Comparison of medical issues in antenatal and perinatal periods in early youth, adolescent, and young adult mothers in Taiwan: a 10-year nationwide study.

Chun-Che Huang,Yu-Tung Huang,Kuang-Hua Huang,Yung-Chieh Lin

doi:10.1186/1471-2393-14-260

Chun-Che Huang, Yu-Tung Huang + Show 2 more

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https://doi.org/10.1186/1471-2393-14-260

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Abstract

BackgroundLimited information is available concerning investigating the separate effect of teenage childbirth on medical issues in the antenatal and perinatal periods. Therefore, this study aimed to assess medical problems in antenatal and perinatal periods among early youth, adolescent and young adult mothers in Taiwan.MethodsThis retrospective population-based cohort study was conducted by using data from Taiwan’s National Health Insurance Research Database. A total of 335,590 mothers aged less than 25 years who had singleton births were identified between 2002 and 2011. Univariate and multivariate logistic regression analyses were conducted to estimate unadjusted and adjusted odds ratios (OR) and 95% confidence intervals (CI) of each medical problem category in the antenatal and perinatal periods.ResultsCompared with mothers aged 20–24 years, adolescents (16–19 years) and early youth mothers (≤15 years), particularly those aged 10–15, had a significantly higher risk of intrauterine growth retardation (IUGR, OR = 1.37, 95% CI: 1.00–1.89) and preterm delivery (OR = 2.98, 95% CI: 2.48–3.58) after adjusting for demographic characteristics and clinical factors. Additionally, adolescents mothers were at an increased risk of anemia (OR = 1.32, 95% CI: 1.24–1.40), oligohydramnios (OR = 1.21, 95% CI: 1.12–1.32), failed labor induction (OR = 1.33, 95% CI: 1.24–1.43), and fetal distress (OR = 1.20, 95% CI: 1.14–1.26) after adjustment.ConclusionsNot all young mothers in our study experienced the same magnitude of increased medical problems in the antenatal and perinatal periods. However, a sufficiently higher probability of having IUGR and preterm delivery was observed among early youth and adolescent mothers.

Highlights

Limited information is available concerning investigating the separate effect of teenage childbirth on medical issues in the antenatal and perinatal periods
Despite the ongoing controversy concerning maternal age and its effect on adverse perinatal outcomes [7,8,9,10], prior research has shown that adolescent pregnancy is associated with high risk of low birthweight, preterm delivery [7,11,12,13], eclampsia [9], anemia [8], premature rupture of membranes (PROM) [13], and fetal death [5,9] associated with underage pregnancy
The procedure was categorized based on the diagnosis-related group (DRG) of the National Health Insurance Administration (NHIA); the principal diagnosis code and up to four secondary diagnosis codes for each hospitalization were classified according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) coding

Summary

Introduction

Limited information is available concerning investigating the separate effect of teenage childbirth on medical issues in the antenatal and perinatal periods. This study aimed to assess medical problems in antenatal and perinatal periods among early youth, adolescent and young adult mothers in Taiwan. Despite the ongoing controversy concerning maternal age and its effect on adverse perinatal outcomes [7,8,9,10], prior research has shown that adolescent pregnancy is associated with high risk of low birthweight, preterm delivery [7,11,12,13], eclampsia [9], anemia [8], premature rupture of membranes (PROM) [13], and fetal death [5,9] associated with underage pregnancy. A few studies have investigated risk factors and obstetric and perinatal outcomes in young adolescents aged ≤15 years [7,11,14]. These studies have highlighted the importance of age-specific analysis when comparing obstetric and perinatal results between adolescent and young adult mothers

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