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Outcomes of teenage pregnancies in an outpatient environment in Germany: an observational study
STUDY OBJECTIVE Pregnancies in children and adolescents remain a challenging situation. To analyse the pregnancy course of teenagers in an outpatient environment in Germany we investigated the course of adolescent pregnancies including obstetric adverse events and complications of antenatal consult...
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| Format: | Dissertation |
| Sprache: | Englisch |
| Veröffentlicht: |
Philipps-Universität Marburg
2018
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| Online Zugang: | PDF-Volltext |
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| Zusammenfassung: | STUDY OBJECTIVE
Pregnancies in children and adolescents remain a challenging situation. To analyse the pregnancy course of teenagers in an outpatient environment in Germany we investigated the course of adolescent pregnancies including obstetric adverse events and complications of antenatal consulting and compared them to young adults using the IMS-Disease-Analyzer.
DESIGN, SETTING AND PARTICIPANTS, MAIN OUTCOME MEASURES
A retrospective analysis of singleton pregnancies in women younger than 24 years old between January 2004 and December 2013 was performed to compare maternal pregnancy adverse outcomes of adolescents below 18 years and 18 to 19 year olds to young adults 20 to 24 years old.
RESULTS
Of the 10,188 pregnancies reviewed, 695 (7%) were adolescents younger than 18 years old and 1,561 (15%) aged 18 and 19 years. The youngest group were at highest risk of mental disorders (1.34, 1.04–1.74, p=0.025). Both teenage
groups showed a significantly elevated risk of spontaneous abortions (1.66, 1.35– 2.03, p<0.001 and 1.20, 1.02-1.41, p=0.029) and UTIs (1.37, 1.09–1.74, p=0.008 and 1.31, 1.11–1.54, p=0.001). Otherwise they didn't present significantly more obstetric adverse events than adults.
CONCLUSIONS
On the basis of the findings, it confirms that adolescents can have positive outcomes equal to those who bear children later indicating an adequate maternity care in Germany. They present less obstetric and antenatal adverse events, apart from mental disorders, spontaneous abortions and UTIs.
These results improve our understanding of the obstetric and medical issues associated with teenage pregnancy and can further improve appropriate approaches to care. Still more research needs to be done to better understand and to reduce the high rates of abortions and infections. Furthermore, additional efforts ought to be made to ensure higher antenatal care attendance. |
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| Umfang: | 69 Seiten |
| DOI: | 10.17192/z2018.0343 |