Obstetric and perinatal outcomes for twin pregnancies in adolescent girls

Robson, Danielle; Daniels, Samuel; Flatley, Christopher; Kumar, Sailesh

doi:10.1038/s41598-018-37364-2

Cited by 3 publications

(7 citation statements)

References 13 publications

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“…The upper limit for this age cut off was intended to limit our comparison to younger adults at a standard risk for adverse birth outcomes. Adolescents and adults who delivered twins or triplets were excluded because of the known increased risk of birth complications with multiple gestations [ 29 , 30 ]. Data were not collected on deliveries that occurred prior to arriving to the hospital, infants transferred from an outside hospital after delivery, or deliveries before 24 weeks gestational age (classified as miscarriage in Botswana).…”

Section: Methodsmentioning

confidence: 99%

High risk of adverse birth outcomes among adolescents living with HIV in Botswana compared to adult women living with HIV and adolescents without HIV

Jackson-Gibson

Zash

Mussa

et al. 2022

BMC Pregnancy Childbirth

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Background Adolescent girls are three times more likely to be living with HIV than boys of the same age. Prior studies have found associations between adolescent pregnancies and increased maternal morbidity and infant mortality, but few studies have assessed the impact of HIV infection on maternal and infant outcomes in adolescents. Methods The Tsepamo Study abstracts maternal and infant data from obstetric records in government maternity wards in Botswana. We assessed maternal complications and adverse birth outcomes for all singleton pregnancies from August 2014 to August 2020 at eighteen Tsepamo sites among adolescents (defined as 10–19 years of age) and adults (defined as 20–35 years of age), by HIV status. Univariate and multivariate logistic regression using a complete case analysis method were used to evaluate differences in outcomes. Results This analysis included 142,258 singleton births, 21,133 (14.9%) to adolescents and 121,125 (85.1%) to adults. The proportion of adults living with HIV (N = 22,114, 22.5%) was higher than adolescents (N = 1593, 7.6%). The proportion of most adverse birth outcomes was higher in adolescents. Among adolescents, those with HIV had increased likelihoods of anemia (aOR = 1.89, 95%CI 1.66, 2.15) and cesarean sections (aOR = 1.49, 95%CI 1.3,1.72), and infants with preterm birth (aOR = 1.15, 95%CI 1.0, 1.32), very preterm birth (aOR = 1.35, 95%CI 1.0,1.8), small for gestational age (aOR = 1.37, 95%CI 1.20,1.58), and very small for gestational age (aOR = 1.46, 95%CI 1.20, 1.79). Conclusions Adolescent pregnancy and adolescent HIV infection remain high in Botswana. Adolescents have higher risk of adverse maternal and infant birth outcomes than adults, with the worst outcomes among adolescents living with HIV. Linking HIV prevention and family planning strategies for this age group may help minimize the number of infants with poor birth outcomes among this already vulnerable population.

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Section: Methodsmentioning

confidence: 99%

High risk of adverse birth outcomes among adolescents living with HIV in Botswana compared to adult women living with HIV and adolescents without HIV

Jackson-Gibson

Zash

Mussa

et al. 2022

BMC Pregnancy Childbirth

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“…In terms of preterm delivery, the literature included three more studies on adolescent twin pregnancies. 14,15,35 In the study of Blake and Lee involving 50 adolescent pregnant women with twins, no significant difference was found between the adolescent and control groups in terms of preterm labor (<37 weeks). 14 Robson et al studied 29 adolescent twin pregnancies and investigated preterm labor (<37 weeks), advanced preterm labor (28-32 weeks), and very advanced preterm labor (28 weeks).…”

Section: Discussionmentioning

confidence: 93%

“…14 Robson et al studied 29 adolescent twin pregnancies and investigated preterm labor (<37 weeks), advanced preterm labor (28-32 weeks), and very advanced preterm labor (28 weeks). 15 Their study found that adolescent twin pregnancies had a higher risk only in terms of very advanced preterm labor (<28 weeks). Branum classified deliveries at <33 weeks as very preterm births and found this rate significantly higher in adolescent twin pregnancies.…”

Section: Discussionmentioning

confidence: 97%

“…21,22 In terms of hypertensive diseases in pregnancy, Blake and Lee and Robson et al did not find a significant difference in adolescent and normal age group twin pregnancies, which was similar to our study. 14,15 In the general population, besides the publications reporting that gestational hypertension is common in adolescents, publications reported no significant difference. 23 This may be because gestational hypertension is multifactorial.…”

