T. Pavlova-Greenfield, V. G Sutija, M. Gudavalli
Adolescent pregnancy: positive perinatal outcome at a community hospital
Objective: The objective of the present study was to
determine the association between early maternal age
and pregnancy outcome at a community hospital.
Methods: A retrospective cohort of 188 nulliparous patients
was divided into three study groups of adolescent
patients and a control group based on maternal age at
the time of delivery.
Results: Younger adolescents had an excellent prenatal
visit record. Overall complication rates were low and
similar among groups. The cesarean section rates were
not higher for younger adolescents in comparison to the
control group. Duration of second stage of labor was
shorter in adolescents than in the older patients
(34.3 ± 39.5 vs 59.5 ± 39.9 min; t = 3.24; p = 0.002).
There were no differences in mean gestational ages at
delivery. The mean birth weights were lower in all adolescent
groups compared to the control (ANOVA: F = 3.729; p = 0.0124). There were few NICU admissions
in adolescent groups.
Conclusion: Early maternal age (13 to 19 years) was
associated with shorter duration of second stage labor
and lower birth weight in a cohort of patients delivering
at a community hospital.
Journal of Perinatal Medicine, Walter de Gruyter
Print ISSN: 1619-3997
Volume: 28, 11/2000
Pages: 443 - 446
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