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Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study

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  • Anna A. Usynina

    (Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø 9037, Norway
    Department of Neonatology and Perinatology, Northern State Medical University, 51 Troitsky Ave., Arkhangelsk 163000, Russia)

  • Vitaly Postoev

    (Department of Public Health, Health Care and Social Work, Northern State Medical University, 51 Troitsky Ave., Arkhangelsk 163000, Russia)

  • Jon Øyvind Odland

    (Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø 9037, Norway)

  • Andrej M. Grjibovski

    (Central Scientific Research Laboratory, Northern State Medical University, 51 Troitsky Ave., Arkhangelsk 163000, Russia
    Department of Public Health and Healthcare, Hygiene and Bioethics, North-Eastern Federal University, 58 Belinsky Str., Yakutsk 677000, Russia)

Abstract

This study aimed to assess whether adolescents have an increased risk of adverse pregnancy outcomes (APO) compared to adult women. We used data on 43,327 births from the population-based Arkhangelsk County Birth Registry, Northwest Russia, for 2012–2014. The perinatal outcomes included stillbirth, preterm birth (<37 and <32 weeks), low and very low birthweight, 5 min Apgar score <7 and <4, perinatal infections, and the need for neonatal transfer to a higher-level hospital. Multivariable logistic regression was applied to assess the associations between age and APO. Altogether, 4.7% of deliveries occurred in adolescents. Both folic acid intake and multivitamin intake during pregnancy were more prevalent in adults. Adolescents were more likely to be underweight, to smoke, and to have infections of the kidney and the genital tract compared to adult women. Compared to adults, adolescents were at lower risk of low birthweight, a 5 min Apgar score <7, and need for neonatal transfer. Adolescents had no increased risk of other APO studied in the adjusted analysis, suggesting that a constellation of other factors, but not young age per se, is associated with APO in the study setting.

Suggested Citation

  • Anna A. Usynina & Vitaly Postoev & Jon Øyvind Odland & Andrej M. Grjibovski, 2018. "Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study," IJERPH, MDPI, vol. 15(2), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:261-:d:130126
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    References listed on IDEAS

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    1. Schieve, L.A. & Handler, A. & Hershow, R. & Persky, V. & Davis, F., 1994. "Urinary tract infection during pregnancy: Its association with maternal morbidity and perinatal outcome," American Journal of Public Health, American Public Health Association, vol. 84(3), pages 405-410.
    2. Grace J Chan & Anne CC Lee & Abdullah H Baqui & Jingwen Tan & Robert E Black, 2013. "Risk of Early-Onset Neonatal Infection with Maternal Infection or Colonization: A Global Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 10(8), pages 1-20, August.
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    Cited by:

    1. Jana Diabelková & Kvetoslava Rimárová & Erik Dorko & Peter Urdzík & Andrea Houžvičková & Ľubica Argalášová, 2023. "Adolescent Pregnancy Outcomes and Risk Factors," IJERPH, MDPI, vol. 20(5), pages 1-10, February.
    2. Jon Øyvind Odland, 2018. "Teenage Reproductive Health: Pregnancy, Contraception, Unsafe Abortion, Fertility," IJERPH, MDPI, vol. 15(6), pages 1-4, June.

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