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Obstetric and neonatal outcomes of adolescent primiparous singleton pregnancies: a cohort study in the South of Reunion Island, Indian Ocean.
MedLine Citation:
PMID:  22889253     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objectives: To describe the maternal and neonatal outcomes of a large cohort of adolescent pregnancies in a tertiary care hospital at Reunion Island. Methods: Retrospective study of all primiparous singleton pregnancies over 10.5 years. Adolescent (< 18 years) were compared to 18-29 years pregnancies. The maternal outcomes were obstetric illness, labour complications and way of delivery. Neonatal outcomes were preterm birth, low birth weight (LBW), small for gestational age, birth asphyxia, need for mechanical ventilation and mortality. Results: We analysed 1839 adolescent pregnancies and 11445 controls. Adolescents had worse prenatal care than older mothers, (4.4 versus 1.4%; p<0.0001), higher rates of smoking and alcohol assumption (13 versus 11% and 0.7 versus 0.4%, both p<0.05). They showed less pregnancy-related illness and labour complications and higher rates of normal vaginal delivery (80 versus 69%; p<0.0001), without increased risk of episiotomy or postpartum haemorrhage. Offspring mortality, preterm birth and LBW were higher in adolescent pregnancies (3.3 versus 2.2%; p=0.001, 14 versus 12 %; p=0.0008; 17 versus 14%; p=0.002). Conclusions: In this population, adolescents had an obstetrical outcome better than controls, but their offspring short-term outcomes were unfavourable. Furthers studies are needed to better elucidate the link between adolescent pregnancy and impaired neonatal outcome.
Authors:
Silvia Iacobelli; Pierre-Yves Robillard; Jean-Bernard Gouyon; Thomas C Hulsey; Georges Barau; Francesco Bonsante
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-14
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:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Neonatology and NICU, Pôle Femme-Mère-Enfant, CHU La Réunion, Saint Pierre, France.
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