关键词: Adolescent pregnancy gestational age high-risk pregnancy

Mesh : Humans Female Pregnancy Pregnancy in Adolescence / statistics & numerical data Adolescent Retrospective Studies Young Adult Turkey / epidemiology Adult Risk Factors Smoking / epidemiology adverse effects Pregnancy Outcome / epidemiology Pre-Eclampsia / epidemiology Marital Status / statistics & numerical data Educational Status Pregnancy Complications / epidemiology

来  源:   DOI:10.1080/01443615.2024.2364787

Abstract:
UNASSIGNED: Adolescent pregnancy is defined as pregnancy occurring in young women between the ages of 10 and 19 years. Adolescent pregnancies, which are among the social healthcare concerns in developed and developing countries, have negative effects on maternal and infant health. Pregnancy in adolescence puts the health of both the mother and child at risk, as adolescent pregnancies have higher rates of eclampsia, systemic infection, low birth weight, and preterm delivery compared to other pregnancies. In this study, the effects of education level, smoking, and marital status on maternal and foetal outcomes in adolescent pregnancies were evaluated.
UNASSIGNED: The records of a total of 960 pregnant women (480 pregnant adolescents aged 15-19 years and 480 pregnant adult women aged 20-26 years) were examined retrospectively. The demographic data of the groups and maternal and foetal outcomes of the pregnancies were compared. A logistic regression model was established as a statistical method for reducing confounding effects.
UNASSIGNED: Unmarried women were statistically significantly more prevalent in the adolescent group (38.3% vs. 7.3%). Among the considered risk factors, preeclampsia (2.9% vs. 0.8%) and smoking (29.8% vs. 9.8%) were statistically significantly more common in the adolescent group. When the groups were compared in terms of risk factors in pregnancy, it was found that pregnancy in adolescence was associated with a 3.04-fold higher risk of smoking, 5.25-fold higher risk of being unmarried, 3.50-fold higher risk of preeclampsia, and 1.70-fold higher risk of intrauterine growth retardation (IUGR).
UNASSIGNED: This study demonstrates an increased risk of preeclampsia, IUGR, and smoking during pregnancy in adolescent pregnant women. These findings can be used to identify adolescent pregnancies requiring specific assistance and to take measures to reduce the probability of adverse outcomes.
In this study, we examine the risks of adolescent pregnancies. Adolescent pregnancy is a public health problem, and it is more common in underdeveloped or developing countries. We believe that non-governmental organisations and governments should take precautions regarding adolescent pregnancies and protect this legally vulnerable sociodemographic group from pregnancy. For healthier and more conscientious pregnancy experiences, mothers must be of appropriate age, having passed the period of adolescence. Adolescent pregnancies, which come with many risks, and especially risks of preeclampsia, premature birth, and maternal death, should be minimised or prevented.
摘要:
青少年妊娠定义为10至19岁的年轻女性怀孕。青少年怀孕,这是发达国家和发展中国家关注的社会医疗保健问题之一,对母婴健康有负面影响。青春期的怀孕会使母亲和孩子的健康都处于危险之中,由于青春期怀孕的子痫发病率较高,全身性感染,低出生体重,与其他怀孕相比,早产。在这项研究中,教育水平的影响,吸烟,和婚姻状况对青少年妊娠的母婴结局进行了评估。
对总共960名孕妇(480名15-19岁的怀孕青少年和480名20-26岁的怀孕成年妇女)的记录进行了回顾性检查。比较了各组的人口统计学数据以及妊娠的母婴结局。建立了逻辑回归模型,作为减少混杂效应的统计方法。
未婚女性在青少年组中的患病率明显更高(38.3%vs.7.3%)。在考虑的风险因素中,先兆子痫(2.9%vs.0.8%)和吸烟(29.8%与9.8%)在青少年组中更常见。当两组在怀孕期间的危险因素方面进行比较时,研究发现,青春期怀孕与吸烟风险增加3.04倍有关,未婚风险高5.25倍,先兆子痫的风险高3.50倍,宫内发育迟缓(IUGR)的风险增加1.70倍。
这项研究表明先兆子痫的风险增加,IUGR,青春期孕妇在怀孕期间吸烟。这些发现可用于识别需要特定援助的青少年怀孕,并采取措施降低不良后果的可能性。
在这项研究中,我们研究了青少年怀孕的风险。青少年怀孕是一个公共卫生问题,在不发达国家或发展中国家更为普遍。我们认为,非政府组织和政府应该对青少年怀孕采取预防措施,并保护这个法律上脆弱的社会人口群体免于怀孕。为了更健康,更认真的怀孕经历,母亲必须有适当的年龄,已经过了青春期。青少年怀孕,伴随着许多风险,尤其是先兆子痫的风险,早产,和产妇死亡,应尽量减少或防止。
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