title: Children having children: Outcome of extreme teenage pregnancies (13-15 years).
abstract: A case-control study was conducted to compare obstetric and fetal outcomes of teenage mothers <or=15 years (n=35) with those from older teenagers between 16 and 19 years (n=35) and mothers between 20 and 30 years (n = 35) matched for ethnicity and parity. Teenage mothers <or=15 years were significantly more likely to come from single-parent families and twice as likely to have experienced childhood sexual or physical abuse compared to those over 16 years (both p <0.0001). They attended antenatal appointments later than older teenagers (23+/-7 weeks vs. 18+/-7 weeks, p <0.05), had fewer visits (p<0.05), were more likely to undergo emergency cesarean section (25.7% vs. 5.7% vs. 8.6%, p <0.05) and to have a higher rate of perineal trauma (45.7% vs. 20.0% vs. 25.7%, p<0.05). However, all three groups delivered babies of comparable birthweights (3.2+/-0.5 kg vs. 3.1+/-0.7 kg vs. 3.3+/-0.6 kg, p >0.05) at similar gestations (39+/-4 weeks vs. 39+/-2 weeks vs. 39+/-3 weeks, p >0.05).
authors.affiliation: Royal Free and University College Medical School, London NW3 4JP, UK.
authors.forename: Esther
authors.initials: E
authors.lastname: Papamicheal
authors.forename: Rekha
authors.initials: R
authors.lastname: Pillai
authors.forename: Wai
authors.initials: W
authors.lastname: Yoong
mesh_terms: D000293:Adolescent; D000328:Adult; D001724:Birth Weight; D016022:Case-Control Studies; D002585:Cesarean Section; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010298:Parity; D011247:Pregnancy; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence; D011295:Prenatal Care; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D055815:Young Adult