Adverse Maternal and Neonatal Outcomes in Adolescent Pregnancy

Journal of Pediatric and Adolescent Gynecology
Tetsuya KawakitaVeronica Gomez-Lobo

Abstract

To investigate the outcomes of adolescent pregnancy. Retrospective cohort study from the Consortium on Safe Labor between 2002 and 2008. Twelve clinical centers with 19 hospitals in the United States. Nulliparous women (n = 43,537) younger than 25 years of age, including 1189 younger adolescents (age ≤ 15.9 years), 14,703 older adolescents (age 16-19.9 years), and 27,645 young adults (age 20-24.9 years). Adjusted odds ratio (aOR) with 95% confidence interval (CI) were calculated, controlling for maternal characteristics and pregnancy complications (young adults as a reference group). Maternal, neonatal outcomes, cesarean indications, and length of labor. Younger adolescents had an increased risk of maternal anemia (aOR = 1.25; 95% CI, 1.07-1.45), preterm delivery at less than 37 weeks of gestation (aOR = 1.36; 95% CI, 1.14-1.62), postpartum hemorrhage (aOR = 1.46; 95% CI, 1.10-1.95), preeclampsia or hemolysis, increased liver enzyme levels, and low platelet syndrome (aOR = 1.44; 95% CI, 1.17-1.77) but had a decreased risk of cesarean delivery (aOR = 0.49; 95% CI, 0.42-0.59), chorioamnionitis (aOR = 0.63; 95% CI, 0.47-0.84), and neonatal intensive care unit admission (aOR = 0.80; 95% CI, 0.65-0.98). Older adolescents had an incr...Continue Reading

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