What Are the Maternal and Neonatal Outcomes of Adolescent Pregnancy in Women Referring to Ayatollah Mousavi Hospital in Zanjan? A Comparative Cross-sectional Study

سال انتشار: 1398
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 233

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شناسه ملی سند علمی:

JR_NMCJ-9-3_004

تاریخ نمایه سازی: 1 اسفند 1399

چکیده مقاله:

Background: Adolescent pregnancy is considered a high-risk pregnancy and is considered as a common phenomenon in Iran. Objectives: This study aimed to compare neonatal and maternal outcomes in adolescent mothers with those of adult pregnancy. Methods: This cross-sectional comparative study was conducted between September 2018 and March 2019 in the Referral Hospital of Ayatollah Mosavi of Zanjan, Iran. Data were collected using the convenience sampling method. Overall, 133 and 696 out of 1340 participated women were teenage and adult women within the age range of 20-30 years, respectively. The Chi-squared and logistic regression tests were used to compare the neonatal and obstetric consequences of the pregnancy of the two age groups. Finally, SPSS25 was used for data analysis, and a P<0.05 was considered statistically significant. Results: Prevalence of adolescent pregnancy was found to be 9.92%. Adolescents had an increased risk of induced vaginal delivery (IVD) (OR=1.43, (OR: Odds ratio) 95% CI 1.07-4.23(CI: Confidence interval)), (P=0.01), dystocia (OR=3.23, 95% CI (2.27-17.22), (P=0.004)), and episiotomy ((OR=3.63), 95% CI (2.44-7.31), (P=0.001)). None of the neonatal consequences showed any significant difference between the two groups (P>0.05). Conclusion: In our society, adolescent pregnancy is accompanied by dire consequences for the mother, but not for the neonate. Thus, it is recommended that health workers discourage adolescent pregnancy through appropriate services and education, and in cases where pregnancy has already occurred, support the woman through offering health services in order to prevent or minimize the risks or complications of pregnancy at such early age.

نویسندگان

Samaneh Youseflu

Instructor, Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran

Mahnaz Keshavarz Afshar

Instructor, Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran

Mina Mousavi

Student research committee, Zanjan University of Medical Sciences, Zanjan, iran

Zahra Moradi

Student research committee, Zanjan University of Medical Sciences, Zanjan, iran

Mojdeh Banaei

Ph.D student of reproductive health, Mother and child welfare research Center, Hormozgan University of medical Sciences, Bandar Abbas, Iran

Fatemeh Bayat

Ph.D student of reproductive health, Student Research Committee, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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