Document Detail


Pregnancies and their obstetric outcome in two selected age groups of teenage women in Greece.
MedLine Citation:
PMID:  22220679     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Aim: The aim of this study was to evaluate the outcome of pregnancies in adolescents in the Department of Obstetrics and Gynaecology of Democritus University of Thrace, north-eastern Greece. Material and Methods: We retrospectively reviewed 194 cases of adolescent pregnancies, with an average maternal age of 16.5 years, from 1(st) January 2006 to December 30(th) 2008. Socioeconomic characteristics, type of delivery and complications, such as preterm labor, pre-eclampsia, intra-and post-partum complications, were evaluated. Results: The median age at first intercourse was 14.2 years and the average period between first intercourse and pregnancy was 1.2 years. Most teen mothers (86.6%) did not use any contraceptive method. 89.7 % of the teen mothers recruited for the study were married. Adolescent pregnancies accounted for 9.02% of all deliveries (2150) in our Department. In 49 (25.3%) of the pregnant adolescents no previous pregnancy was reported. The rates of preterm birth of teen mothers were in 11.3 %, 41.3% and 47.4% in correlation to < 32 weeks, 32-34 weeks and > 34 weeks, respectively. In 95.4% of the cases, deliveries were not complicated. According to our results, the main complications, especially in very young girls, are preterm labor, anaemia, hypertensive disease, obstructed labor after premature rupture of the membranes and increased neonatal mortality and morbidity. Antenatal care is often inadequate. Conclusion: Early teenage pregnancies have always been considered of increased risk for obstetric complications. Prevention of adolescent pregnancy, by wide use of effective contraception programs, would decrease its frequency and intensive care of pregnant adolescents may reduce the pregnancy complications.
Authors:
Panagiotis Tsikouras; Alexander Tobias Teichmann; Georg-Friedrich Von Tempelhoff; Alexandros Dafopoulos; Grigorios Trypsianis; Nikolaos Vrachnis; Sofia Bouchlariotou; Spyros Liatsikos; Constantinos Dafopoulos; Georgios Maroulis; Georgios Galazios
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-5
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:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-6     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:
Democritus University Of Thrace, Obstetrics And Gynecology, Lysimachou /Petrina, Box 106, 6 Km Alexandroupolis/Makri, Alexandroupolis, 68100 Greece.
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