title: [Obstetric and neonatal outcomes of adolescent pregnancies: a cohort study in a hospital in Seine-Saint-Denis France].
abstract: OBJECTIVE
  The aim of this study was to describe the characteristics, monitoring, obstetrical complications, childbirth and neonatal outcomes of pregnancies among minors in a cohort of adolescents from Seine-Saint-Denis (France).
  
  
  METHODS
  This is a retrospective, cohort, comparative study, conducted from January 1, 1996 to July 31, 2011, made from the database of Jean-Verdier hospital in Seine-Saint-Denis. Three groups were established: patients aged less than 16 years old, patients aged over 16 years old and under 18 years old compared to a group consisting of older primiparas from 18 to 25 years old. The criteria considered were the characteristics of pregnancy, terms of delivery, neonatal outcome and conduct of post-partum.
  
  
  RESULTS
  Minor patients were statistically more likely to be single, student, smoking and anemia compared to young adults. The obstetrical care was lower for minor compared to the control group with a number of consultations and ultrasounds lower (P < 0.001). Obstetrical complications were similar in the three groups outside of preterm labor. Adolescentes under 16 years old had a higher preterm delivery risk in multivariate analysis (RR = 0.33 CI 95% [0.12; 0.90] P = 0.03). Adolescents had fewer cesarean and instrumental deliveries (P < 0.05).
  
  
  CONCLUSIONS
  Teenage pregnancy remains an important managing issue for maternities, particularly from a social standpoint. On the medical side, one preterm delivery appears to be more common among these adolescents.
authors.affiliation: Service de gynécologie obstétrique, université Paris 13, hôpital Jean-Verdier, Assistance Publique-Hôpitaux de Paris, avenue du 14-juillet, 93140 Bondy, France.
authors.forename: E
authors.initials: E
authors.lastname: Debras
authors.affiliation: Service de gynécologie obstétrique, université Paris 13, hôpital Jean-Verdier, Assistance Publique-Hôpitaux de Paris, avenue du 14-juillet, 93140 Bondy, France. Electronic address: revaurelie@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Revaux
authors.affiliation: Service de gynécologie obstétrique, université Paris 13, hôpital Jean-Verdier, Assistance Publique-Hôpitaux de Paris, avenue du 14-juillet, 93140 Bondy, France.
authors.forename: A
authors.initials: A
authors.lastname: Bricou
authors.affiliation: Service de gynécologie obstétrique, université Paris 6, hôpital Tenon, Assistance Publique-Hôpitaux de Paris, 4, rue de la Chine, 75020 Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Laas
authors.affiliation: Service de gynécologie obstétrique, université Paris 13, hôpital Jean-Verdier, Assistance Publique-Hôpitaux de Paris, avenue du 14-juillet, 93140 Bondy, France.
authors.forename: A
authors.initials: A
authors.lastname: Tigaizin
authors.affiliation: Service de gynécologie obstétrique, université Paris 13, hôpital Jean-Verdier, Assistance Publique-Hôpitaux de Paris, avenue du 14-juillet, 93140 Bondy, France.
authors.forename: A
authors.initials: A
authors.lastname: Benbara
authors.affiliation: Service de gynécologie obstétrique, université Paris 13, hôpital Jean-Verdier, Assistance Publique-Hôpitaux de Paris, avenue du 14-juillet, 93140 Bondy, France.
authors.forename: L
authors.initials: L
authors.lastname: Carbillon
mesh_terms: D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D001724:Birth Weight; D002585:Cesarean Section / Q000706:statistics & numerical data; D015331:Cohort Studies; D036861:Delivery, Obstetric / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D005602:France; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Accouchement; Adolescence; Anemia; Anémie; Grossesse; Precariousness; Pregnancy; Prematurity; Précarité; Prématurité; Tabac; Tobacco