Incidence and outcomes of adolescent pregnancy in consuelo, Dominican Republic between 2017-2022.

International Journal of Adolescent Medicine and Health Pub Date : 2025-11-12 eCollection Date: 2025-12-01 DOI:10.1515/ijamh-2025-0049

Wendy Chavez, Anabel Fernandez, Abenezer Tafese, Marina Oktapodas Feiler, Francisca Vasquez, Sarah A MacLean, Andrew P Steenhoff

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引用次数: 0

Abstract

Objectives: Despite global declines, adolescent pregnancy remains a significant public health issue in the Dominican Republic. We examined the rate of adolescent pregnancy and associated maternal and neonatal outcomes in Consuelo, a semi-rural Dominican town.

Methods: A retrospective review of labor and delivery records from January 2017 to December 2022 was conducted at Consuelo's regional hospital. Descriptive analyses compared maternal and neonatal outcomes between adolescent and non-adolescent pregnancies.

Results: Of 1,292 deliveries, adolescent pregnancies accounted for 22 %, ranging from 14 % in 2022 to 27 % in 2019. There were no differences between adolescent and non-adolescent mothers in rates of low birth weight, macrosomia, pre-term delivery, post-term delivery or neonatal death. Adolescent mothers were more likely to have cephalopelvic disproportion (CPD; p=0.005).

Conclusions: There is a high incidence of adolescent pregnancy in Consuelo, adolescent mothers were more likely to have CPD, and interventions are needed to reduce the incidence of adolescent pregnancies.

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2017-2022年多米尼加共和国康苏韦洛青少年怀孕的发生率和结果

目标：尽管全球青少年怀孕率有所下降，但在多米尼加共和国，青少年怀孕仍然是一个重大的公共卫生问题。我们调查了多米尼加半农村城镇Consuelo的青少年怀孕率和相关的孕产妇和新生儿结局。方法：回顾性分析康斯韦洛地区医院2017年1月至2022年12月的分娩记录。描述性分析比较了青少年和非青少年怀孕的产妇和新生儿结局。结果：在1292例分娩中，青少年怀孕占22% %，从2022年的14% %到2019年的27% %。青少年母亲和非青少年母亲在低出生体重、巨大儿、早产、足月后分娩或新生儿死亡率方面没有差异。青少年母亲更容易出现头骨盆比例失调（CPD; p=0.005）。结论：康斯韦洛地区青少年怀孕发生率较高，青少年母亲发生CPD的可能性较大，需要采取干预措施降低青少年怀孕发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Adolescent Medicine and Health Medicine-Pediatrics, Perinatology and Child Health

CiteScore

3.60

自引率

0.00%

发文量

期刊介绍： The International Journal of Adolescent Medicine and Health (IJAMH) provides an international and interdisciplinary forum for the dissemination of new information in the field of adolescence. IJAMH is a peer-reviewed journal that covers all aspects of adolescence. Manuscripts will be reviewed from disciplines all over the world. The International Editorial Board is dedicated to producing a high quality scientific journal of interest to researchers and practitioners from many disciplines. Topics Medicine and Clinical Medicine Health issues Adolescents Hygiene and Environmental Medicine.