双胎妊娠:青少年与成人。

IF 1.4 Q3 OBSTETRICS & GYNECOLOGY
Shaymaa Kadhim Jasim, Rusul Daad, Abbas Oweid Olewi, Hayder Al-Momen, Rand Almomen
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引用次数: 0

摘要

目的:不同的国家,这可能会创造一个非常年轻的母亲的新时代,这对产科和新生儿卫生系统施加额外的压力。在双胎妊娠的情况下,负担将会最大化。目的是强调与成人相比,双胎青少年怀孕的产科和新生儿结局的差异。材料和方法:从一家三级产科和新生儿中心前瞻性地收集了5年以上的数据。双胎妊娠分为两类,青少年为病例组,成人为对照组。结果:青少年组女性59人,成人782人。结论:青少年双胎妊娠显著增加了严重早产的发生率,定义为胎龄[(GA) 28≤32周][优势比(95%置信区间)2.64(1.26-3.92)]。结论:青少年双胎妊娠显著增加了产科和新生儿并发症的指标,尤其是严重早产、新生儿体重低和出生体长短,并降低了OFC、APGAR评分
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Twin pregnancy: adolescents versus adults.

Objective: Various nations, and this could create a new era of very young mothers which apply an additional pressure on obstetrical and neonatal health system. In cases of twin pregnancy, the burden would be maximized. The aim was to highlight the differences of obstetrical and neonatal outcomes of twin adolescent pregnancy compared to adults.

Material and methods: Data were collected prospectively over five years from a tertiary obstetric and neonatal center. Two categories of twin pregnancies were formed from adolescents as the case group and adults as controls.

Results: The adolescent group included 59 women and adults numbered 782. The adolescents had significantly higher rates of very preterm delivery, defined as gestational age [(GA) 28≤32 weeks] [odds ratio (95% confidence interval) 2.64 (1.26-3.92)], p<0.05], and significantly lower mean GA than adults (36.6±4.1 versus 37.8±2.6, weeks respectively). Babies delivered to adolescents had significantly lower mean birth weight (1936.5±0.604 g), birth height (43.4±4.3 cm), and occipitofrontal circumference (OFC) (30.8±3.3 cm). Moreover, there was a significantly higher frequency of neonates with APGAR score <7 at the fifth minute [31 (52.54)], low birth weight [53 (89.83)], and neonatal intensive care unit (NICU) admission [38 (64.41)].

Conclusion: Twin adolescent pregnancy had significantly elevated metrics for obstetric and neonatal complications, which were especially notable for very preterm delivery, low neonatal birth weight and short birth length, and reduced OFC, APGAR score <7 at the fifth minute, and NICU admission rate.

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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
56
期刊介绍: Journal of the Turkish-German Gynecological Association is the official, open access publication of the Turkish-German Gynecological Education and Research Foundation and Turkish-German Gynecological Association and is published quarterly on March, June, September and December. It is an independent peer-reviewed international journal printed in English language. Manuscripts are reviewed in accordance with “double-blind peer review” process for both reviewers and authors. The target audience of Journal of the Turkish-German Gynecological Association includes gynecologists and primary care physicians interested in gynecology practice. It publishes original works on all aspects of obstertrics and gynecology. The aim of Journal of the Turkish-German Gynecological Association is to publish high quality original research articles. In addition to research articles, reviews, editorials, letters to the editor, diagnostic puzzle are also published. Suggestions for new books are also welcomed. Journal of the Turkish-German Gynecological Association does not charge any fee for article submission or processing.
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