Document Detail


Birth outcomes and risk factors in adolescent pregnancies: results of a Taiwanese national survey.
MedLine Citation:
PMID:  19863752     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study explores birth outcomes and determinants in adolescent pregnancies, using subjects drawn from the Taiwan Birth Cohort Study (TBCS) from 2005.
METHODS: Through completed interviews and surveys with mothers or other family members, differences in birth outcomes and personal, pregnancy and social profiles of mothers were analyzed.
RESULTS: A total of 533 adolescent mothers (<20 years old) and 9347 adult mothers (20-34 years old) were included in our study. There was a significantly higher incidence of low birthweight (LBW) (<2500 g, 10.2% vs 5.6%) and premature birth (<37 weeks, 14.8% vs 8.6%) in the adolescent group. When adjusted for covariates in the multiple-variable model, youth remained a risk factor for LBW (OR = 1.50, 95%CI 1.09, 2.07) and premature delivery (OR = 1.42, 95%CI 1.07, 1.89). Age, prenatal care and weight gain during pregnancy are important predictors of LBW and premature birth.
CONCLUSION: Adolescent pregnancy carries a high-risk of LBW and premature birth. Inadequate prenatal care and weight gain during pregnancy are contributing factors that could be improved through strategies of health education, family support and case management.
Authors:
Ching-Pyng Kuo; Shu-Hsin Lee; Wei-Ya Wu; Wen-Chun Liao; Shio-Jean Lin; Meng-Chih Lee
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-10-27
Journal Detail:
Title:  Pediatrics international : official journal of the Japan Pediatric Society     Volume:  52     ISSN:  1442-200X     ISO Abbreviation:  Pediatr Int     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-08-20     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886002     Medline TA:  Pediatr Int     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  447-52     Citation Subset:  IM    
Affiliation:
School of Nursing, Institute of Medicine, Chun Shan Medical University, Taichung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Confidence Intervals
Cross-Sectional Studies
Databases, Factual
Female
Health Knowledge, Attitudes, Practice
Humans
Infant, Low Birth Weight*
Infant, Newborn
Logistic Models
Obstetric Labor, Premature
Odds Ratio
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy Outcome*
Pregnancy in Adolescence / statistics & numerical data*
Premature Birth / epidemiology*
Prenatal Care / standards,  trends
Questionnaires
Risk Assessment
Socioeconomic Factors
Taiwan

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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