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Teenage pregnancies: A few years wait until young adulthood is worthy of advocacy

机译:青少年怀孕:几年后才可以提倡年轻成年

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Background: Teenage pregnancies are health problems of global importance attributed to restrictions of sexually active teenagers access to contraception. It is therefore important to study the impact of pregnancy on teenagers for better care and avert adverse pregnancy outcome. Objectives: The main objective of the study is to compare the pregnancy outcome (early pregnancy loss, preterm delivery, birth weight, live and stillbirths, and other perinatal outcomes) among teenagers (aged 15–19 years) and young adult women (aged 20–24 years). Materials and Methods: This was a comparative study of 74 teenage pregnancies and 690 young adult pregnancies managed at the Lagos University Teaching Hospital over a period of 5 years from May 1, 2008 to April 30, 2013. Results: The teenagers had more miscarriages and more preterm deliveries than young adults (P 0.0001). Teenagers had more emergency cesarean deliveries and less spontaneous vaginal deliveries (P 0.0001). Although teenagers had more low birth weight babies compared with young adults (33.3% vs. 22.8%), this was, however, not statistically significant (P = 0.0652). The perinatal mortality rate was 218/1000 total births among teenagers as compared to 90/1000 in young adult women, and this was statistically significant (P = 0.0049). Conclusion: Preventing teenage pregnancies or delaying pregnancy until adulthood results in a better fetomaternal outcome.
机译:背景:青少年怀孕是具有全球重要性的健康问题,原因是性活跃的青少年受到避孕的限制。因此,重要的是研究妊娠对青少年的影响,以提供更好的护理并避免不良的妊娠结局。目的:该研究的主要目的是比较青少年(15-19岁)和年轻成年女性(20岁)的妊娠结局(早孕流产,早产,出生体重,活产和死产以及其他围产期结局) –24年)。资料和方法:这是对拉各斯大学教学医院自2008年5月1日至2013年4月30日为期5年的74例青少年妊娠和690例年轻成人妊娠的比较研究。结果:青少年流产和早产比年轻人多(P <0.0001)。青少年的紧急剖宫产次数更多,而自发的阴道分娩次数更少(P <0.0001)。尽管青少年的低出生体重婴儿比年轻人低(33.3%比22.8%),但是,这在统计学上没有统计学意义(P = 0.0652)。青少年的围产期死亡率为218/1000,而成年女性为90/1000,这在统计学上具有统计学意义(P = 0.0049)。结论:预防少女怀孕或推迟怀孕直至成年,可以使母婴结局更好。

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