Adolescent Perinatal Outcomes in South West Sydney, Australia
Objective: To compare perinatal outcomes, blood pressures throughout pregnancy, rates of hypertensive disorders of pregnancy, preeclampsia, gestational diabetes mellitus, and immediate obstetric outcomes in adolescents younger than 20 years at delivery and those in the 20- to 34-year age group. Pati...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-03-01
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| Series: | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2542454818300018 |
| _version_ | 1819080203847073792 |
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| author | Alexander J. Garner, MBBS Annette Robertson, RN, RM, MSc, PhD Charlene Thornton, MScMed, GDipMidwifery, BNurs, PhD Gaksoo Lee, RN, RM, Grad Dip Sci Angela Makris, MBBS, FRACP, PhD Sally Middleton, BApplSc(Phty) Colin Sullivan, MBBS, PhD, FRACP, FAA, FTSE Annemarie Hennessy, MBBS, MBA, PhD |
| author_facet | Alexander J. Garner, MBBS Annette Robertson, RN, RM, MSc, PhD Charlene Thornton, MScMed, GDipMidwifery, BNurs, PhD Gaksoo Lee, RN, RM, Grad Dip Sci Angela Makris, MBBS, FRACP, PhD Sally Middleton, BApplSc(Phty) Colin Sullivan, MBBS, PhD, FRACP, FAA, FTSE Annemarie Hennessy, MBBS, MBA, PhD |
| author_sort | Alexander J. Garner, MBBS |
| collection | DOAJ |
| description | Objective: To compare perinatal outcomes, blood pressures throughout pregnancy, rates of hypertensive disorders of pregnancy, preeclampsia, gestational diabetes mellitus, and immediate obstetric outcomes in adolescents younger than 20 years at delivery and those in the 20- to 34-year age group. Patients and Methods: Questionnaires were administered to pregnant women at Campbelltown and Liverpool hospitals within South West Sydney, Australia, as part of a broader study of sleep-disordered breathing in pregnancy between February 1, 2009, and February 28, 2013. Data collected included demographic data, blood pressure readings, pregnancy complications, delivery type, and neonatal outcomes. Adolescents were compared with older women using Student t tests and χ2 statistics. Results: A total of 103 adolescents were compared with 2291 women aged 20 to 34 years. Adolescents were more likely to be primiparous, had longer average gestations, and had lower pre-pregnancy body mass index. Adolescents had lower rates of cesarean section delivery and gestational diabetes mellitus. There was no significant difference in smoking rates, perinatal mortality rate, small for gestational age, intrauterine growth restriction, Apgar score of less than 7 at 5 minutes, admission to special care nursery, or hypertensive disorder of pregnancy rates. Adolescents had lower booking systolic and diastolic blood pressures, and their highest antenatal systolic blood pressures were lower. Conclusion: Adolescents have birth outcomes to similar to those of their older counterparts. Adolescents had lower booking blood pressures. This may have implications for the screening and diagnosis of hypertensive disorders of pregnancy in adolescents. |
| first_indexed | 2024-12-21T19:41:09Z |
| format | Article |
| id | doaj.art-c26178b19bed4a6f8180ef1130b7538d |
| institution | Directory Open Access Journal |
| issn | 2542-4548 |
| language | English |
| last_indexed | 2024-12-21T19:41:09Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| spelling | doaj.art-c26178b19bed4a6f8180ef1130b7538d2022-12-21T18:52:28ZengElsevierMayo Clinic Proceedings: Innovations, Quality & Outcomes2542-45482018-03-01211015Adolescent Perinatal Outcomes in South West Sydney, AustraliaAlexander J. Garner, MBBS0Annette Robertson, RN, RM, MSc, PhD1Charlene Thornton, MScMed, GDipMidwifery, BNurs, PhD2Gaksoo Lee, RN, RM, Grad Dip Sci3Angela Makris, MBBS, FRACP, PhD4Sally Middleton, BApplSc(Phty)5Colin Sullivan, MBBS, PhD, FRACP, FAA, FTSE6Annemarie Hennessy, MBBS, MBA, PhD7School of Medicine, Western Sydney University, Penrith, NSW, Australia; Correspondence: Address to Alexander J. Garner, MBBS, School of Medicine, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.School of Medicine, Western Sydney University, Penrith, NSW, AustraliaSchool of Medicine, Western Sydney University, Penrith, NSW, AustraliaLiverpool Hospital, Liverpool, NSW, AustraliaSchool of Medicine, Western Sydney University, Penrith, NSW, AustraliaSydney Medical School, University of Sydney, Sydney, NSW, AustraliaSydney Medical School, University of Sydney, Sydney, NSW, AustraliaSchool of Medicine, Western Sydney University, Penrith, NSW, AustraliaObjective: To compare perinatal outcomes, blood pressures throughout pregnancy, rates of hypertensive disorders of pregnancy, preeclampsia, gestational diabetes mellitus, and immediate obstetric outcomes in adolescents younger than 20 years at delivery and those in the 20- to 34-year age group. Patients and Methods: Questionnaires were administered to pregnant women at Campbelltown and Liverpool hospitals within South West Sydney, Australia, as part of a broader study of sleep-disordered breathing in pregnancy between February 1, 2009, and February 28, 2013. Data collected included demographic data, blood pressure readings, pregnancy complications, delivery type, and neonatal outcomes. Adolescents were compared with older women using Student t tests and χ2 statistics. Results: A total of 103 adolescents were compared with 2291 women aged 20 to 34 years. Adolescents were more likely to be primiparous, had longer average gestations, and had lower pre-pregnancy body mass index. Adolescents had lower rates of cesarean section delivery and gestational diabetes mellitus. There was no significant difference in smoking rates, perinatal mortality rate, small for gestational age, intrauterine growth restriction, Apgar score of less than 7 at 5 minutes, admission to special care nursery, or hypertensive disorder of pregnancy rates. Adolescents had lower booking systolic and diastolic blood pressures, and their highest antenatal systolic blood pressures were lower. Conclusion: Adolescents have birth outcomes to similar to those of their older counterparts. Adolescents had lower booking blood pressures. This may have implications for the screening and diagnosis of hypertensive disorders of pregnancy in adolescents.http://www.sciencedirect.com/science/article/pii/S2542454818300018 |
| spellingShingle | Alexander J. Garner, MBBS Annette Robertson, RN, RM, MSc, PhD Charlene Thornton, MScMed, GDipMidwifery, BNurs, PhD Gaksoo Lee, RN, RM, Grad Dip Sci Angela Makris, MBBS, FRACP, PhD Sally Middleton, BApplSc(Phty) Colin Sullivan, MBBS, PhD, FRACP, FAA, FTSE Annemarie Hennessy, MBBS, MBA, PhD Adolescent Perinatal Outcomes in South West Sydney, Australia Mayo Clinic Proceedings: Innovations, Quality & Outcomes |
| title | Adolescent Perinatal Outcomes in South West Sydney, Australia |
| title_full | Adolescent Perinatal Outcomes in South West Sydney, Australia |
| title_fullStr | Adolescent Perinatal Outcomes in South West Sydney, Australia |
| title_full_unstemmed | Adolescent Perinatal Outcomes in South West Sydney, Australia |
| title_short | Adolescent Perinatal Outcomes in South West Sydney, Australia |
| title_sort | adolescent perinatal outcomes in south west sydney australia |
| url | http://www.sciencedirect.com/science/article/pii/S2542454818300018 |
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