Cargando…

Teenage Pregnancies in Austria – an Epidemiological Study on Prevalence and Perinatal Outcome

Introduction Even though teenage pregnancy rates have been declining in the last decades, their global prevalence is still high and shows country-specific discrepancies. Insufficient sexual education, poor availability of contraceptives and early marriage are some of the multifactorial causes for ad...

Descripción completa

Detalles Bibliográficos
Autores principales: Lastinger, Julia, Enengl, Sabine, Neururer, Sabrina, Leitner, Hermann, Oppelt, Peter, Stelzl, Patrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9897896/
https://www.ncbi.nlm.nih.gov/pubmed/36743456
http://dx.doi.org/10.1055/a-1911-1996
_version_ 1784882340391026688
author Lastinger, Julia
Enengl, Sabine
Neururer, Sabrina
Leitner, Hermann
Oppelt, Peter
Stelzl, Patrick
author_facet Lastinger, Julia
Enengl, Sabine
Neururer, Sabrina
Leitner, Hermann
Oppelt, Peter
Stelzl, Patrick
author_sort Lastinger, Julia
collection PubMed
description Introduction Even though teenage pregnancy rates have been declining in the last decades, their global prevalence is still high and shows country-specific discrepancies. Insufficient sexual education, poor availability of contraceptives and early marriage are some of the multifactorial causes for adolescent pregnancies. Very often teenage pregnancies are classified as high-risk pregnancies. Studies have found higher rates of peripartal complications, such as preterm birth, low birth weight or low fetal Apgar-Scores. The aim of this retrospective cohort study is to evaluate the prevalence of teenage pregnancies in Austria and to identify principal differences in maternal and neonatal outcome. Material and methods Data were collected from the Austrian Birth Registry between 01/2012 and 12/2020. A total of 751661 deliveries in Austria were documented. Obstetric, maternal and neonatal parameters were descriptively analyzed. Mothers were subclassified into two age groups: teenage mothers of 19 years and younger and adult mothers of 20 to 39 years of age. Results Newborns of teenage mothers were significantly smaller (49.98 ± 3.11 vs. 50.31 ± 3.16 cm, p < 0.001) and had a lower birth weight (3216 ± 564 vs. 3247 ± 576 g, p < 0.001) than newborns of adult mothers. The percentage of caesarean deliveries in the teenage group was significantly lower than in adult mothers (21.1 vs. 31.8%, p < 0.001). Newborns of teenage mothers had significantly higher rates of very low (< 4) and low (< 7) 5-minute Apgar scores (5-minute Apgar < 4: 0.75 vs. 0.54%, p = 0.004) (5-minute Apgar < 7: 1.77 vs. 1.37%, p = 0.001) and significantly lower arterial umbilical-cord pH (7.25 ± 0.08 vs. 7.26 ± 0.08, p < 0.001). Perinatal mortality was higher in the age group below 20 years (0.7 vs. 0.6%, p = 0.043). Conclusion The data of this study show significantly poorer outcomes in pregnancies of teenagers compared to adult women, even though the healthcare system in Austria is considered excellent. Future guideline recommendations should focus on important aspects of obstetric care in teenage mothers.
format Online
Article
Text
id pubmed-9897896
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Georg Thieme Verlag KG
record_format MEDLINE/PubMed
spelling pubmed-98978962023-02-04 Teenage Pregnancies in Austria – an Epidemiological Study on Prevalence and Perinatal Outcome Lastinger, Julia Enengl, Sabine Neururer, Sabrina Leitner, Hermann Oppelt, Peter Stelzl, Patrick Geburtshilfe Frauenheilkd Introduction Even though teenage pregnancy rates have been declining in the last decades, their global prevalence is still high and shows country-specific discrepancies. Insufficient sexual education, poor availability of contraceptives and early marriage are some of the multifactorial causes for adolescent pregnancies. Very often teenage pregnancies are classified as high-risk pregnancies. Studies have found higher rates of peripartal complications, such as preterm birth, low birth weight or low fetal Apgar-Scores. The aim of this retrospective cohort study is to evaluate the prevalence of teenage pregnancies in Austria and to identify principal differences in maternal and neonatal outcome. Material and methods Data were collected from the Austrian Birth Registry between 01/2012 and 12/2020. A total of 751661 deliveries in Austria were documented. Obstetric, maternal and neonatal parameters were descriptively analyzed. Mothers were subclassified into two age groups: teenage mothers of 19 years and younger and adult mothers of 20 to 39 years of age. Results Newborns of teenage mothers were significantly smaller (49.98 ± 3.11 vs. 50.31 ± 3.16 cm, p < 0.001) and had a lower birth weight (3216 ± 564 vs. 3247 ± 576 g, p < 0.001) than newborns of adult mothers. The percentage of caesarean deliveries in the teenage group was significantly lower than in adult mothers (21.1 vs. 31.8%, p < 0.001). Newborns of teenage mothers had significantly higher rates of very low (< 4) and low (< 7) 5-minute Apgar scores (5-minute Apgar < 4: 0.75 vs. 0.54%, p = 0.004) (5-minute Apgar < 7: 1.77 vs. 1.37%, p = 0.001) and significantly lower arterial umbilical-cord pH (7.25 ± 0.08 vs. 7.26 ± 0.08, p < 0.001). Perinatal mortality was higher in the age group below 20 years (0.7 vs. 0.6%, p = 0.043). Conclusion The data of this study show significantly poorer outcomes in pregnancies of teenagers compared to adult women, even though the healthcare system in Austria is considered excellent. Future guideline recommendations should focus on important aspects of obstetric care in teenage mothers. Georg Thieme Verlag KG 2022-10-25 /pmc/articles/PMC9897896/ /pubmed/36743456 http://dx.doi.org/10.1055/a-1911-1996 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Lastinger, Julia
Enengl, Sabine
Neururer, Sabrina
Leitner, Hermann
Oppelt, Peter
Stelzl, Patrick
Teenage Pregnancies in Austria – an Epidemiological Study on Prevalence and Perinatal Outcome
title Teenage Pregnancies in Austria – an Epidemiological Study on Prevalence and Perinatal Outcome
title_full Teenage Pregnancies in Austria – an Epidemiological Study on Prevalence and Perinatal Outcome
title_fullStr Teenage Pregnancies in Austria – an Epidemiological Study on Prevalence and Perinatal Outcome
title_full_unstemmed Teenage Pregnancies in Austria – an Epidemiological Study on Prevalence and Perinatal Outcome
title_short Teenage Pregnancies in Austria – an Epidemiological Study on Prevalence and Perinatal Outcome
title_sort teenage pregnancies in austria – an epidemiological study on prevalence and perinatal outcome
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9897896/
https://www.ncbi.nlm.nih.gov/pubmed/36743456
http://dx.doi.org/10.1055/a-1911-1996
work_keys_str_mv AT lastingerjulia teenagepregnanciesinaustriaanepidemiologicalstudyonprevalenceandperinataloutcome
AT enenglsabine teenagepregnanciesinaustriaanepidemiologicalstudyonprevalenceandperinataloutcome
AT neururersabrina teenagepregnanciesinaustriaanepidemiologicalstudyonprevalenceandperinataloutcome
AT leitnerhermann teenagepregnanciesinaustriaanepidemiologicalstudyonprevalenceandperinataloutcome
AT oppeltpeter teenagepregnanciesinaustriaanepidemiologicalstudyonprevalenceandperinataloutcome
AT stelzlpatrick teenagepregnanciesinaustriaanepidemiologicalstudyonprevalenceandperinataloutcome