Pregnancies and their obstetric outcome in two selected age groups of teenage women in Greece

Tsikouras, Panagiotis; Dafopoulos, Alexandros; Trypsianis, Grigorios; Vrachnis, Nikolaos; Bouchlariotou, Sophia; Liatsikos, Spiros A.; Dafopoulos, Konstantinos; Maroulis, Georgios; Γαλάζιος, Γεώργιος; Teichmann, A. T.; Gf, von Tempelhoff

doi:10.3109/14767058.2011.648242

Cited by 18 publications

(11 citation statements)

References 27 publications

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“…Similarly, Tsikouras et al have reported that early period adolescent pregnancy is an important risk factor for birth before the 32nd gestational week. 1 Van Winter et al reported a decreased rate of preterm birth with every passing year after the menarche together with the increasing GA. 24 This could be due to (1) inadequate maternal nutrition, 25 (2) the lack of adequate maturation of the hypothalamohypophyseal axis for the maintenance of the pregnancy, 13 (3) the lack of adequate uterine and cervical maturation, 26,27 (4) the high rate of genitourinary tract infection in the early period adolescent group. 28 However, it is necessary to take into account the development degree of the country and number of cases when evaluating the results.…”

Section: Discussionmentioning

confidence: 97%

Gynecologic age is an important risk factor for obstetric and perinatal outcomes in adolescent pregnancies

et al. 2015

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Section: Discussionmentioning

confidence: 97%

Gynecologic age is an important risk factor for obstetric and perinatal outcomes in adolescent pregnancies

et al. 2015

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“…The increased odds for both chorioamnionitis and endometritis could be due to an immature immune system of young women that makes them more susceptible to uterine infection. 11,46,47 …”

Section: Commentmentioning

confidence: 99%

Maternal Age and Risk of Labor and Delivery Complications

Cavazos‐Rehg

Krauss

Spitznagel

et al. 2014

Matern Child Health J

251

168

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Objective We utilized an updated nationally representative database to examine associations between maternal age and prevalence of maternal morbidity during complications of labor and delivery. Study design We used hospital inpatient billing data from the 2009 United States Nationwide Inpatient Sample (NIS), part of the Healthcare Cost and Utilization Project (HCUP). To determine whether the likelihood that maternal morbidity during complications of labor and delivery differed among age groups, separate logistic regression models were run for each complication. Age was the main independent variable of interest. Results In analyses that controlled for demographics and clinical confounders, we found that complications with the highest odds among women, 11–18 years of age, compared to 25–29 year old women, included preterm delivery, chorioamnionitis, endometritis, and mild preeclampsia. Pregnant women who were 15–19 years old had greater odds for severe preeclampsia, eclampsia, postpartum hemorrhage, poor fetal growth, and fetal distress. Pregnant women who were ≥35 years old had greater odds for preterm delivery, hypertension, superimposed preeclampsia, severe preeclampsia, and decreased risk for chorioamnionitis. Older women (≥40 years old) had increased odds for mild preeclampsia, fetal distress, and poor fetal growth. Conclusions Our findings underscore the need for pregnant women to be aware of the risks associated with extremes of age so that they can watch for signs and symptoms of such complications.

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“…Young adolescents also are at greater risk [30,31]. Although prospective studies that evaluate the use of risk-screening tools based on epidemiologic, demographic biomarkers and clinical indicators in routine antenatal care are still needed, there are several approaches for providing preventive care for these women.…”

Section: Section I Delivering Effective Care To Women During Pregnanmentioning

confidence: 99%

Born Too Soon: Care during pregnancy and childbirth to reduce preterm deliveries and improve health outcomes of the preterm baby

Requejo¹,

Merialdi

Althabe

et al. 2013

Reprod Health

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Pregnancy and childbirth represent a critical time period when a woman can be reached through a variety of mechanisms with interventions aimed at reducing her risk of a preterm birth and improving her health and the health of her unborn baby. These mechanisms include the range of services delivered during antenatal care for all pregnant women and women at high risk of preterm birth, services provided to manage preterm labour, and workplace, professional and other supportive policies that promote safe motherhood and universal access to care before, during and after pregnancy. The aim of this paper is to present the latest information about available interventions that can be delivered during pregnancy to reduce preterm birth rates and improve the health outcomes of the premature baby, and to identify data gaps. The paper also focuses on promising avenues of research on the pregnancy period that will contribute to a better understanding of the causes of preterm birth and ability to design interventions at the policy, health care system and community levels. At minimum, countries need to ensure equitable access to comprehensive antenatal care, quality childbirth services and emergency obstetric care. Antenatal care services should include screening for and management of women at high risk of preterm birth, screening for and treatment of infections, and nutritional support and counselling. Health workers need to be trained and equipped to provide effective and timely clinical management of women in preterm labour to improve the survival chances of the preterm baby. Implementation strategies must be developed to increase the uptake by providers of proven interventions such as antenatal corticosteroids and to reduce harmful practices such as non-medically indicated inductions of labour and caesarean births before 39 weeks of gestation. Behavioural and community-based interventions that can lead to reductions in smoking and violence against women need to be implemented in conjunction with antenatal care models that promote women's empowerment as a strategy for reducing preterm delivery. The global community needs to support more discovery research on normal and abnormal pregnancies to facilitate the development of preventive interventions for universal application. As new evidence is generated, resources need to be allocated to its translation into new and better screening and diagnostic tools, and other interventions aimed at saving maternal and newborn lives that can be brought to scale in all countries.DeclarationThis article is part of a supplement jointly funded by Save the Children's Saving Newborn Lives programme through a grant from The Bill & Melinda Gates Foundation and March of Dimes Foundation and published in collaboration with the Partnership for Maternal, Newborn and Child Health and the World Health Organization (WHO). The original article was published in PDF format in the WHO Report "Born Too Soon: the global action report on preterm birth" (ISBN 978 92 4 150343 30), which involved collaboratio...

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Pregnancies and their obstetric outcome in two selected age groups of teenage women in Greece

Cited by 18 publications

References 27 publications

Gynecologic age is an important risk factor for obstetric and perinatal outcomes in adolescent pregnancies

Gynecologic age is an important risk factor for obstetric and perinatal outcomes in adolescent pregnancies

Maternal Age and Risk of Labor and Delivery Complications

Born Too Soon: Care during pregnancy and childbirth to reduce preterm deliveries and improve health outcomes of the preterm baby

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