Adolescent primiparas: changes in obstetrical risk between 1983-1987 and 1999-2005

The Journal of Obstetrics and Gynaecology Research
Willibald ZeckUwe Lang

Abstract

Teenage pregnancies have always been considered at increased risk for obstetric complications. Deliveries in adolescent primiparas in the 5-year time periods 1983-1987 and 1999-2005 were compared against each other, the general population and against primiparas aged 20-29 years in order to reveal trends and differences in obstetric outcome. A total of 186 primiparas delivering at an age of 17 or less between October 1999 and October 2005 were compared with 353 adolescent primiparas delivered between 1983 and 1987. Type of delivery and complications such as low birthweight, pre-eclampsia, breech presentation and third stage complications were studied. The percentage of adolescents in the overall obstetric population decreased. The cesarean section rate remained the same in the adolescents while increasing in the general population. Rates of low birthweight and operative vaginal delivery increased in the adolescent group and overall. Third stage complications (abnormally adherent or incomplete placentas) decreased in both groups. There were no intrauterine fetal deaths in adolescent pregnancies in either time period. Other obstetric variables were unchanged in the adolescent as well as in the general population between 1999 and 2...Continue Reading

References

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Citations

Jan 8, 2011·Social Work in Public Health·Betty J BraxterDianxu Ren
Aug 13, 2010·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Y TasciS Erkaya
Aug 15, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Silvia IacobelliFrancesco Bonsante
Apr 14, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Tereza C C MacedoBianca Bianco
Nov 8, 2008·Current Opinion in Obstetrics & Gynecology

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