Skip to content
DSML.KZ
Publications

Article · International Journal of Environmental Research and Public Health · February 3, 2018

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

Усынина Анна Александровна, Постоев Виталий Александрович, Jon Øyvind Odland, A M Grjibovski

Andrej Grjibovski
Open via DOIPDF

Abstract

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.

Maternal and Neonatal HealthcareMaternal and Perinatal Health InterventionsGlobal Maternal and Child Healthadolescent pregnancyadverse pregnancy outcomesperinatal outcomes

More by Andrej Grjibovski