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Pregnancy course and birth outcomes in young women

https://doi.org/10.23946/2500-0764-2020-5-2-72-78

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Abstract

Aim. To study the features of pregnancy and birth outcomes in young women.

Materials and Methods. We retrospectively analyzed birth histories of 400 women admitted to Regional Perinatal Center of Belyaev Kemerovo Regional Clinical Hospital during 2015-2018. All patients were stratified according to their age (< 18 years and 20-25 years of age, n = 200 per group).

Results. Pregnant women < 18 years of age had earlier menarche and sexual intercourse as well as less frequent use of contraceptives as compared with those 20-25 years of age; the proportion of married pregnant women was 13.0% and 86.0% in the former and latter group, respectively. The vast majority (96.0%) of women < 18 years of age were primiparous, in comparison with 64.0% in those aged 20-25. First visit to the prenatal care center was registered at 23 and 7 weeks in younger and older age group, respectively. The prevalence of extragenital pathology in patients < 18 years of age was 9.0%. No significant differences in pregnancy complications (gestational hypertension or preeclampsia) and placental insufficiency were found. Most of the patients in both groups had full-term labor, yet premature births and caesarean section were significantly more common in those < 18 years of age. There were no significant differences in weight, height, and Apgar scores among the newborns in regards to maternal age.

Conclusion. Despite pregnant adolescents are characterised by an earlier menarche, sexual intercourse, less frequent use of contraceptives and higher need in assisted delivery in comparison with parturient women of 20-25 years; however, age does not impact pregnancy course and birth outcomes.

About the Authors

S. I. Yelgina
Kemerovo State Medical University
Russian Federation

Prof. Svetlana I. Yelgina - MD, DSc, Professor, Department of Obstetrics and Gynecology.

22a, Voroshilova Street, Kemerovo, 650056, Russian Federation



L. A. Kondratova
Kemerovo State Medical University
Russian Federation

Dr. Lyubov А. Kondratova - MD, Resident, Department of Obstetrics and Gynecology.

22a, Voroshilova Street, Kemerovo, 650056, Russian Federation



References

1. Romero L, Pazol K, Warner L, Cox S, Kroelinger C, Besera G, Brittain A, Fuller TR, Koumans E, Barfield W. Reduced disparities in birth rates among teens aged 15-19 years - United States, 2006-2007 and 2013-2014. MMWR Morb Mortal Wkly Rep. 2016;65(16):409-414. https://doi.org/10.15585/mmwr.mm6516a1

2. Abebe AM, Fitie GW, Jember DA, Reda MM, Wake GE. Teenage Pregnancy and Its Adverse Obstetric and Perinatal Outcomes at Lemlem Karl Hospital, Tigray, Ethiopia, 2018. Biomed Res Int. 2020; 2020:3124847. https://doi.org/10.1155/2020/3124847

3. Pestrikova TYu, Prud VA. Modern features of reproductive behavior among young people of sakhalin region. Far East Medical Journal. 2014;(1):100-102. (In Russ.)

4. Тurdalieva BS, Aibemetova GE, Ramazanova MA, Altynbekova

5. UA, Dosmailova I. The Problem of early pregnancy and abortion among adolescents and youth. Vestnik KazNMU. 2014;(2(4):1-5. (In Russ.). Available at: https://cyberleninka.ru/article/n/problema-ranney-beremennosti-i-abortov-sredi-podrostkov-i-molodezhi/viewer. Accessed April 14, 2020.

6. Mikhailin ES, Ivanova LA, Savitsky AG. Comparative characteristics of pregnancy and childbirth in adolescents and women of middle reproductive age. Journal of obstetrics and women's diseases. 2014;63(4):47-53. (In Russ.)

7. Kulavskiy VA, Ziganshin AM, Kulavskiy EV, Ziganshina EA. The problem of premature births in the current population of adolescent girls. Mother and Baby in Kuzbass. 2014;(3(58):47-50. (In Russ.).

8. Poltava NV. Reproductive behavior and reproductive health of adolescent girls of the Kyrgyz republic. IP Pavlov russian medical biological herald. 2015;23(1):142-148. (In Russ.).

9. Daniels JP. Tackling teenage pregnancy in Colombia. Lancet. 2015;385(9977):1495-1496. https://doi.org/10.1016/S0140-6736(15)60738-3

10. Jahromi LB, Umaña-Taylor AJ, Updegraff KA, Zeiders KH. Trajectories of developmental functioning among children of adolescent mothers: factors associated with risk for delay. Am J Intellect Dev Disabil. 2016;121(4):346-363. https://doi.org/10.1352/1944-7558-121.4.346

11. Akoh CC, Pressman EK, Cooper E, Queenan RA, Pillittere J, O'Brien KO. Prevalence and risk factors for infections in a pregnant adolescent population. J Pediatr Adolesc Gynecol. 2017;30(1):71-75. https://doi.org/10.1016/j.jpag.2016.08.001

12. Ezegwui HU, Ikeako LC, Ogbuefi F. Obstetric outcome of teenage pregnancies at a tertiary hospital in Enugu, Nigeria. Niger J Clin Pract. 2012;15(2):147-50. https://doi.org/10.4103/1119-3077.97289

13. Wu WY, Li CR, Kuo CP, Chiang YC, Lee MC.The growth and development of children born to adolescent mothers in Taiwan. Ital J Pediatr. 2016;42(1):80. https://doi.org/10.1186/s13052-016-0280-5

14. Yelgina Svetlana I, Ushakova Galina A, Nikulina Elena N. Reproductive system in full-term and preterm newborn girls. Fundamental and Clinical Medicine. 2016;1(3):39-45. (In Russ.)

