Document Detail

Younger maternal age (at initiation of childbearing) and recurrent perinatal mortality.
MedLine Citation:
PMID:  20822847     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To assess whether young maternal age at initiation of childbearing is associated with recurrence of perinatal mortality (PM), as well as its components: stillbirth and neonatal death.
STUDY DESIGN: We conducted a population-based, retrospective cohort study on the Missouri maternally linked longitudinal data files comprising adolescent (10-19 years; n=73,533) or mature (20-24 years; n=78,618) mothers in their first pregnancy with follow-up in their second pregnancy to document the occurrence of PM or its components. The study covered the period 1989-2005. We used unconditional logistic regression modeling to generate odds ratios and to control for confounding.
RESULTS: A history of perinatal mortality, stillbirth, or neonatal mortality increased the risk of a recurrence by 4-5 times. Among women with a history of PM or stillbirth in the first pregnancy, maternal age at initiation of pregnancy was not a risk factor for subsequent PM or its components. However, adolescent mothers with a history of neonatal mortality in the first pregnancy were about 5 times as likely to experience stillbirth in the second pregnancy, as compared to their mature counterparts.
CONCLUSIONS: Young maternal age at the initiation of childbearing is not associated with an overall increased risk of recurrent perinatal loss. However, prior history of neonatal mortality among teen mothers is strongly predictive of subsequent stillbirth.
Hamisu M Salihu; Jingyi Duan; Sarah K Nabukera; Alfred K Mbah; Amina P Alio
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Publication Detail:
Type:  Journal Article     Date:  2010-09-06
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  154     ISSN:  1872-7654     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  31-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, FL, United States; The Chiles Center for Healthy Mothers and Babies, Tampa, FL, United States; Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL, United States.
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