کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3921924 1599879 2008 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Teenage pregnancies: Obstetric characteristics and outcome
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Teenage pregnancies: Obstetric characteristics and outcome
چکیده انگلیسی

ObjectiveTo quantify the age related risk of adverse obstetric outcome in primigravid women less than 20 years of age.Study designThe study sample was drawn from Cardiff Births Survey (a computerized maternity information database) comprising 66,271 pregnancies in the South Glamorgan region during 1990–1999. Pregnancy outcomes of primigravid women were compared in age groups less than 20 years (n = 4126) and 20 to <35 years (n = 17,615). SPSS version 11 was used for statistical analysis. Student's t-test was used for continuous variables, Chi square, Fishers exact test was used for categorical variables.ResultsThere was a lower incidence of multiple pregnancies (OR = 0.3(0.2–0.4)), spontaneous rupture of membranes >24 h (OR = 0.7(0.6–0.9)), and pregnancy-induced hypertension (OR = 0.8(0.6–0.8)) amongst teenage primigravidae but a higher incidence of anaemia (OR = 1.8(1.6–2.0)), and pyelonephritis (OR = 1.5(1.1–2.0)).There was a lower incidence of induction of labour (OR = 0.7(0.7–0.8)) and use of regional analgesia in the teenage group. Teenage women were more likely to have a spontaneous vaginal delivery (OR = 2.1(2.0–2.3)) with a significantly lower incidence of instrumental delivery (OR = 0.5(0.5–0.6)), and Caesarean section (OR = 0.4(0.4–0.5)).Inspite of a higher incidence of preterm labour (corrected OR = 1.4(1.1–1.7)) the perinatal outcome measures between the teenage group and the older group were not significantly different.ConclusionTeenage primigravidae are more likely to have a spontaneous vaginal delivery, without compromising the maternal or neonatal outcome.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 137, Issue 2, April 2008, Pages 165–171
نویسندگان
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