Document Detail


Birth outcomes in teenage pregnancies.
MedLine Citation:
PMID:  15621541     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate and characterize the racial/ethnic differences in obstetric outcomes of early and late teenagers in California. METHODS: A data-set linking birth and death certificates with maternal and neonatal hospital discharge records in California was utilized to identify nulliparous women (11 to 29 years of age) who delivered between January 1,1992 and December 31,1997. Pregnancy outcomes of early (11-15 year) and late (16-19 year) teenagers were compared to those of a control group of women aged 20-29. RESULTS: Early (n = 31 232) and late teens (n = 271 470) demonstrated greater neonatal and infant mortality and major neonatal morbidities (delivery < 37 weeks of gestation and birthweight < 2500 g) when compared to pregnancies in the older control women (n = 662 752). Ethnicity adversely affected outcome with African-Americans of all ages having worse outcomes than whites. The higher rate of adverse obstetric outcomes among the teenage pregnancies occurred despite a lower cesarean section rate and was consistent across all ethnic groups. CONCLUSIONS: When compared to women aged 20-29, all teen pregnancies were associated with higher rates of poor obstetric outcomes. Other factors besides teen pregnancy appear to be responsible for poor outcomes in certain ethnic groups.
Authors:
William Gilbert; Danielle Jandial; Nancy Field; Pamela Bigelow; Beate Danielsen
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  16     ISSN:  1476-7058     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-28     Completed Date:  2005-08-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  265-70     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology and the Center for Health Services Research in Primary Car, University of CA, Davis, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans
California / ethnology
Case-Control Studies
Child
European Continental Ancestry Group
Female
Hispanic Americans
Humans
Infant Mortality
Infant, Newborn
Obstetric Labor, Premature / ethnology*
Odds Ratio
Pregnancy
Pregnancy in Adolescence / ethnology*,  statistics & numerical data
Retrospective Studies
Vital Statistics

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


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