Abstract
Objective
The purpose of this study was to determine obstetrical and neonatal outcome among early adolescent pregnancies (≤15 years).
Method
We compared obstetrical and neonatal outcome of early adolescent nulliparas with outcome of nulliparous women aged 20–30 years.
Results
Two hundred and one (201) early adolescent nulliparous patients of low socio-economic status were enrolled at the Enrique C. Sotomayor Obstetrics and Gynecology Hospital, Guayaquil-Ecuador, and matched for gestational age with 201 low socio-economic nulliparous controls aged 20–30. Mean maternal age of the adolescent group was 14.2±0.6 years. The incidence of cervicovaginal infections during current pregnancy was significantly higher among adolescents (trichomoniasis: 11.4% vs. 5% and candidiasis: 27.8% vs. 12.4%, p<0.05). The incidence of eclampsia was higher in adolescents (2.5% vs. 0%, p<0.05). The preterm rate in each group was 4.9%. There were no differences in labor characteristics and the rate of cesarean section, labor complications and abnormal puerperium between both studied groups. Nevertheless, mean neonatal weight was lower and the incidence of low birth weight infants (<2,500 g) and adverse neonatal outcome was significantly higher in the adolescent group (2,837.6±454 g vs. 3,017±547 g; 19.9% vs. 11.4% [OR=1.92, 95% CI: 1–3.5] and 9.5% vs. 3.5% [OR=2.9, 95% CI: 1.1–7.7] respectively, p<0.05).
Conclusion
Pregnancy in young adolescents (≤15 years) of low socio-economic status did not impose adverse obstetrical outcome, however it did increase the risk for low birth weight, adverse neonatal outcome and cervicovaginal infections.
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References
Abu-Heija A, Ali AM, Al-Dakheil S (2002) Obstetrics and perinatal outcome of adolescent nulliparous pregnant women. Gynecol Obstet Invest 53:90–92
Berenson AB, Wiemann CM, McCombs SL (1997) Adverse perinatal outcomes in young adolescents. J Reprod Med 42:559–564
Brenner WE, Edelman DA, Hendricks CH (1976) A standard of fetal growth for the United States of America. Am J Obstet Gynecol 126:555–565
Carter DM, Felice ME, Rosoff J, Zabin LS, Beilenson PL, Dannenberg AL (1994) When children have children: the teen pregnancy predicament. Am J Prev Med 10:108–113
Coria-Soto IL, Bobadilla JL, Notzon F (1996) The effectiveness of antenatal care in preventing intrauterine growth retardation and low birth weight due to preterm delivery. Int J Qual Health Care 8:13–20
D’Souza CM, Shrier LA (1999) Prevention and intervention of sexually transmitted diseases in adolescents. Curr Opin Pediatr 11:287–291
Felice ME, Granados JL, Ances IG, Hebel R, Roeder LM, Heald FP (1981) The young pregnant teenager: impact of comprehensive prenatal care. J Adolesc Health 1:193–197
Hampton HL, Powell RH (1999) Obstetrical outcome in the very young adolescent. J Miss State Med Assoc 40:411–414
Jaskiewicz JA, McAnarney ER (1994) Pregnancy during adolescence. Pediatr Rev 15:32–38
Kessner DM, Singer J, Kalik CE, Schlesinger ER (1973) Infant death: an analysis by maternal risk and health care, chapter 2. Institute of Medicine and National Academy of Scientists, Washington, DC
Krueger PM, Scholl TO (2000) Adequacy of prenatal care and pregnancy outcome. J Am Osteopath Assoc 100:485–492
Lao TT, Ho LF (1997) The obstetric implications of teenage pregnancy. Hum Reprod 12:2303–2305
Lu TH, Hwang MN, Suhng LA, Chou MC, Lee MC (1999) Demographic characteristics of fathers of infants born to adolescent mothers in Taiwan. J Adolesc Health 24:446–448
Lubarsky SL, Schiff E, Friedman SA, Mercer BM, Sibai BM (1994) Obstetric characteristics among nulliparas under age 15. Obstet Gynecol 84:365–368
Munoz M (2001) Self-aware sex education: a theoretical and practical approach in Venezuela. Reprod Health Matters 9:146–152
Nitz K (1999) Adolescent pregnancy prevention: a review of interventions and programs. Clin Psychol Rev 19:457–471
Pavlova-Greenfield T, Sutija VG, Gudavalli M (2000) Adolescent pregnancy: positive perinatal outcome at a community hospital. J Perinat Med 28:443–446
Perry RL, Mannino B, Hediger ML, Scholl TO (1996) Pregnancy in early adolescence: are there obstetric risks? J Matern Fetal Med 5:333–339
Saito MI (1998) Sex education in school: preventing unwanted pregnancy in adolescents. Int J Gynaecol Obstet 63:S157–S160
Vytiska-Binstorfer E, Skodler WD, Grunberger W (1987) [Pregnancy and labor in 12 to 14-year-old girls]. Klin Padiatr 199:48–51
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Hidalgo, L.A., Chedraui, P.A. & Chávez, M.J. Obstetrical and neonatal outcome in young adolescents of low socio-economic status: a case control study. Arch Gynecol Obstet 271, 207–211 (2005). https://doi.org/10.1007/s00404-004-0600-7
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DOI: https://doi.org/10.1007/s00404-004-0600-7