RESEARCH PAPER
Comparison of the course of labour in adolescent mothers (aged ≤17 years) and young women (aged 18-19 years)
 
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1
Department of Perinatology, Gynecology and Gynecologic Oncology, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
 
2
Department of Neonatology, University Hospital No. 2 in Bydgoszcz, Poland
 
 
Submission date: 2021-01-31
 
 
Final revision date: 2021-04-19
 
 
Acceptance date: 2021-04-19
 
 
Online publication date: 2021-10-12
 
 
Corresponding author
Marzena Kaźmierczak   

Łukasiewicza 1, 85-821 Bydgoszcz, Poland. Phone: +4852 585 59 03.
 
 
Pol. Ann. Med. 2022;29(1):54-60
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Adolescent motherhood is associated with a high risk of health problems due to the unfinished process of biological development of the body.

Aim:
To compare the course of labour among adolescent mothers (aged up to 17 years) and young women (aged 18–19 years).

Material and methods:
The study was performed on the basis of a retrospective analysis of medical records from 2010 to 2018 in one of the clinical hospitals in Poland. The analysis included the births given by 133 adolescent mothers and 169 young women.

Results and discussion:
There was a downward trend in the percentage of births given by adolescent mothers and young women over a 9-year period. The placenta of adolescent women was lighter, by 25 g on average (P = 0.011), and had a smaller size (P = 0.038) than the placenta of young women. In adolescent women, pregnancy-related complications were significantly more often associated with pregnancy-induced hypertension (P = 0.037), and in young women with gestational diabetes (P = 0.003). The rapture of membranes was observed significantly more often at the first stage of labour among mothers aged 18–19 years than in mothers aged up to 17 years (P = 0.043).

Conclusions:
A decrease in the number of births given by adolescent mothers and young women over 9 years was demonstrated. Among adolescent mothers a pregnancy-related complication was pregnancy-induced hypertension. The placenta of adolescent mothers was significantly lighter and smaller than of young women. The rapture of membranes (in the first stage of labour) concerned more often women aged 18–19 years.

FUNDING
None declared.
CONFLICT OF INTEREST
None declared.
REFERENCES (26)
1.
Frankowicz-Gasiul B, Czerwińska A, Zydorek M, Olszewska J, Olszewski J. Adolescent pregnancy-medical and social problem. Stud Med. 2008;11:57–63.
 
2.
Central Statistical Office. Demographic Yearbook. Warsaw, 2018. https://stat.gov.pl/obszary-te.... Accessed: 09.04.2021.
 
3.
Leppälahti S, Gissler M, Mentula M, Heikinheimo O. Is teenage pregnancy an obstetric risk in a welfare society? A population-based study in Finland, from 2006 to 2011. BMJ Open. 2013;3(8):e003225. https://doi.org/10.1136/bmjope....
 
4.
Mangeli M, Rayyani M, Ali Cheraghi M, Tirgani B. Exploring the challenges of adolescent mothers from their life experiences in the transition to motherhood: a qualitative study. J Family Reprod Health 2017;11(3):165–173.
 
5.
Cook SMC, Cameron ST. Social issues of teenage pregnancy. Obstet Gynaecol Reprod Med. 2015;25(9):243–248. https://doi.org/10.1016/j.ogrm....
 
6.
Wado YD, Sully EA, Mumah JN. Pregnancy and early motherhood among adolescents in five East African countries: a multi-level analysis of risk and protective factors. BMC Pregnancy and Childbirth. 2019;19(1):59. https://doi.org/10.1186/s12884....
 
7.
Azevedo WF, Diniz MB, Fonseca ES, Azevedo LM, Evangelista CB. Complications in adolescent pregnancy: systematic review of the literature. Einstein (São Paulo). 2015:13(4):618–626. https://doi.org/10.1590/S1679-....
 
8.
Temmeraman M. Adolescent mothers: too young to be neglected. Lancet Child Adolesc Health. 2017;1(3):164–166. https://doi.org/10.1016/s2352-....
 
9.
Sipsma HL, Magriples U, Divney A, Gordon D, Gabzyl E, Kershaw T. Breastfeeding behavior among adolescents: initiation, duration, and exclusivity. J Adolesc Health. 2013;53(3):394–400. https://doi.org/10.1016/j.jado....
 
10.
Ganchimeg T, Ota E, Morisaki N, et al. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014;121(Suppl 1):40–48. https://doi.org/10.1111/1471-0....
 
