Longitudinal health outcome and wellbeing of mother-infant pairs after adolescent pregnancy in Reunion Island, Indian Ocean.
OBJECTIVE
To evaluate longitudinal care needs and health service access among mother-infant pairs after adolescent pregnancy.


METHODS
In a case-control study, data were analyzed from primiparous adolescent and adult mother-infant pairs who delivered at Reunion Island University Hospital, France, between January 2004 and December 2006, and were followed-up from maternity discharge until December 2011. Infant outcomes were hospitalization during the first 2 years of life, hospital access for "non-medical" reasons, and neuropsychiatric care. Maternal outcomes were number of pregnancies and childbirths, rapid repeat pregnancy (RRP) rate, pregnancy morbidities, and use of health services.


RESULTS
Data from 476 cases and 476 controls were analyzed. Adolescent and control offspring did not differ in the measured outcomes. Adolescent and control mothers had, respectively, 2.4 ± 1.3 and 1.9 ± 1.1 pregnancies; 1.9 ± 0.8 and 1.6 ± 0.7 childbirths; and RRP rates of 7.6% and 2.7% (all P<0.001). Adolescents had less pregnancy-related pathologies at the index pregnancy and more frequently had natural deliveries (P<0.05). Younger mothers exhibited higher rates (19.7% versus 6.9%, P=0.001) of care for psychosocial reasons (suicide attempt, acute alcohol or drug intoxication, road accident, psychiatric problems, physical abuse).


CONCLUSIONS
Concerns arise from the long-term psychosocial risk among adolescent mothers.
Neonatology and NICU, La Réunion University Hospital, Saint Pierre, France; Centre d'Etudes Périnatales de l'Océan Indien, CHU La Réunion, Saint Pierre, France. Electronic address: silvia.iacobelli@chu-reunion.fr.
Silvia
S
Iacobelli
Neonatology and NICU, La Réunion University Hospital, Saint Pierre, France; Centre d'Etudes Périnatales de l'Océan Indien, CHU La Réunion, Saint Pierre, France.
Pierre-Yves
PY
Robillard
Neonatology and NICU, La Réunion University Hospital, Saint Pierre, France; Centre d'Etudes Périnatales de l'Océan Indien, CHU La Réunion, Saint Pierre, France.
Jean-Bernard
JB
Gouyon
Maternity Department, La Réunion University Hospital, Saint Pierre, France.
Marine
M
Nichols
Maternity Department, La Réunion University Hospital, Saint Pierre, France.
Malik
M
Boukerrou
Maternity Department, La Réunion University Hospital, Saint Pierre, France.
Georges
G
Barau
Neonatology and NICU, La Réunion University Hospital, Saint Pierre, France; Centre d'Etudes Périnatales de l'Océan Indien, CHU La Réunion, Saint Pierre, France.
Francesco
F
Bonsante
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D016022:Case-Control Studies; D002675:Child, Preschool; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007195:Indian Ocean Islands / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008423:Maternal Age; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence
Behavioral factors; Longitudinal risk; Mental health; Pregnancy risk; Social distress; Teenage pregnancy; Young adulthood