Document Detail


Repeat teen birth: does delivery mode make a difference?
MedLine Citation:
PMID:  20832045     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We sought to evaluate the association between the rate of repeat adolescent births and mode of delivery.
STUDY DESIGN: This was a retrospective cohort study of 899 adolescents delivering in Rhode Island. Repeat birth rates were calculated and compared between adolescents delivering their first baby via cesarean vs vaginally. Fisher's exact test, Wilcoxon rank sum test, and survival analysis methods were utilized.
RESULTS: Total repeat birth rate within 2 years was 15.9% with 17.4% for the cesarean cohort and 15.6% for the vaginal birth cohort (relative risk, 1.12; 95% confidence interval, 0.77-1.62). Median duration to repeat birth in the cesarean cohort was 20 months; for the vaginal birth cohort it was 17.6 months.
CONCLUSION: Repeat birth within 2 years of index birth for teen mothers whose first birth was a cesarean vs vaginal delivery was not statistically different; the trend in time to next delivery may give us information about when to direct interventions to prevent second pregnancies.
Authors:
Laura J Richio; Maureen G Phipps; Christina A Raker
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Publication Detail:
Type:  Journal Article     Date:  2010-09-15
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  203     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-08     Completed Date:  2010-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  453.e1-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 Mosby, Inc. All rights reserved.
Affiliation:
Division of Research, Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island/The Warren Alpert Medical School of Brown University, 2 Dudley Street, Providence, RI 02905, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Birth Rate
Cohort Studies
Delivery, Obstetric / methods*
Female
Humans
Pregnancy
Retrospective Studies
Rhode Island
Young Adult

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


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