未婚青少年孕妇妊娠结局的现况调查

doi:10.3969/j.issn.1671-7171.2023.07.002

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Abstract 【Objective】To investigate whether unmarried adolescent pregnant women have higher rates of pregnancy complications and comorbidities, and explore the impact on maternal and infant outcomes. 【Methods】A retrospective cohort study was conducted on the general characteristics and pregnancy outcomes of adolescent pregnant women aged 11-19 years and adult pregnant women over 20 years old who were hospitalized in our hospital from January 2013 to December 2020. A comparison of pregnancy complications, adverse pregnancy outcomes, and delivery methods was made, and relative risks were calculated. 【Results】There were 743 pregnant women in the adolescent group, and the number and proportion showed a downward trend year by year.The proportion of pregnant women in the adolescent group was lower in the local population (64.1% vs 90.9%), lower proportion of multiparas (7.1% vs 34.3%), higher proportion of vaginal delivery (68.1% vs 46.6%). The average delivery gestational age was [(39.6±1.7) weeks vs (39.1±1.4) weeks], the birth weight of new-borns was [(3304.9±465.4) g vs ( 3356.3±443.1) g], and hospitalization expenses was [(6594.2±3012.7) yuan vs (8547.8±3694.0) yuan] as the adolescent pregnant group vs the adult pregnant group; And the differences were statistically significant (P<0.05).The adolescent group had higher rates of anemia and preeclampsia, while gestational diabetes and hypothyroidism were less common. When compared to adults aged 20-34 years, the incidence of hypertensive disorders during pregnancy was also higher in the adolescent group. The incidence of neonatal asphyxia in the adolescent group was higher than that in the adult group. There was no significant difference in other maternal and infant outcomes between the two groups. 【Conclusion】The incidence of anemia and gestational hypertension in adolescents is higher than that in adults, and the incidence of neonatal asphyxia is higher than that in adults. Despite the declining rate of hospital deliveries of adolescent pregnancy, it is vital to pay attention to adolescent sex education in order to prevent unintended pregnancy, and it is necessary to care for adolescent pregnant women in order to reduce adverse outcomes for the mother and infant.

Key words： Pregnancy in Adolescence Parturition Pregnancy Outcome

Received: 19 September 2022

PACS:

R719.3

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	HU Yi-fan
	ZHANG Zhi-ping

Cite this article:

HU Yi-fan,ZHANG Zhi-ping. Survey of Unmarried Teenage Pregnancy Outcomes[J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(7): 964-967.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2023.07.002 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2023/V40/I7/964

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