Adverse perinatal outcomes in young adolescents

Abbey Berenson, Constance M. Wiemann, Sharon L. McCombs

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

OBJECTIVE: To determine whether pregnant adolescents ≤ 15 years of age developed more perinatal complications than older adolescents or adult women. STUDY DESIGN: We conducted a study of 147 nulliparous adolescents ≤15 years of age who initiated prenatal care at the University of Texas Medical Branch at Galveston between January 1, 1992; and April 27, 1994. For purposes of analyses, these patients were then compared to two groups: (1) all nulliparas between the ages of 16 and 17 (n =287) and (2) those 20-22 years old (n = 107) who delivered an infant of ≤20 weeks' gestation and initiated care during the same interval at this same facility. Chi-square, Kruskall-Wallis or Student's t test initially was used to identify differences between groups in demographic characteristics and perinatal complications. Logistic regression analyses were then performed to determine whether observed differences in outcomes remained while controlling for potentially confounding variables. RESULTS: Adolescents ≤15 years of age were more likely to develop anemia and less likely to deliver an infant who required admission to the intensive care unit. No differences were observed between groups in the prevalence of pregnancy-induced hypertension, preterm labor, preterm premature rupture of membranes, chorioamnionitis, meconium staining, endometritis, preterm delivery, low birth weight, low Apgar score or fetal demise. CONCLUSION: Adolescents ≤15 years of age experience perinatal outcomes similar to those of older adolescents and young adult women.

Original languageEnglish (US)
Pages (from-to)559-564
Number of pages6
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume42
Issue number9
StatePublished - Sep 1997

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Chorioamnionitis
Endometritis
Meconium
Pregnancy Induced Hypertension
Fetal Death
Confounding Factors (Epidemiology)
Prenatal Care
Apgar Score
Premature Obstetric Labor
Low Birth Weight Infant
Intensive Care Units
Anemia
Young Adult
Logistic Models
Regression Analysis
Demography
Staining and Labeling
Students
Pregnancy
Preterm Premature Rupture of the Membranes

Keywords

  • Adolescent pregnancy
  • Pregnancy outcome

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

Cite this

Adverse perinatal outcomes in young adolescents. / Berenson, Abbey; Wiemann, Constance M.; McCombs, Sharon L.

In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist, Vol. 42, No. 9, 09.1997, p. 559-564.

Research output: Contribution to journalArticle

Berenson, Abbey ; Wiemann, Constance M. ; McCombs, Sharon L. / Adverse perinatal outcomes in young adolescents. In: Journal of Reproductive Medicine for the Obstetrician and Gynecologist. 1997 ; Vol. 42, No. 9. pp. 559-564.
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