ACADEMIC AND RESEARCH PEER-REVIEWED MEDICAL JOURNALISSN 1727-2378
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Obstetrical and Perinatal Complications in Young Primiparas

DOI:10.31550/1727-2378-2019-162-7-6-11
Bibliography link: Radzinsky V.E., Khamoshina M.B., Chakchurina I.A., Orazmuradova А.А. Obstetrical and Perinatal Complications in Young Primiparas. Doctor.Ru. 2019; 7(162): 6–11. DOI: 10.31550/1727-2378-2019-162-7-6-11
Obstetrical and Perinatal Complications in Young Primiparas
18 July 00:00

Objective of the Study: To evaluate the course of pregnancy, labor, and the postpartum period in young primiparas, and the health of their newborns, as well as to identify obstetrical and perinatal complications typical for this group of mothers.

Study Design: This was a group, one-stage study.

Materials and Methods: Study data were obtained from original medical records, and questionnaires completed by study participants. The main group was made up of 388 young primiparas, aged 13 to 18, and the control group consisted of 416 women, aged 20 to 29, who were also primiparas. All participants had undergone comprehensive clinical examinations, diagnostic investigations, and laboratory tests.

Study Results: A narrow pelvis was observed 2.6 times more often in the main group than in the control group (36.0% vs. 14.0%; p < 0.05). The average age at menarche was 12.6 ± 1.3 in the group of younger women and 13.5 ± 1.5 in the group of women aged 20 to 29 (p < 0.01). Early menarche (between 9 and 11 years of age) was reported in 18.0% of the younger women and 4.0% of the adult women (p < 0.01). Analysis of the prevalence of gynecological diseases showed that the women of optimal reproductive age had a more significant history of these disorders (76.0% vs. 38.0%; p < 0.05). Data on contraceptive use showed that in the main group only 57.0% of the women had used contraception, while in the control group the proportion of such women was 89.0% (p < 0.05).

The mean body weight of the infants at birth was 3,349.5 ± 469.4 g in the main group and 3,416.5 ± 407.1 g (p < 0.01) in the control group. Low-body-weight infants (< 2,500 g) were born approximately six times more frequently to the adolescent mothers than to the women of optimal reproductive age (4.0% vs. 0.7%, respectively, p < 0.05). The mean first-minute Apgar score was 7.9 ± 0.6 in the group of younger mothers and 8.0 ± 0.5 in the group of mothers of optimal reproductive age (p < 0.05). The overall morbidity of the newborns in the study was 42.0% in the main group and 22.0% in the control group (p < 0.05).

Conclusion: Younger pregnant women have experienced menarche at an earlier age, been more sexually active, used less contraception, and have more frequently had menstrual disorders (р < 0.001). They have fewer gynecological disorders in their medical histories and less often have had reproductive system surgery, including to terminate a pregnancy (р < 0.001). The most common complications of pregnancy in adolescent mothers include anemia, threatened miscarriage, risk of preterm labor, fast or precipitous labor, polyhydramnios, and narrow pelvis. Because of their biological immaturity, adolescent mothers more often have such perinatal outcomes as low body weight and lower Apgar scores of their infants.


V.E. Radzinsky — Peoples’ Friendship University of Russia; 6 Miklouho-Maclay St., Moscow, Russian Federation 117198. eLIBRARY.RU SPIN: 4507-7510. ORCID: http://orcid.org/0000-0003-4956-0466. E-mail: radzinsky@mail.ru

M.B. Khamoshina — Peoples’ Friendship University of Russia; 6 Miklouho-Maclay St., Moscow, Russian Federation 117198. eLIBRARY.RU SPIN: 6790-4499. ORCID: http://orcid.org/0000-0003-1940-4534. E-mail: khamoshina@mail.ru

I.A. Chakchurina — Peoples’ Friendship University of Russia; 6 Miklouho-Maclay St., Moscow, Russian Federation 117198. E-mail: irisha_chak@list.ru

А.А. Orazmuradova — Peoples’ Friendship University of Russia; 6 Miklouho-Maclay St., Moscow, Russian Federation 117198. E-mail: irisha_chak@list.ru

Obstetrical and Perinatal Complications in Young Primiparas
18 July 00:00
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