Document Detail


Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study.
MedLine Citation:
PMID:  19733429     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Claire M de Vienne; Christian Creveuil; Michel Dreyfus
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Publication Detail:
Type:  Journal Article     Date:  2009-09-04
Journal Detail:
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:
Created Date:  2009-11-16     Completed Date:  2010-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  151-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University Hospital of Caen, France.
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MeSH Terms
Descriptor/Qualifier:
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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