Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe
Aim. To determine pregnancy and delivery outcomes among teenagers. Materials and Methods. An 8-year retrospective comparative hospital-based cohort study is analysing singleton pregnancy comorbidities and delivery parameters of a teenage group under the age of 20 compared with a young adult group 20...
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doaj-16314affa9d6401e987d27d5fe71abd52020-11-24T21:41:25ZengHindawi LimitedBioMed Research International2314-61332314-61412017-01-01201710.1155/2017/92050169205016Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in EuropeDemetra-Gabriela Socolov0Magdalena Iorga1Alexandru Carauleanu2Ciprian Ilea3Iolanda Blidaru4Lucian Boiculese5Razvan-Vladimir Socolov6Obstetrics and Gynecology, University of Medicine and Pharmacy “Gr. T. Popa” of Iasi and University Maternity Hospital “Cuza Voda”, Iasi, RomaniaBehavioral Sciences Department, University of Medicine and Pharmacy “Gr. T. Popa” of Iasi and Saint Mary University Child Hospital of Iasi, Iasi, RomaniaObstetrics and Gynecology, University of Medicine and Pharmacy “Gr. T. Popa” of Iasi and University Maternity Hospital “Cuza Voda”, Iasi, RomaniaObstetrics and Gynecology, University of Medicine and Pharmacy “Gr. T. Popa” of Iasi and University Maternity Hospital “Cuza Voda”, Iasi, RomaniaObstetrics and Gynecology, University of Medicine and Pharmacy “Gr. T. Popa” of Iasi and University Maternity Hospital “Cuza Voda”, Iasi, RomaniaDepartment of Statistics, University of Medicine and Pharmacy “Gr. T. Popa” of Iasi, Iasi, RomaniaObstetrics and Gynecology, University of Medicine and Pharmacy “Gr. T. Popa” Iasi, Iasi, RomaniaAim. To determine pregnancy and delivery outcomes among teenagers. Materials and Methods. An 8-year retrospective comparative hospital-based cohort study is analysing singleton pregnancy comorbidities and delivery parameters of a teenage group under the age of 20 compared with a young adult group 20–24 years of age in a university hospital. Results. Teenage is a risk factor for preterm birth <37 weeks (1.21 [1.08–1.35]), foetal growth restriction (1.34 [1.21–1.48]), episiotomy (1.27 [1.21–1.34]), uterine revision (1.15 [1.06–1.25]), APGAR <7 at 1 min (2.42 [1.21–1.67]), cephalopelvic disproportion (1.26 [1.07–1.48]), and postpartum haemorrhage (1.42 [1.25–1.62]); however, caesarean delivery occurs less frequently in teenagers than in adults (0.75 [0.70–0.80]). The following comorbidities are risk factors for teenage pregnancy (risk ratio [CI 95%]): anaemia (1.13 [1.10–1.17]), low urinary tract infection (1.10 [1.03–1.18]), pediculosis (2.42 [1.90–3.00]), anogenital condyloma (1.50 [1.04–2.17]), and trichomoniasis (1.74 [1.12–2.68]). The risks for hepatitis B and hepatitis C, premature rupture of membranes, and placenta praevia were lower compared with those in the young adult group, respectively, 0.43 (0.26–0.71), 0.90 (0.85–0.96), and 0.29 (0.20–0.41), while the risk for gestational diabetes and preeclampsia were the same in both groups. Conclusion. Considering the high risks for teenage pregnancy, this information should be provided to pregnant adolescent women and their caregivers.http://dx.doi.org/10.1155/2017/9205016 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Demetra-Gabriela Socolov Magdalena Iorga Alexandru Carauleanu Ciprian Ilea Iolanda Blidaru Lucian Boiculese Razvan-Vladimir Socolov |
spellingShingle |
Demetra-Gabriela Socolov Magdalena Iorga Alexandru Carauleanu Ciprian Ilea Iolanda Blidaru Lucian Boiculese Razvan-Vladimir Socolov Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe BioMed Research International |
author_facet |
Demetra-Gabriela Socolov Magdalena Iorga Alexandru Carauleanu Ciprian Ilea Iolanda Blidaru Lucian Boiculese Razvan-Vladimir Socolov |
author_sort |
Demetra-Gabriela Socolov |
title |
Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe |
title_short |
Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe |
title_full |
Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe |
title_fullStr |
Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe |
title_full_unstemmed |
Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe |
title_sort |
pregnancy during adolescence and associated risks: an 8-year hospital-based cohort study (2007–2014) in romania, the country with the highest rate of teenage pregnancy in europe |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2017-01-01 |
description |
Aim. To determine pregnancy and delivery outcomes among teenagers. Materials and Methods. An 8-year retrospective comparative hospital-based cohort study is analysing singleton pregnancy comorbidities and delivery parameters of a teenage group under the age of 20 compared with a young adult group 20–24 years of age in a university hospital. Results. Teenage is a risk factor for preterm birth <37 weeks (1.21 [1.08–1.35]), foetal growth restriction (1.34 [1.21–1.48]), episiotomy (1.27 [1.21–1.34]), uterine revision (1.15 [1.06–1.25]), APGAR <7 at 1 min (2.42 [1.21–1.67]), cephalopelvic disproportion (1.26 [1.07–1.48]), and postpartum haemorrhage (1.42 [1.25–1.62]); however, caesarean delivery occurs less frequently in teenagers than in adults (0.75 [0.70–0.80]). The following comorbidities are risk factors for teenage pregnancy (risk ratio [CI 95%]): anaemia (1.13 [1.10–1.17]), low urinary tract infection (1.10 [1.03–1.18]), pediculosis (2.42 [1.90–3.00]), anogenital condyloma (1.50 [1.04–2.17]), and trichomoniasis (1.74 [1.12–2.68]). The risks for hepatitis B and hepatitis C, premature rupture of membranes, and placenta praevia were lower compared with those in the young adult group, respectively, 0.43 (0.26–0.71), 0.90 (0.85–0.96), and 0.29 (0.20–0.41), while the risk for gestational diabetes and preeclampsia were the same in both groups. Conclusion. Considering the high risks for teenage pregnancy, this information should be provided to pregnant adolescent women and their caregivers. |
url |
http://dx.doi.org/10.1155/2017/9205016 |
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