Deliveries among teenage women – with emphasis on incidence and mode of delivery: a Swedish national survey from 1973 to 2010Report as inadecuate




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BMC Pregnancy and Childbirth

, 13:204

Trends in pregnancy and childbirth

Abstract

BackgroundSince the 1970-ies Sweden has actively developed strategies in social care, education and health care in order to counteract the negative consequences of adolescent parenthood. The aims of this study are to determine the annual incidence of singleton delivery among adolescents 1973–2010 and analyse obstetric and neonatal outcomes.

MethodsA retrospective cohort study, using data from the Swedish Medical Birth Register was conducted. All singleton deliveries in Sweden between 1973 and 2010 were included. Totally 1,941,940 women had 3,761,576 deliveries during the period. Analyses of obstetric and neonatal outcome were restricted to 1992–2010. Adolescents were subdivided into three groups: <16 years n = 472, 16–17 years n = 5376, 18–19 years n = 23560. The reference group consisted of women age 20–30 years n = 893505. Data were analysed using multivariate logistic regression models adjusted for confounding factors and presented as crude and adjusted odds ratios with 95% confidence interval.

ResultsThe annual incidence of teenage births decreased significantly from 7.7 to 1.6%. Teenagers were more likely to deliver normally vaginally aOR 1.70 95%CI 1.64-1.75, less likely to have Caesarean section aOR 0.61 95%CI 0.58-0.64, and had a greater risk of delivering prematurely < 28 weeksaOR 1.61 95%CI 1.31-2.00, but did not have more small-for-gestational-age babies aOR 1.07 95%CI 0.99-1.14. Risks of placenta previa, postpartum haemorrhage > 1000 ml and perineal rupture were significantly lower among teenagers. Although the rate with Apgar score <7 at 5 minutes was similar the teenager’s neonates showed less fetal distress and meconium aspiration.

ConclusionAdolescent births have steadily decreased in Sweden. Adolescents were more likely to be delivered vaginally than the adult women. The risks for obstetric maternal complications for adolescents were lower than for adult women except for the risk of prematurity.

KeywordsAdolescent birth Incidence Epidemiology Mode of delivery Neonatal outcome Risk factors AbbreviationsANCOVAAnalysis of covariance

BMIBody mass index

CIConfidence interval

CSCaesarean section

ICDInternational statistical classification of diseases and related health problems

LGALarge for gestational age

SDStandard deviation

MBRMedical birth register

OROdds ratio

SGASmall for gestational age.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2393-13-204 contains supplementary material, which is available to authorized users.

Rasmus Birch Tyrberg, Marie Blomberg and Preben Kjølhede contributed equally to this work.

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Author: Rasmus Birch Tyrberg - Marie Blomberg - Preben Kjølhede

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