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 (0)
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Reprint requests: Chineta Eure, MD, MPH, Department of Gynecology and Obstetrics, 69 Jesse Hill Junior Dr, SE, Atlanta, GA 30303.