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Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study

International journal of environmental research and public health, 2018-02, Vol.15 (2), p.261 [Peer Reviewed Journal]

Copyright MDPI AG 2018 ;info:eu-repo/semantics/openAccess ;2018 by the authors. 2018 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph15020261 ;PMID: 29401677

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Title:
Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study
Author: Usynina, Anna A ; Postoev, Vitaly ; Odland, Jon Øyvind ; Grjibovski, Andrej M
Subjects: Adolescent ; Adolescents ; Adult ; Adults ; Apgar Score ; Birth ; Birth weight ; Body Weight ; Clinical medical disciplines: 750 ; Delivery, Obstetric ; Dietary Supplements ; Female ; Folic acid ; Folic Acid - administration & dosage ; Genital tract ; Gynecology and obstetrics: 756 ; Gynekologi og obstetrikk: 756 ; Health risk assessment ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infections ; Klinisk medisinske fag: 750 ; Logistic Models ; Medical disciplines: 700 ; Medisinske Fag: 700 ; Neonates ; Population studies ; Pregnancy ; Pregnancy in Adolescence - statistics & numerical data ; Pregnancy Outcome - epidemiology ; Premature birth ; Premature Birth - epidemiology ; Registries ; Regression analysis ; Reproductive Tract Infections - epidemiology ; Risk ; Russia - epidemiology ; Smoke ; Smoking - epidemiology ; Stillbirth - epidemiology ; Studies ; Teenagers ; Underweight ; VDP ; Womens health ; Young Adult
Is Part Of: International journal of environmental research and public health, 2018-02, Vol.15 (2), p.261
Description: This study aimed to assess whether adolescents have an increased risk of adverse pregnancy outcomes (APO) compared to adult women. We used data on 43,327 births from the population-based Arkhangelsk County Birth Registry, Northwest Russia, for 2012-2014. The perinatal outcomes included stillbirth, preterm birth (<37 and <32 weeks), low and very low birthweight, 5 min Apgar score <7 and <4, perinatal infections, and the need for neonatal transfer to a higher-level hospital. Multivariable logistic regression was applied to assess the associations between age and APO. Altogether, 4.7% of deliveries occurred in adolescents. Both folic acid intake and multivitamin intake during pregnancy were more prevalent in adults. Adolescents were more likely to be underweight, to smoke, and to have infections of the kidney and the genital tract compared to adult women. Compared to adults, adolescents were at lower risk of low birthweight, a 5 min Apgar score <7, and need for neonatal transfer. Adolescents had no increased risk of other APO studied in the adjusted analysis, suggesting that a constellation of other factors, but not young age per se, is associated with APO in the study setting.
Publisher: Switzerland: MDPI AG
Language: English
Identifier: ISSN: 1660-4601
ISSN: 1661-7827
EISSN: 1660-4601
DOI: 10.3390/ijerph15020261
PMID: 29401677
Source: GFMER Free Medical Journals
MEDLINE
NORA Norwegian Open Research Archives
PubMed Central
ProQuest Central

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Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study

Copyright MDPI AG 2018 ;info:eu-repo/semantics/openAccess ;2018 by the authors. 2018 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph15020261 ;PMID: 29401677

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