Is Young Maternal Age Really a Risk Factor for Adverse Pregnancy Outcome in a Canadian Tertiary Referral Hospital?

Shrim, Alon; Ates, Senem; Mallozzi, Angela; Brown, Richard N; Ponette, Vincent; Levin, Ishai; Shehata, Fady; Almog, Benny

doi:10.1016/j.jpag.2011.02.008

Cited by 77 publications

(75 citation statements)

References 40 publications

(41 reference statements)

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“…The prevalence of PIH and PET in early teenagers was nearly double that observed in late teenagers (25.0 vs. 11.8 %, and 15.0 vs. 7.7 %, respectively), although this difference did not reach statistical significance, those obstetric complication should be diagnosed and managed early during pregnancy in those very young mothers who may not realize the seriousness of this problem, others reported similar findings [10]. Obstetric complications such as PPH, oligohydramnios, and polyhydramnios were similar in the two groups, so maternal ages did not show any influence on the prevalence of such complications [11]. In this study, delivery before 32 weeks was higher in early teenage women (10.0 vs. 6.9 %), but this difference did not reach a significant level (P = 0.62).…”

Section: Discussionmentioning

confidence: 86%

Early Teenage Pregnancy: Is it Safe?

Abu-Heija

Haddabi

Bash

et al. 2014

J Obstet Gynecol India

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Aim To compare obstetric and perinatal outcomes of early and late teenage pregnancies of Omani nulliparous women with singleton pregnancies cared for and delivered at a tertiary teaching hospital. Method In this retrospective study, we reviewed obstetric and perinatal outcomes of early teenage pregnancies (14-16 years), (n = 20) delivered at Sultan Qaboos University Hospital, Muscat, Oman, between 1 July 2006 and 30 June 2013 and compared their outcomes with outcomes of late teenage pregnancies (17-19 years), (n = 287) delivered at the same hospital during same period. Results When compared with late teenage pregnant women, early teenagers were found to have no significant differences in prevalence of very preterm delivery \32 weeks (P = 0.62), preterm rupture of membranes (P = [ 0.99), and anemia (P = 0.34). When compared to late teenagers, early teenagers had similar cesarean sections rates (P = [0.99), instrumental delivery rates (P = 0.56) and spontaneous vaginal delivery rates (P [ 0.99). Both groups had similar birth weights (P = 0.87), low birth weights, (P = 0.55), and very low birth weights babies (P = 0.56 %). Perinatal mortality rate was similar in both groups. Conclusion We may conclude that early teenage pregnant Omani women are not at increased risk of obstetric and perinatal complication compared to older teenagers.

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Section: Discussionmentioning

confidence: 86%

Early Teenage Pregnancy: Is it Safe?

Abu-Heija

Haddabi

Bash

et al. 2014

J Obstet Gynecol India

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“…Teenage mothers also carry an increased risk of adverse pregnancy outcomes including an increased risk of delivering earlier than mothers between 20 to 39 years old. They are also more likely to have higher rates of extreme prematurity (Shrim, 2011). This high proportion of preterm births in young mothers may be indicative of unfavourable socio-economic situations.…”

Section: Maternal Agementioning

confidence: 99%

Clinical Risk Factors for Preterm Birth

Offiah¹,

O’Donoghue²,

Kenny³

2012

Preterm Birth - Mother and Child

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“…In low-and middle-income countries, pregnancy has been reported as the main factor of death in adolescent girls (1). Young maternal age has usually been considered a high risk in relation to adverse pregnancy outcomes (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16). Possible explanations for adverse pregnancy outcomes have been thought to be their biological immaturity or poor social, economic and behavioral factors such as smoking, alcohol/substance abuse, malnutrition and inadequate prenatal care (17)(18)(19)(20)(21)(22).…”

mentioning

confidence: 99%

Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey

Demirci¹,

Yilmaz²,

Tosun³

et al. 2015

Balkan Med J

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Background: Young maternal age is variously defined in studies of its effect on obstetrics and perinatal outcomes. Also, pregnancy has been reported as the leading cause of death in adolescent girls in low-and middle-income countries. Aims: The aim of the study was to evaluate whether young maternal age was associated with an increased risk of obstetrics and perinatal adverse outcomes. Study Design: Case-control study. Methods: This case-control study was derived from a database of the medical records between January 2008 and December 2012. In the present study, 1374 teenage pregnancy and 1294 adult pregnancy cases were included. After restriction of analyses to singleton primiparous women, 1282 teenage pregnancy and 735 adult pregnancy cases were analyzed. Maternal age was separated into three groups: 15 and less, 16-19, and 20-34 years. Adjusted odds ratios (ORs) were derived through logistic regression models for the potential confounding factors. Results: Adolescents aged 15 years and younger had higher risks of preterm delivery, early preterm delivery, intrauterine fetal death and neonatal death compared with women aged 20 to 34 years after adjustment for confounding factors. In addition, both groups of adolescents had higher risks for anemia and episiotomy and lower risk of cesarean delivery. The rates of preeclampsia, gestational diabetes, chronic diseases, intrauterine growth restriction (IUGR) were higher in the adult group. Adolescent pregnancy is defined as pregnancy in girls aged less than 20 years. It is estimated that 16 million 15-19 yearold women give birth every year, accounting for approximately 11% of all births worldwide (1). In low-and middle-income countries, pregnancy has been reported as the main factor of death in adolescent girls (1). Young maternal age has usually been considered a high risk in relation to adverse pregnancy outcomes (1-16). Possible explanations for adverse pregnancy outcomes have been thought to be their biological immaturity or poor social, economic and behavioral factors such as smoking, alcohol/substance abuse, malnutrition and inadequate prenatal care (17-22). However, the previous studies had conflicting findings regarding whether the effect of young maternal age on adverse pregnancy outcomes were caused by their biological immaturity or poor social, economic and behavioral factors (17)(18)(19)(20)(21)(22). ConclusionThe aim of the present study was to investigate whether there is an association between young maternal age and poor maternal and perinatal outcomes independent of possible confounding factors.

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Is Young Maternal Age Really a Risk Factor for Adverse Pregnancy Outcome in a Canadian Tertiary Referral Hospital?

Cited by 77 publications

References 40 publications

Early Teenage Pregnancy: Is it Safe?

Early Teenage Pregnancy: Is it Safe?

Clinical Risk Factors for Preterm Birth

Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey

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