| Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study. | |
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MedLine Citation:
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PMID: 19733429 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine whether young maternal age is associated with increased risks of adverse obstetric, fetal and perinatal outcomes. STUDY DESIGN: Register-based study using the data from a computerized database of a University Hospital for the years 1994-2001. The study population included 8514 primiparous women aged less than 31 who delivered a singleton infant. Using maternal age as a continuous variable, crude and adjusted relative risks (RRs) were estimated for each maternal and perinatal outcome. RESULTS: Crude and adjusted RRs of anaemia during pregnancy and fetal death consistently increased with younger maternal age. After adjustment for confounding factors, RRs (95% confidence interval) of fetal death and anaemia were respectively 1.37 (1.09-1.70) and 1.27 (1.15-1.40) for a 16-year-old compared to a 20-year-old mother. Younger mothers had significantly decreased risks of obstetric complications (preeclampsia, caesarean section, operative vaginal delivery and post-partum haemorrhage). Higher prevalence of prematurity and low birth weight in infants born to teenagers were not attributable to young maternal age after adjustment for confounding factors. CONCLUSION: In our population, younger maternal age was significantly and consistently associated to greater risks of fetal death and anaemia and to lower risks of adverse obstetric outcomes. |
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Authors:
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Claire M de Vienne; Christian Creveuil; Michel Dreyfus |
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Publication Detail:
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Type: Journal Article Date: 2009-09-04 |
Journal Detail:
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Title: European journal of obstetrics, gynecology, and reproductive biology Volume: 147 ISSN: 1872-7654 ISO Abbreviation: Eur. J. Obstet. Gynecol. Reprod. Biol. Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-16 Completed Date: 2010-01-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: Ireland |
Other Details:
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Languages: eng Pagination: 151-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, University Hospital of Caen, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anemia / etiology Cesarean Section / statistics & numerical data Cohort Studies Female Fetal Death / etiology* Humans Infant, Low Birth Weight Infant, Newborn Maternal Age* Postpartum Hemorrhage / etiology Pre-Eclampsia / etiology Pregnancy Pregnancy Complications / etiology* Pregnancy in Adolescence Premature Birth / etiology* Prenatal Care Retrospective Studies Socioeconomic Factors Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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