|
|
The characteristics of adolescent pregnancy in Wenzhou from 2015 to 2019 |
YE Aoshuang*, LIN Ying, BAO Jiajia, HE Jing, YANG Xinjun
|
*Department of Health Care, Wenzhou Healthy Maternal and Child Guidance Center, Wenzhou, Zhejiang 325000, China |
|
|
Abstract Objective To learn the characteristics of adolescent pregnancy in Wenzhou from 2015 to 2019, so as to provide basis for protecting adolescent physical and mental health. Methods Data of demographic characteristics, pregnancy and delivery outcomes of the women aged under 19 years ( adolescent pregnant ) and 20 to 34 years ( right-age pregnant ) who delivered in Wenzhou from 2015 to 2019 were collected from Wenzhou Maternal and Child Health Information Management System. The incidence of pregnancy complication, comorbidity and adverse delivery outcomes of adolescent pregnant women was compared with that of right-age pregnant women. Results Among 536 753 parturients reported in Wenzhou from 2015 to 2019, there were 22 419 ( 4.18% ) of adolescent pregnancy and 430 163 ( 80.14% ) of right-age pregnancy. The average age of adolescent pregnant women was (18.11±0.82) years ( range, 10-19 years ). The majority of adolescent pregnant women were migrant population (19 437 cases, 86.70%), had an education level of junior high school and below ( 18 594 cases, 82.94% ), and had no occupation (19 192 cases, 85.61%). The incidence rates of anemia, gestational diabetes, postpartum hemorrhage, perineal laceration and premature delivery in adolescent pregnant women increased from 2015 to 2019 ( all P<0.05 ). The incidence rates of gestational diabetes, anemia, gestational hypertension, placental abruption, postpartum hemorrhage, perineal laceration, premature delivery, low birth weight, fetal death and stillbirth were 1.65%, 11.76%, 0.19%, 0.26%, 3.19%, 24.52%, 6.03%, 5.53%, 0.50% and 0.04% in adolescent pregnant women, which were significant different from 5.49%, 8.94%, 0.13%, 0.01%, 0.17%, 23.46%, 4.66%, 3.08%, 0.26% and 0.01% in the right-age pregnant women, respectively ( all P<0.05 ). Conclusions The adolescent pregnant population in Wenzhou are mainly migrant population with lower education level and no occupation. The incidence rates of pregnancy complication, comorbidity and adverse birth outcomes in adolescent pregnant population are higher than those in right-age pregnant population, and are increasing year by year.
|
Received: 13 November 2020
Revised: 02 February 2021
Published: 12 May 2021
|
|
|
|
|
[1] 熊庆,王临虹. 妇女保健学[M]. 2版. 北京:人民卫生出版社,2014:54-55. [2] 雷园婷,吕若然,段佳丽,等. 北京市城区高中生艾滋病知识态度及性行为趋势分析[J]. 中国公共卫生,2018,34(12):1581-1586. [3] 孔庆滨,王云,张晓璐,等. 大学生对艾滋病认知及性行为调查[J]. 中国公共卫生,2016,32(9):1252-1254. [4] World Health Organization.Fact sheet No.364:adolescent pregnancy[R]. Geneva:World Health Organization,2014. [5] 李春燕,唐昆. 青少年性与生殖健康促进措施[J]. 中国计划生育学杂志,2016,24(9):580-583. [6] KINGSTON D,HEAMAN M,FELL D,et al.Comparison of adolescent,young adult,and adult women's maternity experiences and practices[J]. Pediatrics,2012,12(5):e1228-e1237. [7] GANCHIMEG T,OTA E,MORISAKI N,et al.Pregnancy and childbirth outcomes among adolescent mothers:a World Health Organization multicountry study[J]. BJOG,2014,121(Suppl.1):40-48. [8] TORVIE A J,CALLEGARI L S,SCHIFF M A,et al. Labor and delivery outcomes among young adolescents[J]. Am J Obstel Gynecol,2015,213(1):95.e1-95.e8. [9] 谢幸,苟文丽. 妇产科学[M]. 8版. 北京:人民卫生出版社,2013. [10] 王昊珏,陆显义. 289例青春期妊娠初产妇产科结局分析[J]. 中国计划生育和妇产科,2015,7(9):38-41. [11] 徐阳,杨贵霞. 青少年意外妊娠相关因素研究进展[J]. 世界最新医学信息文摘,2019,19(63):158-159. [12] 杨越,李思思,贾璐,等. 青春期与成年妊娠围产期结局比较[J]. 中国公共卫生,2019,35(9):1166-1169. [13] KAWAKITA T,WILSON K,GRANTZ K L,et al.Adverse maternal and neonatal outcomes in adolescent pregnancy[J]. J Pediatr Adolesc Gynecol,2015,29(2):130-136. [14] BAXTER C,MOODLEY D.Improving adolescent matemal health[J]. S Afr Med J,2015,105(11):948-952. [15] 蔡惠芬,刘小燕,王江,等. 232例青少年初产的围产结局分析[J]. 第三军医大学学报,2017,39(15):1574-1577. [16] KUO C P,LEE S H,WU W Y,et al.Birth outcomes and risk factors in adolescent pregnancies: results of a Taiwanese national survey[J]. Pediatr Int,2010,52(3):447-452. [17] MODOU G,DJIBRIL B,AMADOU S,et al.Neonatal complications of teenage pregnancies:retrospective study about 209 cases in Senegal[J]. AJP,2020,6(4):504-507. [18] 徐艳,陈寒,王晶. 316例青春期妊娠产科结局分析[J]. 中国生育健康杂志,2014,25(3):210-212. [19] 任艳军,刘庆敏,刘冰,等. 2009—2018年杭州市妊娠糖尿病发病趋势[J]. 预防医学,2020,32(3):244-247. [20] 韩娜,刘珏,金楚瑶,等. 2013—2017年北京市通州区34 637例孕妇妊娠期糖尿病流行情况及其影响因素研究[J]. 中华疾病控制杂志,2019,23(2):156-161. [21] 何晓英,尤敏,许泓. 少女妊娠与避孕[J]. 中国计划生育和妇产科,2019,11(11):14-16. |
|
|
|