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Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019

We aimed to describe the characteristics of adolescent pregnancy, determine its effect on adverse maternal and perinatal outcomes and explore whether that association varies with gestational age with the goal of proposing specific recommendations for adolescent health in China. This study included 2...

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Autores principales: Xie, Yanxia, Wang, Xiaodong, Mu, Yi, Liu, Zheng, Wang, Yanping, Li, Xiaohong, Dai, Li, Li, Qi, Li, Mingrong, Chen, Peiran, Zhu, Jun, Liang, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8206124/
https://www.ncbi.nlm.nih.gov/pubmed/34131205
http://dx.doi.org/10.1038/s41598-021-92037-x
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author Xie, Yanxia
Wang, Xiaodong
Mu, Yi
Liu, Zheng
Wang, Yanping
Li, Xiaohong
Dai, Li
Li, Qi
Li, Mingrong
Chen, Peiran
Zhu, Jun
Liang, Juan
author_facet Xie, Yanxia
Wang, Xiaodong
Mu, Yi
Liu, Zheng
Wang, Yanping
Li, Xiaohong
Dai, Li
Li, Qi
Li, Mingrong
Chen, Peiran
Zhu, Jun
Liang, Juan
author_sort Xie, Yanxia
collection PubMed
description We aimed to describe the characteristics of adolescent pregnancy, determine its effect on adverse maternal and perinatal outcomes and explore whether that association varies with gestational age with the goal of proposing specific recommendations for adolescent health in China. This study included 2,366,559 women aged 10–24 years who had singleton pregnancies between 2012 and 2019 at 438 hospitals. Adolescent pregnancy was defined as younger than 20 years of age. We used multivariable logistic regression to estimate the effects. Women aged 20–24 years served as the reference group in all analyses. The proportion of rural girls with adolescent pregnancies rebounded after 2015 even though common-law marriage in rural areas decreased. Higher risks of eclampsia (adjusted odds ratio (aOR) 1.87, 95% confidence interval (CI) 1.57 ~ 2.23), severe anaemia (aOR 1.18, 95% CI 1.09 ~ 1.28), maternal near miss (MNM; aOR 1.24, 95% CI 1.12 ~ 1.37), and small for gestational age (SGA; aOR 1.30, 95% CI 1.28 ~ 1.33) were observed when gestational age was > 37 weeks. Adolescent pregnancy was independently associated with increased risks of other perinatal outcomes. Further implementation of pregnancy prevention strategies and improved health care interventions are needed to reduce adolescent pregnancies and prevent adverse fertility outcomes among adolescent women in China at a time when adolescent fertility rate is rebounding.
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spelling pubmed-82061242021-06-16 Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019 Xie, Yanxia Wang, Xiaodong Mu, Yi Liu, Zheng Wang, Yanping Li, Xiaohong Dai, Li Li, Qi Li, Mingrong Chen, Peiran Zhu, Jun Liang, Juan Sci Rep Article We aimed to describe the characteristics of adolescent pregnancy, determine its effect on adverse maternal and perinatal outcomes and explore whether that association varies with gestational age with the goal of proposing specific recommendations for adolescent health in China. This study included 2,366,559 women aged 10–24 years who had singleton pregnancies between 2012 and 2019 at 438 hospitals. Adolescent pregnancy was defined as younger than 20 years of age. We used multivariable logistic regression to estimate the effects. Women aged 20–24 years served as the reference group in all analyses. The proportion of rural girls with adolescent pregnancies rebounded after 2015 even though common-law marriage in rural areas decreased. Higher risks of eclampsia (adjusted odds ratio (aOR) 1.87, 95% confidence interval (CI) 1.57 ~ 2.23), severe anaemia (aOR 1.18, 95% CI 1.09 ~ 1.28), maternal near miss (MNM; aOR 1.24, 95% CI 1.12 ~ 1.37), and small for gestational age (SGA; aOR 1.30, 95% CI 1.28 ~ 1.33) were observed when gestational age was > 37 weeks. Adolescent pregnancy was independently associated with increased risks of other perinatal outcomes. Further implementation of pregnancy prevention strategies and improved health care interventions are needed to reduce adolescent pregnancies and prevent adverse fertility outcomes among adolescent women in China at a time when adolescent fertility rate is rebounding. Nature Publishing Group UK 2021-06-15 /pmc/articles/PMC8206124/ /pubmed/34131205 http://dx.doi.org/10.1038/s41598-021-92037-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Xie, Yanxia
Wang, Xiaodong
Mu, Yi
Liu, Zheng
Wang, Yanping
Li, Xiaohong
Dai, Li
Li, Qi
Li, Mingrong
Chen, Peiran
Zhu, Jun
Liang, Juan
Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019
title Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019
title_full Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019
title_fullStr Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019
title_full_unstemmed Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019
title_short Characteristics and adverse outcomes of Chinese adolescent pregnancies between 2012 and 2019
title_sort characteristics and adverse outcomes of chinese adolescent pregnancies between 2012 and 2019
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8206124/
https://www.ncbi.nlm.nih.gov/pubmed/34131205
http://dx.doi.org/10.1038/s41598-021-92037-x
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