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ISSN: 2167-0420

Journal of Women's Health Care
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Research Article

Teenage Pregnancies: Obstetric and Neonatal Outcomes at a Danish Regional Hospital

Aiste Ugianskiene1*, Susanne Ledertoug2, Pia Murrekilde3 and Pinar Bor4

1Department of Obstetrics and Gynaecology, Regional Hospital of Randers/Aalborg University Hospital, Denmark

2Department of Obstetrics and Gynaecology, Regional Hospital of Randers, Denmark

3Midwife, Department of Obstetrics and Gynaecology, Regional Hospital of Randers, Denmark

4Associate Professor, Department of Obstetrics and Gynaecology, Regional Hospital of Randers, Denmark

Corresponding Author:
Aiste Ugianskiene
Department of Obstetrics and Gynaecology
Aalborg University Hospital Reberbansgade 15
9100 Aalborg, Denmark
Tel: 45 60 64 69 99
E-mail: [email protected]

Received Date: October 24, 2015; Accepted Date: October 26, 2015; Published Date: November 03, 2015

Citation: Ugianskiene A, Ledertoug S, Murrekilde P, Bor P (2015) Teenage Pregnancies: Obstetric and Neonatal Outcomes at a Danish Regional Hospital. J Women’s Health Care 4:283. doi:10.4172/2167-0420.1000283

Copyright: © 2015 Ugianskiene A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Abstract

Objective: The aim of our study was to investigate whether Danish teenage pregnancies were associated with increased risks of adverse maternal, obstetrical and neonatal outcomes.
Study design: A retrospective case control study. All nulliparous singleton pregnant teenagers ≤ 19 years (n=134) and randomly selected nulliparous women (n=268) aged 20-39 with singleton pregnancy, who gave birth at the Regional Hospital of Randers from 2008 to 2012 were included. Statistical comparisons by independent t-test were applied to continuous data, while Chi-square test was used to examine for differences in frequency data. We calculated Odds ratio (OR), 95% confidence intervals (CI) and p values <0.05 was considered significant.
Results: The prevalence of teenage pregnancy in our study was 1.8%. Smoking during pregnancy was significantly higher among pregnant teenagers (46%) versus non-teenagers (9%). There was a significantly higher prevalence of spontaneous vaginal delivery in teenage pregnancies (81%) compared to controls (65%). The prevalence of caesarean section was significantly lower in the study group (6.7%) than in the control group (19%). Third and fourth degree perineal tears and postpartum hemorrhage were significantly less in the study group than in the control group (0.8% vs 6.4% and 16% vs 25.4% respectively). There was no statistically significant association between teenage pregnancies and increased rates of antenatal complications including, preeclampsia, eclampsia and gestational diabetes mellitus. There was no statistical significant difference of the neonatal outcomes; LBW, Apgar score and arterial cord pH between groups.
Conclusion: Teenage pregnancies in our setting seem not to be associated with increased risks of adverse maternal, obstetrical and neonatal outcomes. This is probably due to high-quality maternity and neonatal care that is available for teenage pregnancies in Denmark.

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