Adverse Pregnancy Outcomes among Adolescents in Northwest Russia

A Population Registry-Based Study

Bibliographic Data

ID15477586
AuthorsAnna A Usynina (0000-0002-5346-3047, Northern State Medical University, corresponding author), Vitaly A Postoev (0000-0003-4982-4169, Northern State Medical University), Jon Oyvind Odland (0000-0002-2756-0732, UiT The Arctic University of Norway), Andrej М Grjibovski (0000-0002-5464-0498, North-Eastern Federal University)
Year2018
Volume15
Issue2
Pages261-261
Publication date2018-02-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph15020261
PMID29401677
OpenAlexW2791124501
LanguageEN
Citations received1
References cited9

This study aimed to assess whether adolescents have an increased risk of adverse pregnancy outcomes (APO) compared to adult women. We used data on 43,327 births from the population-based Arkhangelsk County Birth Registry, Northwest Russia, for 2012-2014. The perinatal outcomes included stillbirth, preterm birth (<37 and <32 weeks), low and very low birthweight, 5 min Apgar score <7 and <4, perinatal infections, and the need for neonatal transfer to a higher-level hospital. Multivariable logistic regression was applied to assess the associations between age and APO. Altogether, 4.7% of deliveries occurred in adolescents. Both folic acid intake and multivitamin intake during pregnancy were more prevalent in adults. Adolescents were more likely to be underweight, to smoke, and to have infections of the kidney and the genital tract compared to adult women. Compared to adults, adolescents were at lower risk of low birthweight, a 5 min Apgar score <7, and need for neonatal transfer. Adolescents had no increased risk of other APO studied in the adjusted analysis, suggesting that a constellation of other factors, but not young age per se, is associated with APO in the study setting

Apgar score · Birth weight · Body mass index · Environmental health · Gestational age · Logistic regression · Low birth weight · Obstetrics · Overweight · Population · Pregnancy · Premature birth · Small for gestational age · Underweight · Adolescent Sexual and Reproductive Health · Birth, Development, and Health · Gestational Diabetes Research and Management · Medicine · Internal Medicine · Pediatrics