Preeclampsia and neonatal outcomes in adolescent and adult patients

Abstract

Preeclampsia is an important health problem with a higher prevalence in the adolescent population. Furthermore, preeclampsia causes adverse maternal and neonatal outcomes. Newborns can be affected by preeclampsia, resulting in lower birth weight or Apgar score, the need for neonatal intensive care, or prematurity. All these complications are also associated with adolescent pregnancies, and together with preeclampsia, it can determine poorer neonatal outcomes. The aim of the study was to compare the neonatal outcomes of adolescents and adults with preeclampsia. We analyzed data on all the newborns of adolescents with preeclampsia (n=12) who delivered at the Department of Obstetrics and Gynecology of University Emergency Hospital in Bucharest between January 1st, 2019, and December 31st, 2019 and compared it with data from 12 aleatory newborns of adults diagnosed with preeclampsia. The prevalence of preeclampsia was higher in the adolescent population compared with the adult one. The weight of newborns was lower among adolescents with preeclampsia. There were no significant differences in Apgar scores between the two groups. Preterm delivery was more frequent in adolescent patients with preeclampsia. Preeclampsia is an additional risk factor for adolescent pregnancy, but it is also a severe materno-fetal complication for this population.

Adolescent pregnancies in Turkey: a single center experience

“… 30 Another small-scale study yielded the prevalence of preeclampsia in pregnant adolescents as 16.8% 31 while a similar study reported the prevalence as 9.3%. 32 Regardless, the prevalence of preeclampsia was significantly higher in pregnant adolescents than pregnant adults. In this study, the prevalence of preeclampsia was significantly lower in pregnant adolescents and both pregnant adolescents and pregnant adults were statistically similar with respect to the prevalence of preeclampsia (1.3% vs 0.7%, P =.156).…”

Incidence of complications among in vitro fertilization pregnancies

“…Complications of pregnancies include gestational hypertension and GDM. According to the literature, the prevalence of these complications is higher in IVF than in spontaneous pregnancies, with rates of 4.5% vs. 3.6 % for gestational hypertension and 6.6% vs. 4.4% for GDM [ 11 , 31 ]. However, in our study, the prevalence of these complications was much higher, with rates of 18.1% for gestational hypertension and 24.5% for GDM.…”

Psychometric evaluation of a novel tool for assessing gestational diabetes and hypertension care: knowledge, attitudes, and practices of midwives and nurses

“…It can be diagnosed through routine blood pressure monitoring during prenatal visits [ 4 , 5 ]. In the second half of pregnancy, HBP may be accompanied by proteinuria and may induce adverse neonatal and maternal outcomes in both adolescent and adult women, increasing the risk of preterm birth among adolescents [ 6 , 7 ]. Gestational diabetes is another common second-trimester complication frequently associated with hypertension, especially in overweight women [ 8 , 9 ].…”