Resident's Papers: ObstetricsRisk of adverse pregnancy outcomes in young adolescent parturients in an inner-city hospital☆
Section snippets
Material and methods
This study was approved by the Human Investigations Committee of Emory University in Atlanta, Ga. The study was conducted at Grady Memorial Hospital (GMH), an inner-city hospital that serves an indigent patient population. This hospital is the primary teaching hospital for the Emory University Obstetrics and Gynecology Residency Program.
Subjects for this retrospective cohort study were identified from a computerized obstetric database. At delivery, a Master Obstetric Discharge Summary form was
Results
During the 15-year study period, 14,718 adolescents aged 11 to 19 years and 11,830 control subjects were delivered at GMH. Of the 14,718 adolescents, 2930 (20%) were young (aged 11-15 years) and 11,788 (80%) were mature (aged 16-19 years). Demographic characteristics of the patient population are listed in Table I.Characteristics* Ages 11-15 y (n = 2930) Ages 16-19 y (n = 11,788) Age 20+ y (n = 11,830) P value Race African American 2,656 (90.6%)
Comment
In this observational study, we found that adolescents were at increased risk for adverse pregnancy outcomes compared with an older control population. Our findings of an increased risk of adverse pregnancy outcomes in young adolescents is similar to results from a large observational study in Texas.9 The authors of that study divided the adolescents into young and mature subgroups and compared them with adult controls. In addition, they controlled for confounders by logistic regression
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Cited by (52)
The impact of uterine immaturity on obstetrical syndromes during adolescence
2017, American Journal of Obstetrics and GynecologyDoes Neighborhood Risk Explain Racial Disparities in Low Birth Weight among Infants Born to Adolescent Mothers?
2016, Journal of Pediatric and Adolescent GynecologyPerinatal outcomes in nulliparous adolescents: A hospital-based retrospective cohort study
2015, Progresos de Obstetricia y GinecologiaWhich Pregnant Adolescents Would be Interested in Group-Based Care, and Why?
2015, Journal of Pediatric and Adolescent GynecologyCitation Excerpt :Age at conception was calculated using the estimated first day of the last menstrual period and date of birth. Age was dichotomized as 16 years or younger as studies consistently demonstrate that adolescents who conceive when they are 16 years or younger are at a risk for adverse pregnancy, parenting, and personal outcomes.20–24 Race/ethnicity was self-reported by participants and categorized as black, Hispanic, white, or other.
Do They Stand a Chance? Vaginal Birth after Cesarean Section in Adolescents Compared to Adult Women
2015, Journal of Pediatric and Adolescent GynecologyLabor and delivery outcomes among young adolescents
2015, American Journal of Obstetrics and GynecologyCitation Excerpt :In the absence of increased peripartum morbidity, possible explanations include prolonged inpatient stay for social work evaluation or for maternal or neonatal observation given the increased psychosocial vulnerability19,20 of these young patients. Our data regarding the increased risk of preterm delivery, low and very low birthweight, and SGA infants born to 11- to 14-year-olds are consistent with multiple other studies,2-6,8,9 and contribute information regarding a large sample of adolescents aged 11-14 years to the existing literature. Inadequate prenatal care has been hypothesized as a risk factor for these findings, supported by data of Debiec et al21 that preterm delivery is increased in teens with inadequate visits.
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Reprint requests: Chineta Eure, MD, MPH, Department of Gynecology and Obstetrics, 69 Jesse Hill Junior Dr, SE, Atlanta, GA 30303.