11.
Shveiky D, Patchen L, Chill HH, Pehlivanova M, Landy HJ. Prevalence and location of obstetric lacerations in adolescent mothers. J Pediatr Adolesc Gynecol. 2019;32(2):135–138. https://doi.org/10.1016/j.jpag....
 
12.
Parra-Pingel PE, Quisiguiña-Avellán LA, Hidalgo L, Chedraui P, Pérez-Lopéz FR. Pregnancy outcomes in younger and older adolescent mothers with severe preeclampsia. Adolesc Health Med Ther. 2017;8:81–86. https://dx.doi.org/10.2147%2FA....
 
13.
Szyszko-Perłowska A, Lachowicz J, Szpakow A, Krajewska-Kułak E, Krajewska-Ferishah K, Fiedorczuk J. Pregnancies, childbirths and newborns in women under 18 years of age – a socio-medical study of cases from Grodno in Belarus. Probl Hig Epidemiol. 2012;93(1):32–37.
 
14.
WHO. Adolescent and young adult health. https://www.who.int/news-room/.... Accessed: 09.04.2021.
 
15.
Mohamed AA, Almalaq AA, Almanour RD, Alanzi HS, Al-Khamali MM, Shommo SA. Mode of delivery and birthweight among teenage and adult primigravida Saudi women: A retrospective comparative study. J Obstet Gynaecol Res. 2015;41(11):1721–1725. https://doi.org/10.1111/jog.12....
 
16.
Kawakita T, Wilson K, Grantz KL, Landy HL, Huang Ch, Gomez-Lobo V. Adverse maternal and neonatal outcomes in adolescent pregnancy. J Pediatr Adolesc Gynecol. 2016;29(2):130–136. https://doi.org/10.1016/j.jpag....
 
17.
Baranowska-Jurkun A, Stefanowicz-Rutkowska MM, Matuszewski W, Bandurska-Stankiewicz EM. Diabetes – the history of research and treatment. Pol Ann Med. 2020;27(1):78–84. https://doi.org/10.29089/2020.....
 
18.
La-Orpipat T, Suwanrath C. Pregnancy outcomes of adolescent primigravida and risk of pregnancy- induced hypertension: a hospital-based study in Southern Thailand. J Obstet Gynaecol. 2019;39(7):934–940. https://doi.org/10.1080/014436....
 
19.
Sánchez-Ávila MT, Galván-Caudillo M, Cantú-Pompa JJ, et al. Prevalence of high-grade perineal tear during labor in Mexican adolescents. Colomb Med (Cali). 2018;49(4):261–264. https://dx.doi.org/10.25100%2F....
 
20.
Torvie AJ, Callegari LS, Schiff MA, Debiec KE. Labor and delivery outcomes among young adolescents. Am J Obstet Gynecol. 2015;213(1):95.e1-95.e8. https://doi.org/10.1016/j.ajog....
 
21.
Malabarey OT, Balaya J, Klam SL, Shrim A, Abenhaim HA. Pregnancies in young adolescent mothers: a population-based study on 37 million births. J Pediatr Adolesc Gynecol. 2012;25(2):98–102. https://doi.org/10.1016/j.jpag....
 
22.
Menacker F, Martin JA, MacDorman MF, Ventura SJ. Births to 10–14 year-old mothers, 1990–2002: trends and health outcomes. Natl Vital Stat Rep. 2004;53(7):1–18.
 
23.
Jolly MC, Sebire N, Harris J, Robinson S, Regan L. Obstetric risks of pregnancy in women less than 18 years old. Obstet Gynecol. 2000;96(6):962–966. https://doi.org/10.1016/s0029-....
 
24.
Karatasali V, Kanmaz AG, Inan AH, Budak A, Beyan E. Maternal and neonatal outcomes of adolescent pregnancy. J Gynecol Obstet Reprod. 2019;48(5):347–350. https://doi.org/10.1016/j.jogo....
 
25.
Kassa GM, Arowojolu AO, Odukogbe AA, Yalew AW. Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. PLoS One. 2019;14(6): e0218259. https://doi.org/10.1371/journa....
 
26.
Stewart CP, Katz J, Khatry SK, et al. Preterm delivery but not intrauterine growth retardation is associated with young maternal age among primiparae in rural Nepal. Matern Child Nutr. 2007;3(3):174–185. https://doi.org/10.1111/j.1740....
 
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