15. González-Andrade F, Saeteros-Cordero X. Pregnancy in adolescencллe and adverse neonatal outcomes in Ecuadorian mestizo newborns. Pediatr Neonatol. 2020;61(2):216-223. https://doi.org/10.1016/j.pedneo.2019.11.004

16. Fouelifack FY, Tameh TY, Mbong EN, Nana PN, Fouedjio JH, Fouogue JT, Mbu RE. Outcome of deliveries among adolescent girls at the Yaoundé central hospital. BMC Pregnancy Childbirth. 2014;14:102. https://doi.org/10.1186/1471-2393-14-102

17. Debras E, Revaux A, Bricou A, Laas E, Tigaizin A, Benbara A, Carbillon L. [Obstetric and neonatal outcomes of adolescent pregnancies: a cohort study in a hospital in Seine-Saint-Denis France]. Gynecol Obstet Fertil. 2014;42(9):579-84. https://doi.org/10.1016/j.gyobfe.2014.04.012

18. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, Yamdamsuren B, Temmerman M, Say L, Tunçalp Ö, Vogel JP, Souza JP, Mori R; WHO Multicountry Survey on Maternal Newborn Health Research Network. Pregnancy and childbirth outcomes among adolescent mothers: World Health Organization multicountry study. BJOG. 2014;121 Suppl 1:40-8. https://doi.org/10.1111/1471-0528.12630

19. Kirbas A, Gulerman HC, Daglar K. Pregnancy in adolescence: is it an obstetrical risk? J Pediatr Adolesc Gynecol. 2016;29(4):367-71. https://doi.org/10.1016/j.jpag.2015.12.010

20. Sana Zahiruddin, Pushpa Chetandas, Sheikh Irfan Ahmed, Raheela Baloch Obstetric and perinatal outcomes of teenage pregnant women attending a secondary hospital in Hyderabad. Open Journal of Obstetrics and Gynecology. 2017;7(5):503-510. https://doi.org/10.4236/ojog.2017.75052

21. Sulaiman S, Othman S, Razali N, Hassan J. Obstetric and Perinatal Outcome in Teenage Pregnancies. South African Journal of Obstetrics and Gynaecology. 2013;19:74-77. Available at: https://doi.org/10.7196/sajog.679. Accessed: April 27, 2020.

22. Russian Statistical Yearbook 2018: Stat book. RosStat. Moscow; 2018. (In Russ.). Available at: https://www.gks.ru/storage/mediabank/year18.pdf. Accessed: April 27, 2020.

23. Barinov SV, Pisklakov AV, Shamina IV, Tirskaya YuI, Dudkova GV, Ostrovskaya OV, Frickel EA, Dvoretskaya VV, Darbinyan AE. Features of pregnancy, labor, delivery and perinatal outcomes in female adolescents of the Omsk Region. Pediatric and Adolescent Reproductive Health. 2018;14(4): 23-31. (In Russ.).] https://doi.org/10.24411/1816-2134-2018-14002

24. Mikhaylin ES, Dementsov IB. Psychological aspects of teenage pregnancy. Fundamental research. 2015;(1-1):199-203. (In Russ.).

25. Yеlgina SI, Ushakova GA. THE Functioning (hormone indexes) of the Newborn girls’ reproductive system in full-term (physiological) and preterm pregnancy. [Abstract]. In: Klinicheskie i fundamental'nye aspekty reproduktivnykh problem i zdorov'ya zhenshchiny. Materialy XY mezhdunarodnoy nauchno-prakticheskoy konferentsii. 21-22 aprelya 2011 g. Kemerovo: Meditsina i Prosveshchenie; 2011. (In Russ.).] Available at: file:///C:/Users/79236/Desktop/130-130-PB%20(1).pdf. Accessed: April 27, 2020.

26. Shah N, Rohra DK, Shuja S, Liaqat NF, Solangi NA, Kumar K, Kumar K, Ahuja KL, Azam SI, Khan N. Comparision of obstetric outcome among teenage and non-teenage mothers from three tertiary care hospitals of Sindh, Pakistan. J Pak Med Assoc. 2011;61(10):963-7.


For citation:


Yelgina S.I., Kondratova L.A. Pregnancy course and birth outcomes in young women. Fundamental and Clinical Medicine. 2020;5(2):72-78. (In Russ.) https://doi.org/10.23946/2500-0764-2020-5-2-72-78

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ISSN 2500-0764 (Print)
ISSN 2542-0941 (Online)