Teenage pregnancy and perinatal mortality
Tóm tắt
In the general population teenage pregnancies present an elevated rate of perinatal mortality compared with pregnancies of women in their twenties. In two large-scale university hospital studies (one American, one Danish), the teenage pregnancies showed lower perinatal mortality than those of any other age group. This article attempts to determine the origin of these differing results. A comparative analysis was conducted focusing on methodologies, subject characteristics, and treatment procedures involved in the two classes of studies, which involved representative populations and university hospital samples. The uniformly high quality medical treatment provided to all subjects in the university hospital samples contrasted with the uneven quality of treatment found in population studies constituted the most important difference. Since pregnant teenagers generally tend to be of lower socioeconomic status, they are likely to receive inferior medical care. It was argued that this factor could, to large extent, be responsible for the elevated mortality rates found in teenage pregnancies in representative populations.
Tài liệu tham khảo
Bacon, R. (1974). Early motherhood, accelerated role transition, and social pathologies.Soc. Forces 52: 333–341.
Baizerman, M. (1977). Can the first pregnancy of a young adolescent be prevented? A question which must be answered.J. Youth Adoles. 6: 343–351.
Birch, H., and Gussow, J. (1970).Disadvantaged Children: Health, Nutrition and School Failure, Harcourt, Brace, New York.
Butler, N. R., and Alberman, E. D. (1969).Perinatal Problems, Livingstone, Edinburgh and London.
Chamberlain, R., Chamberlain, G., Howlett, B., and Claireaux, A. (1975).British Births, 1970, W. Heinemann Medical Books, London.
Dott, A. B., and Fort, A. T. (1975). The effect of maternal demographic factors on infant mortality rates.Am. J. Obstet. Gynecol. 123: 847–853.
Drillien, C. M. (1964).The Growth and Development of the Prematurely Born Infant, Livingstone, Edinburgh.
Drillien, C. M. (1972). Aetiology and outcome in low birthweight infants.Develop. Med. Child Neurol. 14: 563–574.
Gordon, E. W. (1976). New perspectives on old issues in education for the minority poor. In Chess, S., and Thomas, A. (eds.),Annual Progress in Child Psychiatry and Child Development, Brunner-Mazel, New York.
Graham, F. K., Ernhart, C. B., Thurstone, D., and Crafft, M. (1962). Development three years after perinatal anoxia and other potentially damaging newborn experiences.Psychol. Monogr. 76: 3.
Grant, J. A., and Heald, F. P. (1972). Complications of adolescent pregnancy.Clin. Pediat. 11: 567–570.
Keeve, J. P. (1965). Selected social, educational and medical characteristics of primiparous 12-16-year-old girls.Pediatrics 36: 394–401.
Kessner, D. M., Singer, J., Kalk, C. E., and Schlesinger, E. R. (1973).Infant Death: An Analysis by Maternal Risk and Health Care, Institute of Medicine, National Academy of Sciences, Washington, D.C.
Kjerkegaard, A. (1976).Levevilkar i Danmark, Danmarks Statistik, Copenhagen.
Lambert, P. (1976). Perinatal mortality: social and environmental factors.Population Trends 4 (Her Majesty's Stationery Office).
McNeil, T. F., and Wiegerink, R. (1971). Behavioral patterns and pregnancy and birth complication histories in psychologically disturbed children.J. Nerv. Ment. Dis. 151: 24–34.
Niswander, K. R., and Gordon, M. (1972).The Women and Their Pregnancies, W. B. Saunders, Philadelphia.
Pharoah, P. O. D. (1976). Obstetric and neonatal care related to outcome. A comparison of two maternity hospitals.Br. J. Preventat. Soc. Med. 30: 257–261.
Prechtl, H. F. R. (1967). Neurological sequelae of prenatal and perinatal complications.Br. Med. J. 4: 763–771.
Stine, O. C., Rider, R. V., and Swelney, E. (1964). School leaving due to pregnancy in an urban adolescent population.Am. J. Pub. Hlth. 54: 1–6.
Sugar, M. (1976). At-risk factors for the adolescent mother and her infant.J. Youth Adoles. 5: 251–269.
U.S. Vital Health Statistics. (1974).Teenagers: Marriages, Divorces, Parenthood and Mentality, DHEW Publication No. (HRA) 75-1901, U.S. Government Printing Office, Washington, D.C.
Zachau-Christiansen, B., and Ross, E. M. (1975).Babies: Human Development During the First Year, Wiley, London.