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Younger Age in Adolescent Pregnancies Is Associated with Higher Risk of Adverse Outcomes

Author

Listed:
  • Maria de la Calle

    (Obstetrics and Gynecology Service, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain
    These authors have equal contribution.)

  • Jose L. Bartha

    (Obstetrics and Gynecology Service, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain
    These authors have equal contribution.)

  • Cristina M. Lopez

    (Pediatrics Service, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain)

  • Miriam Turiel

    (Obstetrics and Gynecology Service, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain)

  • Nuria Martinez

    (Obstetrics and Gynecology Service, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain)

  • Silvia M. Arribas

    (Department of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, C/Arzobispo Morcillo 2, 28049 Madrid, Spain)

  • David Ramiro-Cortijo

    (Department of Medicine, Beth Israel Deaconess Medical Center-Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA)

Abstract

Adolescent pregnancy remains a health issue worldwide also in developed countries, since it has been associated with adverse maternal and neonatal outcomes. Some data suggest that very young adolescents have higher risk, likely due to immaturity. Therefore, we aimed to assess the influence of maternal age on complications during gestation and labor in pregnant women between 13 and 19 years of age. In particular, we evaluated the possible association between maternal age and obstetric, fetal and labor complications. This is a retrospective, observational and exploratory study conducted at Hospital Universitario La Paz (HULP, Madrid, Spain). The clinical history of 279 women who delivered between 2013 and 2018 was analyzed. Maternal age and the presence of maternal, fetal and labor complications, as well as risk of postpartum depression and breastfeeding intention, were recorded. General regression models were used to analyze the contribution of maternal age on each complication. The percentage of adolescent pregnancies at HULP between 2013 and 2018 was 0.9%. The risk of all the maternal complications analyzed decreased significantly with every year of age of the mother (hyperemesis, lower back pain, anemia, gestational diabetes mellitus, and threat of premature labor and premature rupture of membranes). Every year of maternal age decreased 0.8-fold [0.8; 0.9] the prevalence of fetal complications and also reduced the risk of C-section, postpartum hemorrhage and obstetrical hysterectomy. Furthermore, higher maternal age increased 1.1-fold [1.0; 1.2] the breastfeeding intention. In conclusion, young adolescents are at higher risk of complications during pregnancy and labor.

Suggested Citation

  • Maria de la Calle & Jose L. Bartha & Cristina M. Lopez & Miriam Turiel & Nuria Martinez & Silvia M. Arribas & David Ramiro-Cortijo, 2021. "Younger Age in Adolescent Pregnancies Is Associated with Higher Risk of Adverse Outcomes," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8514-:d:612995
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    References listed on IDEAS

    as
    1. Linda K. George, 2010. "Still Happy After All These Years: Research Frontiers on Subjective Well-being in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(3), pages 331-339.
    2. Andrea Gila-Díaz & Gloria Herranz Carrillo & Ángel Luis López de Pablo & Silvia M. Arribas & David Ramiro-Cortijo, 2020. "Association between Maternal Postpartum Depression, Stress, Optimism, and Breastfeeding Pattern in the First Six Months," IJERPH, MDPI, vol. 17(19), pages 1-13, September.
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    Cited by:

    1. María De la Calle & Jose L. Bartha & Laura García & Marcos J. Cuerva & David Ramiro-Cortijo, 2021. "Women Aged over 40 with Twin Pregnancies Have a Higher Risk of Adverse Obstetrical Outcomes," IJERPH, MDPI, vol. 18(24), pages 1-9, December.

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