Section: Discussionmentioning

confidence: 99%

“…In other studies, only newborn weights were investigated, and no difference was found between the groups in terms of newborn weight. 14,15 Adolescence is the period when the individuals are interested in their own physical appearance the most. Adolescence is the period when the individuals are interested in their own physical appearance the most.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Maternal and Perinatal Outcomes Between Adolescent and Adult Twin Pregnancies: Retrospective Study

Bayraktar¹,

Bayraktar²,

Balıkoğlu³

et al. 2021

J Clin Obstet Gynecol

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Adolescence is the transitional period from childhood to adulthood and defined by the World Health Organization (WHO) as the period between ages 10 and 19 years. 1 According to WHO, adolescents represent approximately one-fifth of the world's population, and 85% live in developing countries. 2 In 2013, the mean fertility rate of adolescents from the age group 15-19 years was 45.8‰ worldwide. 3 According to the data of Turkey Demographic and Health Survey 2013, 16% of all women in our country belong to the 15-19-year age group, with a fertility rate of 31‰. 4 Especially in developing countries, young individuals do not have sufficient knowledge about their characteristics, body functions, or reproductive char-acteristics. Despite this, the time of first sexual intercourse tends to shift toward earlier ages, and adolescent pregnancies become widespread among adolescents without sufficient knowledge regarding reproductive characteristics, contraception methods, or pregnancy. 5 One of the most important features of adolescence is rapid development of physical, psychological, and social characteristics. Therefore, adolescent pregnancies are risky because maternal development is incomplete, and the metabolic, hemodynamic, and psychological conditions that occur during pregnancy coincide with their physical, psychological, and social development. Adolescent pregnancies are associated with preterm labor, maternal anemia, increased

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Adverse obstetric outcomes in early and late adolescent pregnancy

GENÇ¹,

CIFTCi²,

CINGILLIOGLU³

et al. 2022

JECM

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Adolescent pregnant women should be considered as a high risk patient group. The aim of our study is to compare pregnancies in adolescent with adult age group pregnancies and to evaluate maternal and fetal obstetric outcomes. Patients were admitted to Gynecology Department of Okmeydani Training and Research Hospital between January 1, 2015 and December 31, 2019. Pregnant women were divided into 3 groups as Group 1 (aged ≤16 years: n: 280), Group 2 (aged 17-19 years; n: 956) and Group 3 (aged 25-35 years; n: 656). Demographic characteristics of the patients and maternal and obstetric outcomes were recorded.In adolescent age groups,numbers of gravida, parity and abortus, and gestational age, fetal weight, and rates of cesarean delivery were found to be significantly lower relative to age group of 25-35 years Adolescents aged ≤16 years had a significantly lower risk than adults as for preeclampsia (AOR: 9,23 (6,36-11,82) p=0,001),had a significantly higher risk than adults as for low birth weight (AOR: 4,75 (2,26-9,21) p=0,001). and prematurity (AOR: 7,54 (5,12-9,43) p=0,001). Adolescents aged 17-19 years had a significantly higher risk than adults regarding small for gestational age (AOR: 4,48 (1,89-10,67) p=0,001), oligohidramnios (AOR: 2,29 (1,16-4,54) p=0,017), prematurity (AOR: 4,97 (3,1-7,97) p=0,0001) and LBW (AOR: 2,14 (2,71-9,74) p=0,0001).Our study was conducted with a large pregnant group, Since pregnant women in adolescent group are closely associated with preterm birth, delivery of small for gestational age and low birth weight infants, it is important to improve health services to reduce adverse pregnancy outcomes.

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Obstetric and perinatal outcomes for twin pregnancies in adolescent girls

Cited by 3 publications

References 13 publications

High risk of adverse birth outcomes among adolescents living with HIV in Botswana compared to adult women living with HIV and adolescents without HIV

High risk of adverse birth outcomes among adolescents living with HIV in Botswana compared to adult women living with HIV and adolescents without HIV

Comparison of Maternal and Perinatal Outcomes Between Adolescent and Adult Twin Pregnancies: Retrospective Study

Adverse obstetric outcomes in early and late adolescent pregnancy

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