Has improved health care provision impacted on the obstetric outcome in teenage women?

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
Terence Tzu-Hsi LaoTak Yeung Leung

Abstract

To determine the obstetric outcome in teenage women managed in the recent decade with easily accessible health care provision. In a retrospective cohort study, maternal demographics, underlying medical conditions, obstetric complications, preterm birth, type of labor, mode of delivery, and perinatal mortality were compared between 1505 women aged ≤ 19 years (study group) with 10,320 women aged 20-24 years (comparison group), who were carrying singleton pregnancies beyond 24 weeks of gestation and managed in our hospital between January 1998 and June 2008. The study and comparison groups accounted for 2.2% and 15.1% respectively of the total deliveries. Despite comparable health status and rates of other obstetric complications, teenage women was associated with birth <34 weeks (aOR 2.45, 95% CI 1.67-3.60), birth at 34-36 weeks (aOR 2.13, 95% CI 1.71-2.65), and reduced instrumental vaginal (aOR 0.62, 95% CI 0.50-0.77) and caesarean (aOR 0.79, 95% CI 0.64-0.97) delivery, without increase in perinatal mortality. Teenage women had increased preterm birth, despite improved health care provision, nutrition, and similar incidence of other obstetric complications, but the obstetric and perinatal outcome remained favorable.

References

Dec 1, 1992·British Journal of Obstetrics and Gynaecology·J C KonjeP Ewings
Mar 1, 1991·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·G CreatsasN Arefetz
Feb 1, 1989·The Australian & New Zealand Journal of Obstetrics & Gynaecology·J A Bradford, W B Giles
Mar 26, 1988·Lancet·T O SchollC E Cronk
Jan 1, 1986·Acta Obstetricia Et Gynecologica Scandinavica·S S KhwajaM Y el-Zibdeh
Aug 15, 1984·American Journal of Obstetrics and Gynecology·A B Elster
Jun 15, 1983·American Journal of Obstetrics and Gynecology·I L HoronH M MacDonald
Jul 1, 1982·American Journal of Obstetrics and Gynecology·M L Moerman
Apr 27, 1995·The New England Journal of Medicine·A M FraserR H Ward
Mar 1, 1997·Obstetrics and Gynecology·P M OlaussonR L Goldenberg
Dec 24, 1997·Human Reproduction·T T Lao, L F Ho
Dec 16, 1998·Human Reproduction·T T Lao, L F Ho
Jul 30, 1999·British Journal of Obstetrics and Gynaecology·P O OlaussonB Haglund
Nov 21, 2000·Obstetrics and Gynecology·M C JollyL Regan
Sep 13, 2003·The Journal of Pediatrics·Shih-Chen ChangFrank R Witter
Nov 5, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Beth BarnetMargo Devoe
Feb 8, 2005·American Journal of Obstetrics and Gynecology·Agustin Conde-AgudeloCristina Lammers
Sep 6, 2005·European Journal of Public Health·Kaisa RaatikainenSeppo Heinonen
Jan 11, 2007·International Journal of Epidemiology·Xi-Kuan ChenMark Walker
Jan 24, 2007·Paediatric and Perinatal Epidemiology·Ashley H SchempfKenneth C Schoendorf
Jul 12, 2007·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·M Martha BriggsMary Anne Jamieson
Sep 29, 2007·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Nandini GuptaKiron Bhal
Nov 28, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·T Y LeungT K Lau
Feb 27, 2009·The American Journal of Clinical Nutrition·Philip N BakerLucilla Poston

❮ Previous
Next ❯

Citations

Sep 6, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Annie S Y HuiDaljit S Sahota

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

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
Amir AviramYariv Yogev
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
Gonca SandalUgur Dilmen
Archives of Gynecology and Obstetrics
Muataz Al-Ramahi, Shawqi Saleh
European Journal of Obstetrics, Gynecology, and Reproductive Biology
Nandini GuptaKiron Bhal
© 2021 Meta ULC. All rights reserved