Document Detail


Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study.
MedLine Citation:
PMID:  15695970     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was undertaken to determine whether adolescent pregnancy is associated with increased risks of adverse pregnancy outcomes. STUDY DESIGN: We studied 854,377 Latin American women who were younger than 25 years during 1985 through 2003 using information recorded in the Perinatal Information System database of the Latin American Center for Perinatology and Human Development, Montevideo, Uruguay. Adjusted odds ratios were obtained through logistic regression analysis. RESULTS: After an adjustment for 16 major confounding factors, adolescents aged 15 years or younger had higher risks for maternal death, early neonatal death, and anemia compared with women aged 20 to 24 years. Moreover, all age groups of adolescents had higher risks for postpartum hemorrhage, puerperal endometritis, operative vaginal delivery, episiotomy, low birth weight, preterm delivery, and small-for-gestational-age infants. All adolescent mothers had lower risks for cesarean delivery, third-trimester bleeding, and gestational diabetes. CONCLUSION: In Latin America, adolescent pregnancy is independently associated with increased risks of adverse pregnancy outcomes.
Authors:
Agustin Conde-Agudelo; José M Belizán; Cristina Lammers
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  192     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-07     Completed Date:  2005-03-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  342-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Fundacion Clinica Valle del Lili, Cali, Colombia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Birth Weight
Child
Cross-Sectional Studies
Female
Humans
Infant Mortality*
Infant, Low Birth Weight
Infant, Newborn
Latin America
Maternal Age
Maternal Mortality*
Morbidity
Pregnancy
Pregnancy Complications / epidemiology
Pregnancy in Adolescence*
Retrospective Studies
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2005 Feb;192(2):340-1   [PMID:  15695969 ]

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


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