Midwifery · 2026
Adverse maternal and neonatal outcomes in extremely young mothers (≤ 17 years) versus women aged 20-35 years: a retrospective cohort study in Thailand.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pattanamanee Jirayus, Chawanpaiboon Saifon
Аннотация
OBJECTIVE: To compare maternal and neonatal outcomes between extremely young mothers (≤ 17 years) and women aged 20-35 years delivering at a Thai tertiary center.
METHODS: We conducted a retrospective cohort at Siriraj Hospital, Bangkok, Thailand, using delivery records from January 2014 to December 2023. Women were categorized into 2 groups: extremely young (≤ 17 years) and comparison (20-35 years). Maternal characteristics, pregnancy complications, delivery outcomes, and neonatal outcomes were extracted and analyzed using appropriate statistical tests.
RESULTS: Among 2333 deliveries, 1154 were to extremely young mothers and 1179 to women aged 20-35 years. Extremely young mothers were more often primigravida and nulliparous. They had higher rates of anemia (30.7% vs 18.7%), a positive Venereal Disease Research Laboratory test (4.1% vs 1.0%), and illicit drug use (3.1% vs 0.3%; all P < 0.001). They were also more likely to deliver preterm (22.7% vs 15.1%), have low birth weight infants (23.6% vs 15.6%), and experience stillbirth (1.4% vs 0.3%). Conversely, gestational diabetes mellitus (11.7% vs 0.6%), postpartum hemorrhage (3.6% vs 1.1%), and cesarean delivery (50.7% vs 17.6%) were more frequent in women aged 20-35 years (all P < 0.05). Additionally, placenta previa occurred only in this age group (0.8%; P = 0.002).
CONCLUSIONS: Extremely young mothers have increased risks of anemia, preterm birth, low birth weight, and stillbirth. Women aged 20-35 years are more affected by gestational diabetes, placenta previa, postpartum hemorrhage, and cesarean delivery. Therefore, age-specific antenatal care and targeted interventions for adolescent pregnancy are warranted. Trial registration Thai Clinical Trials Registry number. Registration number TCTR20250202002. Web link https://www.thaiclinicaltrials.org/export/pdf/TCTR20250202002.
METHODS: We conducted a retrospective cohort at Siriraj Hospital, Bangkok, Thailand, using delivery records from January 2014 to December 2023. Women were categorized into 2 groups: extremely young (≤ 17 years) and comparison (20-35 years). Maternal characteristics, pregnancy complications, delivery outcomes, and neonatal outcomes were extracted and analyzed using appropriate statistical tests.
RESULTS: Among 2333 deliveries, 1154 were to extremely young mothers and 1179 to women aged 20-35 years. Extremely young mothers were more often primigravida and nulliparous. They had higher rates of anemia (30.7% vs 18.7%), a positive Venereal Disease Research Laboratory test (4.1% vs 1.0%), and illicit drug use (3.1% vs 0.3%; all P < 0.001). They were also more likely to deliver preterm (22.7% vs 15.1%), have low birth weight infants (23.6% vs 15.6%), and experience stillbirth (1.4% vs 0.3%). Conversely, gestational diabetes mellitus (11.7% vs 0.6%), postpartum hemorrhage (3.6% vs 1.1%), and cesarean delivery (50.7% vs 17.6%) were more frequent in women aged 20-35 years (all P < 0.05). Additionally, placenta previa occurred only in this age group (0.8%; P = 0.002).
CONCLUSIONS: Extremely young mothers have increased risks of anemia, preterm birth, low birth weight, and stillbirth. Women aged 20-35 years are more affected by gestational diabetes, placenta previa, postpartum hemorrhage, and cesarean delivery. Therefore, age-specific antenatal care and targeted interventions for adolescent pregnancy are warranted. Trial registration Thai Clinical Trials Registry number. Registration number TCTR20250202002. Web link https://www.thaiclinicaltrials.org/export/pdf/TCTR20250202002.