Analysis of perinatal outcomes in 232 adolescent primiparas

Huifen CAI; Xiaoyan LIU; Jiang WANG; Lin WU; Qing CHANG

doi:10.16016/j.1000-5404.201702134

您当前的位置：

首页 >

文章列表页 >

Analysis of perinatal outcomes in 232 adolescent primiparas

Clinical Medicine | 更新时间：2026-01-09

- Analysis of perinatal outcomes in 232 adolescent primiparas
- Journal of Third Military Medical University Vol. 39, Issue 15, Pages: 1574-1577(2017)
- 作者机构：
  
  400038 重庆，第三军医大学西南医院妇产科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201702134
  CLC： R195.1; R339.31; R714.7
- Received：23 February 2017，
  
  Revised：2017-03-23，
  
  Published：15 August 2017
- 稿件说明：
移动端阅览
Huifen CAI, Xiaoyan LIU, Jiang WANG, et al. Analysis of perinatal outcomes in 232 adolescent primiparas[J]. Journal of Third Military Medical University, 2017, 39(15): 1574-1577.
DOI：

Huifen CAI, Xiaoyan LIU, Jiang WANG, et al. Analysis of perinatal outcomes in 232 adolescent primiparas[J]. Journal of Third Military Medical University, 2017, 39(15): 1574-1577. DOI： 10.16016/j.1000-5404.201702134.

摘要

目的

比较青少年初产妇与其他年龄段初产妇产科并发症、合并症和妊娠结局的差异。

方法

回顾分析第三军医大学西南医院2005年1-12月产科分娩的孕前无合并症的初产妇的临床资料，按年龄分为青少年组(≤19岁，232例)、＞19~＜35岁组(464例)和高龄组(≥35岁，464例)，比较其一般情况、产科并发症、合并症及其妊娠结局。

结果

青少年组未婚、高中以下文化程度、无职业、初次怀孕、早产率和妊娠合并贫血、软产道裂伤比例均高于＞19~＜35岁组和高龄组，青少年组孕期平均增加体质量、剖宫产率、妊娠期糖尿病、前置胎盘发生率及新生儿平均体质量低于＞19~＜35岁组和高龄组，青少年组中妊娠期高血压疾病的发生率高于＞19~＜35岁组，差异均有统计学意义(

＜0.05)，但与高龄组比较差异无统计学意义(

＞0.05)；3组间比较，妊娠期肝内胆汁淤积症和胎膜早破的发生率差异无统计学意义(

＞0.05)。

结论

青少年和高龄初产妇妊娠并发症和合并症多，但前者的妊娠结局较后者更易改善。

Abstract

Objective

To compare the differences in the obstetrical complications

comorbidities and pregnancy outcomes among the primiparas in adolescence and those at other age groups.

Methods

A retrospective study was carried out on the primipara patients without complications before pregnancy and delivered in our department from January 2005 to December 2015. These primiparous women were divided into adolescent group (≤19 years old

=232)

young g

roup (

19~

35 years old

=464) and elderly group (≥35 years old

=464). Their general information

obstetrical complications and comorbidities

and pregnancy outcomes were compared among the 3 groups.

Results

The proportions of unmarried

no job

first pregnancy

pre-mature delivery

pregnancy with anemia

soft birth canal laceration

and educational level lower than senior middle school were significantly higher in those teenager mothers than the

19~

35 years old group and the elderly group (

0.05). The average pregnancy weight gain and newborn weight

and the incidence rates of cesarean

gestational diabetes mellitus and placenta previa were lower in the adolescent group than other 2 groups (

0.05). The incidence of gestational hypertension was obviously higher in the adolescent group than the

19~

35 years old group (

0.05)

but significant difference was found when compared with the elderly group (

0.05). There were no differences in occurrences of intrahepatic cholestasis of pregnancy and premature rupture of membranes among the 3 groups (

0.05).

Conclusion

The incidence rates of pregnancy complications and comorbidities are common in the adolescent primiparas and the other age groups

but the outcomes are easy to improved in the adolescent.

关键词

Keywords

references

CHANDRA-MOULI V, CAMACHO A V, MICHAUD P A. WHO guidelines on preventing early pregnancyand poor reproductive outcomes among adolescents in developing countries[J]. J Adolesc Health, 2013, 52(5): 517-522. DOI:10.1016/j.jadohealth.2013.03.002.

STEWART C P, KATZ J, KHATRY S K, et al . Preterm delivery but not intrauterine growth retardation is associated with young maternal age among primiparae in rural Nepal[J ] . Matern Child Nutr, 2007, 3(3): 174-185. DOI: 10.1111/j.1740-8709.2007 .00097.x.

HAMILTON B E, MARTIN J A, OSTERMAN M J, et al . Births: final data for 2014[J ] . Natl Vital Stat Rep, 2015;64(12): 1-64.

世界卫生组织. 实况报道第364号: 青少年怀孕[R]. 日内瓦: 世界卫生组织, 2014.

