Risk-profiles and outcomes of multi-foetal pregnancies in adolescent mothers.
In this retrospective review of 468 mothers with a multi-foetal pregnancy in Detroit, we describe the risk-profiles and the obstetrical, maternal and foetal outcomes of multi-foetal pregnancy in 59 (13%) adolescents. Overall, most mothers were African American, did not have private insurance and all were unmarried. For most mothers, this was their first pregnancy (59.3%) and their first delivery (69.5%). Almost 50% presented to triage at least once during their pregnancy. Anaemia (78%) and hypertensive disorders (18.6%) were common in this age group. The majority of adolescents delivered preterm as 81.4% were <37 weeks and 49% were <34 weeks. Furthermore, the majority of infants (79%) had low birth weights (median: 1975 g, range: 365-3405 g). This contemporary report emphasises the need for multidisciplinary prenatal management and specialist supervision, as multi-foetal pregnancies in adolescents pose real risks and impact obstetrical, maternal and neonatal outcomes.
a Department of Obstetrics and Gynecology , Wayne State University , Detroit , MI , USA.
Layan
L
Alrahmani
b Center for Healthcare Outcomes and Policy , University of Michigan , Ann Arbor , MI , USA.
Zaid M
ZM
Abdelsattar
a Department of Obstetrics and Gynecology , Wayne State University , Detroit , MI , USA.
Henry
H
Adekola
a Department of Obstetrics and Gynecology , Wayne State University , Detroit , MI , USA.
Elizabeth
E
Puscheck
a Department of Obstetrics and Gynecology , Wayne State University , Detroit , MI , USA.
Bernard
B
Gonik
a Department of Obstetrics and Gynecology , Wayne State University , Detroit , MI , USA.
Awoniyi O
AO
Awonuga
D000293:Adolescent; D005260:Female; D006801:Humans; D007230:Infant, Low Birth Weight; D008824:Michigan; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000209:etiology; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence / Q000706:statistics & numerical data*; D011272:Pregnancy, Multiple / Q000706:statistics & numerical data*; D047928:Premature Birth / Q000453:epidemiology / Q000209:etiology; D011295:Prenatal Care / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors
Adolescents; outcomes; twin pregnancy