title: Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study.
abstract: OBJECTIVE
  This study was undertaken to determine whether adolescent pregnancy is associated with increased risks of adverse pregnancy outcomes.
  
  
  METHODS
  We studied 854,377 Latin American women who were younger than 25 years during 1985 through 2003 using information recorded in the Perinatal Information System database of the Latin American Center for Perinatology and Human Development, Montevideo, Uruguay. Adjusted odds ratios were obtained through logistic regression analysis.
  
  
  RESULTS
  After an adjustment for 16 major confounding factors, adolescents aged 15 years or younger had higher risks for maternal death, early neonatal death, and anemia compared with women aged 20 to 24 years. Moreover, all age groups of adolescents had higher risks for postpartum hemorrhage, puerperal endometritis, operative vaginal delivery, episiotomy, low birth weight, preterm delivery, and small-for-gestational-age infants. All adolescent mothers had lower risks for cesarean delivery, third-trimester bleeding, and gestational diabetes.
  
  
  CONCLUSIONS
  In Latin America, adolescent pregnancy is independently associated with increased risks of adverse pregnancy outcomes.
authors.affiliation: Department of Obstetrics and Gynecology, Fundacion Clinica Valle del Lili, Cali, Colombia.
authors.forename: Agustin
authors.initials: A
authors.lastname: Conde-Agudelo
authors.forename: José M
authors.initials: JM
authors.lastname: Belizán
authors.forename: Cristina
authors.initials: C
authors.lastname: Lammers
mesh_terms: D000293:Adolescent; D000328:Adult; D001724:Birth Weight; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007226:Infant Mortality; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007843:Latin America; D008423:Maternal Age; D008428:Maternal Mortality; D009017:Morbidity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011253:Pregnancy in Adolescence; D012189:Retrospective Studies