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Titolo:
BIRTHS TO TEENAGERS - TRENDS AND OBSTETRIC OUTCOMES
Autore:
AMINI SB; CATALANO PM; DIERKER LJ; MANN LI;
Indirizzi:
CASE WESTERN RESERVE UNIV,SCH MED,DEPT EPIDEMIOL & BIOSTAT CLEVELAND OH 44106 METROHLTH MED CTR,DEPT OBSTET & GYNECOL CLEVELAND OH 00000 CASE WESTERN RESERVE UNIV,SCH MED,DEPT REPROD BIOL CLEVELAND OH 44106
Titolo Testata:
Obstetrics and gynecology
fascicolo: 5, volume: 87, anno: 1996,
parte:, 1
pagine: 668 - 674
SICI:
0029-7844(1996)87:5<668:BTT-TA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
S.B. Amini et al., "BIRTHS TO TEENAGERS - TRENDS AND OBSTETRIC OUTCOMES", Obstetrics and gynecology, 87(5), 1996, pp. 668-674

Abstract

Objective: To compare the trends and obstetric outcomes of pregnancy in teenage women with those of adult women. Methods: We analyzed a 19-year (1975-1993) computerized perinatal data base with data on 69,096 births collected prospectively from a single inner-city tertiary medical center. Results: Of all the births, 1875 (2.7%) were to teenagers 12-15 years old and 17,359 (25.3%) were to teenagers 16-19 years old. Over the study period, the number and proportion of births to teenagersof both age groups declined (P < .001 in both cases). The proportionsof teenagers 12-15 and 16-19 years old were highest among blacks (4.1% and 28.1%, respectively), followed by Hispanics (2.4%, 24.7%) and whites (1.6%, 23.1%). More than 95% of teenagers had no private health insurance coverage (staff), significantly higher than the 81.6% of mothers aged 20 years or older (P < .001). More than 8.1% of teenagers 12-15 years old had two or fewer prenatal care visits, significantly higher than 6.8% for teenagers 16-19 years old and 7.1% for adults (P < .001). The average gestational age and birth weight were significantly lower for teenagers 12-15 years old compared with those 16-19 years oldand adults. Patients 16-19 years of age had longer gestational age and higher birth weight than the adults. The proportion of primary cesarean deliveries among teenagers 12-15 years old was 11.6%, significantly higher than 9.4% for those 16-19 years old and 10.2% for adults (P <.001). Conclusion: On average, females 16-19 years old had better obstetric outcomes than adults, whereas obstetric outcomes for those 12-15 years old were worse than for adults. Therefore, all teenagers should not be grouped together when their obstetric outcomes are compared with those of adults.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 14:23:38