Document Detail


Teenage pregnancy in the Texas Panhandle.
MedLine Citation:
PMID:  16092301     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This study compares rural and small-city teenage and adult pregnancies, with respect to complication rates and pregnancy outcomes. METHODS: Chart review of Medicaid patients (513 teenage [under 20 years] and 174 adult controls [ages 25-34]) delivered (excluding multiple gestation) in Amarillo, Texas, from January 1999 to April 2001. Demographic data collected included maternal race, gravidity, parity, smoking status, drug usage, presence of antenatally diagnosed sexually transmitted disease(s), county type (rural vs small city) and number of prenatal visits. Outcomes included mode of delivery, primary cesarean section rates, preterm birth (<34 or <37 weeks), birth weight, birth weight <2500 g, preeclampsia, total maternal weight gain, hemoglobin changes after delivery, Apgar scores, and neonatal intensive care unit admissions. Statistical comparisons between groups were made for a number of factors and outcomes (P < .05). RESULTS: Teenagers did not have a significantly higher frequency of either illicit drug or tobacco usage, but teenagers <17 years had a greater incidence of sexually transmitted diseases (19.8% vs 10.4%, P < .008) and preeclampsia (7.1% vs 2.3%, P < .025, odds ratio 3.2 [1.1 to 9.9]) when compared with adults. The total weight gain was highest for teens < or =17 years (36.4 pounds vs adults: 28.2, P < .001). The primary cesarean section rate was higher in adults (all teens 18.5% vs adults 38.6%, P < 001). County rurality had no impact on any of the observed findings or variables tested. CONCLUSIONS: Young teenagers have a higher incidence of sexually transmitted diseases and preeclampsia and also gain significantly more weight with pregnancy than young adults. However, the pregnancy outcomes were no different for rural vs small city teens.
Authors:
Galvez-Myles; Thomas D Myles
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association     Volume:  21     ISSN:  0890-765X     ISO Abbreviation:  J Rural Health     Publication Date:  2005  
Date Detail:
Created Date:  2005-08-11     Completed Date:  2005-11-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8508122     Medline TA:  J Rural Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-62     Citation Subset:  IM    
Affiliation:
Department of Family Practice, St. Luke's Hospital, Chesterfield, MO, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cesarean Section / utilization
Female
Humans
Intensive Care Units, Neonatal / utilization
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy Outcome / epidemiology
Pregnancy in Adolescence / statistics & numerical data*
Prenatal Care / utilization
Risk Factors
Rural Population / statistics & numerical data*
Texas / epidemiology
Urban Population / statistics & numerical data*
Weight Gain / physiology
Women's Health

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


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