Reproductive outcomes in adolescents with previous pregnancies
Author Information
Author(s): Reime Birgit, Schücking Beate A, Wenzlaff Paul
Primary Institution: Faculty of Nursing and Healthcare, University of Applied Sciences of the Saarland
Hypothesis
How do reproductive outcomes differ between nulliparous adolescents and those with a previous birth or abortion?
Conclusion
Teenagers who give birth twice as adolescents have worse outcomes in their second pregnancy compared to those giving birth for the first time.
Supporting Evidence
- Adolescents with a previous birth had higher risks for perinatal and neonatal mortality compared to nulliparous teenagers.
- Adolescents with a previous abortion had higher risks for stillbirths and preterm births compared to nulliparous teenagers.
- After adjusting for confounders, adolescents with a previous birth were still at higher risk for perinatal and neonatal mortality.
Takeaway
Teenagers who have had a baby before may have more problems in their next pregnancy than those who are having a baby for the first time.
Methodology
Retrospective cohort study using perinatal data collected from 1990-1999 in Lower Saxony, Germany.
Potential Biases
Potential residual confounding related to migrant status and other unmeasured factors.
Limitations
The study is retrospective and may have selection bias due to non-participating hospitals and underreporting of previous abortions.
Participant Demographics
96.1% aged 16-18 years, 37.2% were migrants, primarily from the Middle East, Mediterranean countries, and Eastern Europe.
Statistical Information
P-Value
p<0.05
Confidence Interval
CI = 1.14, 4.86
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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