WHO. Fact sheet No.364: adolescent pregnancy[R]. Geneva: WHO, 2014.

李春燕, 唐昆.青少年性与生殖健康促进措施[J].中国计划生育学杂志, 2016, 24(9): 580-583.

LI C Y, TANG K. Promotion measures of adolescent sexual and reproductive health[J]. Chin J Family Plan, 2016, 24(9): 580-583.

KINGSTON D, HEAMAN M, FELL D, et al . Comparison of adolescent, young adult, and adult women's maternity experiences and practices[J ] . Pediatrics, 2012, 129(5): e1228-e1237. DOI: 10.1542/peds.2011-1447.

GANCHIMEG T, OTA E, MORISAKI N, et al . Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study[J ] . BJOG, 2014, 121(Suppl 1): 40-48. DOI: 10.1111/1471-0528.12630.

TORVIE A J, CALLEGARI L S, SCHIFF M A, et al . Labor and delivery outcomes among young adolescents[J ] . Am J Obstet Gynecol, 2015, 213(1): 95.e1-e8. DOI: 10.1016/j.ajog.2015.04.024.

JOSEPH K S, ALLEN A C, DODDS L, et al . The perinatal effects of delayed childbearing[J ] . Obstet Gynecol, 2005, 105(6): 1410-1418. DOI: 10.1097/01.aog.0000163256.83313.36.

世界卫生组织. 秘书处的报告: 早婚、青少年和未成年人怀孕[R]. 日内瓦: 世界卫生组织, 2012.

WHO. Report of the Secretariat: early marriage, adolescent and teenage pregnancy[R]. Geneva: WHO, 2012.

BHALERAO A R, DESAI S V,DASTUR N A, et al . Outcome of teenage pregnancy[J ] . The Indian Journal of Pediatrics, 2007, 74(10): 927-931.

CHEN X K, WEN S W, FLEMING N, et al . Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study[J ] . International Journal of Epidemiology, 2007, 36(2): 368-373.

吴晶, 邢爱耘. 221例青少年妊娠结局分析[J].现代预防医学, 2014, 41(9): 1591-1593, 1596.

WU J, XING A Y. Analysis on 221 cases of outcomes of teenager pregnancy[J]. Moder Prev Med, 2014, 41(9): 1591-1593, 1596.

KAWAKITA T, WILSON K, GRANTZ K L, et al . Adverse maternal and neonatal outcomes in adolescent pregnancy[J ] . J Pediatr Adolesc Gynecol, 2015, 29(2): 130-136. DOI: 10.1016/j.jpag.2015.08.006.

RASHEED S, ABDELMONEM A, AMIN M. Adolescent pregnancy in Upper Egypt[J]. Int J Gynaecol Obstet, 2011, 112(1): 21-24. DOI: 10.1016/j.ijgo.2010.08.006.

American Academy of Pediatrics, Committee on Adolescenceand Committee on Early Childhood and Adoption, CARE A D. American academy of pediatrics: care of adolescent parents and their children[J]. Pediatrics, 2001, 107(2): 429-434.

KUMAR A, SINGH T, BASU S, et al . Outcome of teenage pregnancy[J ] . Ind J Pediatr, 2007, 74(10): 927-931.

CHEN X K, WEN S W, FLEMING N, et al . Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study[J ] . Int J Epidemiol, 2007, 36(2): 368-373. DOI: 10.1093/ije/dyl284.

CUNNINGHAM F, LEVENO K, BLOOM S, et al . Williams Obstetrics[M ] . 22nd ed. New York: McGraw-Hill Professional, 2005: 801.

KIRBAS A, GULERMAN H C, DAGLAR K. Pregnancy in adolescence: is it an obstetrical risk?[J]. J Pediatr Adolesc Gynecol, 2016, 29(4): 367-371. DOI: 10.1016/j.jpag.2015.12.010.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Perioperative anesthesia management for pregnant patients with pulmonary arterial hypertension

Thrombotic thrombocytopenicpurpura during pregnancy: report of 2 cases and literature review

Continuous plasma filtration adsorption for treatment of acute pancreatitis in pregnancy: analysis of 18 cases

Anesthetic management in cesarean section in women with heart disease: analysis of 96 cases

Analysis of pregnancy outcomes in 267 nulliparous women after high-intensity focused ultrasound ablation of uterine fibroids

Related Author

甯交琳

鲁开智

易斌

顾建腾

何青盈

文静

熊亚

常青

Related Institution

Department of Anesthesia, Second Affiliated Hospital, Army Medical University (Third Military Medical University)

Key Laboratory of Ultrasound Engineering in Medicine Co-Founded by Chongqing and the Ministry of Science and Technology, Chongqing Collaborative Innovation Center for Minimally-invasive and Noninvasive Medicine, College of Biomedical Engineering, Chongqing Medical University

Ultrasound Ablation Center, the First Affiliated Hospital of Chongqing Medical University

Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University

⁰