Ali M, Lulseged S
Department of Paediatrics and Child Health, Faculty of Medicine, Addis Ababa University.
Ethiop Med J. 1997 Jan;35(1):35-42.
In spite of a growing concern about adolescent pregnancy, factors that influence its birth outcome have remained inadequately defined. Data on sociodemographic variables, maternal health habits, medical and obstetric complications, and neonatal outcome measures were collected between October 1993 and May 1994. A total of 212 (110 adolescent and 102 non-adolescent) mothers and their newborns were included in the study. The data were analyzed using the EPI Info and the Statistical Analysis System softwares. Adolescent pregnancy was found to be associated with significantly higher rates of premature and low birth weight infants (p < .001). Newborns of adolescent mothers were also lower in other anthropometric parameters-length less than 45 cm (p < 0.001) and head circumference less than 32 cm (p < 0.003)- and had lower Apgar scores (< 7) at 1 and 5 minutes (p < 0.001). Gestational age was strongly and independently associated with birth weight. Low parity, lack of antenatal care, and young maternal age also had positive contributions to birth weight in descending order of strength. The findings of the present study suggest that factors other than young maternal age are strongly associated with poor adolescent birth outcome.
尽管对青少年怀孕的关注度日益提高，但影响其分娩结局的因素仍未得到充分界定。1993年10月至1994年5月期间收集了社会人口统计学变量、孕产妇健康习惯、医学和产科并发症以及新生儿结局指标的数据。共有212名（110名青少年和102名非青少年）母亲及其新生儿纳入该研究。数据使用EPI Info和统计分析系统软件进行分析。结果发现，青少年怀孕与早产和低体重儿的发生率显著较高相关（p < 0.001）。青少年母亲的新生儿在其他人体测量参数方面也较低——身长小于45厘米（p < 0.001）和头围小于32厘米（p < 0.003）——并且在1分钟和5分钟时阿氏评分较低（< 7）（p < 0.001）。孕周与出生体重密切且独立相关。低产次、缺乏产前护理以及母亲年龄较小也对出生体重有正向贡献，其影响强度依次递减。本研究结果表明，除母亲年龄较小外，其他因素与青少年不良分娩结局密切相关。
