternal characteristics--conception within 3 years of menarche, a low body mass index, a past history of physical or sexual abuse, a socially deviant father of the baby, and vaginal bleeding during the first 8 weeks of gestation--were associated with preterm delivery. A theoretical model is proposed and the therapeutic implication of the study findings.
目的是确定与早产相关的怀孕青少年的特征。我们研究了126名贫困、黑人、年龄在12至18岁的怀孕青少年，并比较了早产和足月产婴儿的母亲潜在高危特征及产科并发症的发生率。在所研究的青少年中，12人（9.5%）早产。五种母亲特征——月经初潮后3年内受孕、低体重指数、既往身体或性虐待史、孩子的父亲有社会偏差行为以及妊娠前8周内阴道出血——与早产有关。本文提出了一个理论模型以及该研究结果的治疗意义。
