Perinatal outcomes associated with subsequent pregnancy among adolescent mothers in Peru

Abstract

ObjectiveTo assess the perinatal outcomes of a subsequent pregnancy among adolescent mothers living in Peru. MethodsA large hospital-based retrospective cohort study was conducted to evaluate singleton births during a 9-year period (2001–2009). The study population was divided into 3 groups: adolescents aged 15–19years who had 1 previous parturition (n=2074), nulliparous adolescents (n=20721), and multiparous adults aged 20–29years (n=23 129). ResultsNo significant differences were found between multiparous adolescents and the 2 control groups with regard to preterm delivery, perinatal death, and 5-minute Apgar score below 7. Logistic regression analysis showed no significant differences in the rates of cesarean delivery or preterm birth before 34 or 37weeks. After adjusting for confounding factors, low birth weight (LBW) and small for gestational age (SGA) were more likely to occur during a subsequent pregnancy among adolescent mothers than during the 1st pregnancy among nulliparous adolescents. The odds ratios were 1.38 (95% CI, 1.14–1.67) and 1.27 (95% CI, 1.02–1.56), respectively. ConclusionMultiparous adolescents are more likely to experience LBW or SGA than are nulliparous adolescents. No significant differences in other perinatal outcomes were found among the 3 study groups.