Obstetric and Neonatal Outcomes of Teenage Pregnancies. |
In Ho Park, Cheol Hwan So, Jung Ik Cho, Seung Taek Yu, Seung Hyun Lee, Kee Yeon Hong, Yeon Kyun Oh |
1Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea. oyk5412@wonkwang.ac.kr 2Department of Obstetrics and Gynecology, Wonkwang University School of Medicine, Iksan, Korea. |
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Abstract |
PURPOSE The number of teenage pregnancy is increasing on these days due to changes in sexual awareness, precocious puberty, lack of proper sex education and abortion restrictions. We evaluated the clinical features including the rate and perinatal complications of mother and neonates caused by teenage births. METHODS Subjects were mothers whose ages were below 19 at time of admission in Wonkwang University Hospital from January 2000 to July 2011. We reviewed the medical records of teenage mothers and her neonates retrospectively, and investigated the differences between above and below the age of 16. RESULTS The number of neonates of teenaged mothers was 73, which is 10.4 per 1,000 births and it showed an upward trend during the late decade of 2,000's. 14 (19.2%) of the mothers were multiparous, and 69 (94.5%) unmarried, 25 (34.2%) no prenatal examinations, 11 (15.1%) an abortion history, 47 (64.4%) middle or high school students, and 25 (34.2%) a single parent. Among the maternal complications, premature birth was the most prevalent with 34 cases (46.6%), followed by 11 (4.1%) of premature rupture of membrane. The most common neonatal complication was prematurity in 37 cases (50.7%), followed by 30 (41.1%) low birth weight, 19 (26%) ICU admission. There were no significant differences between above and below the age of 16 in neonatal and obstetrical complications. CONCLUSION The number of teenage pregnancy is increasing recently, and they had a high prevalence rate of prematurity, low birth weight and respiratory distress syndrome. And, the grouping by age of above and below 16 was no affect the prognosis. |
Key Words:
Teenage pregnancy; Perinatal complications; Neonates |
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