The Effect of Teenage Maternity on Obstetrical and Perinatal Outcomes

NCT ID: NCT01115413

Last Updated: 2018-05-03

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 150 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2010-04-30
• Study Completion Date: 2013-12-31

Brief Summary

The purpose of this study is to estimate the effect of maternal teenage on pregnancy and perinatal outcomes among Caucasian pregnant women.

Detailed Description

During the past decade in the United States, approximately 10 percent of teenage girls from 15 to 19 became pregnant. According to the National Vital Statistics Report 2009 seventy of one thousand births in the United States accounted to teenagers from 15 to nineteen years of age during in 2005 and fell to forty per 1,000 women in 2006. In contrary, the overall teenage birth rate lay at twenty- two per 1,000 births in Massachusetts in 2007 ranging from seventy to thirteen per 1,000 women for Hispanic vs. white women aged 15- 19 years. Central European data showed equal results for teenage pregnancy birth rates. According to the German National Institute of Vital Statistics thirty-four of one thousand births in Germany accounted to teenagers younger than 20 years of age. This pattern is a source of concern since teenage mothers have an increased risk of having low-birth- weight babies, premature babies, and babies who die during the first year of life. Additionally, teenage mothers are more likely to suffer from other concomitant pregnancy diseases such as preeclampsia or anemia.

Furthermore, teenage mothers are more likely than older mothers to be poor, less well educated, non- white, unmarried and they are less likely to have received early prenatal care. Dealing with pregnant adolescents therefore means a great challenge in modern obstetrics. Previous research has shown racial differences as well as weight differences for increased risk of adverse prenatal outcome among African Americans and teenagers. Taking into account the impact of race on pregnancy outcomes, our goal was to examine the relationship of young maternal age on obstetrical outcomes in a predominantly Caucasian central European teenaged population.

Conditions

Pregnancy

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

young maternal age

maternal age of \< 18 years

No interventions assigned to this group

adult maternal age

maternal age \>/= 18 years

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Nulliparity
• Maternal age of < 18 years for group A and
• Maternal age >/= 18 years for group B

Exclusion Criteria

• Preterm delivery < 24 + 0 weeks of gestation post menstruation
• Confirmed multiple pregnancy
• Maternal and fetal co morbidity
• Presentation other than cephalic presentation and incomplete data

• Minimum Eligible Age: 11 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

University of Luebeck

OTHER

Sponsor Role: lead

Responsible Party

Daniel Alexander Beyer

Dr. D. A. Beyer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Daniel A Beyer, M.D.

Role: PRINCIPAL_INVESTIGATOR

Lübeck University

Locations

Schleswig- Holstein University, Campus Lübeck, Department of Obstetrics and Gynecology

Lübeck, Schleswig-Holstein, Germany

Countries

Germany

References

Picklesimer AH, Jared HL, Moss K, Offenbacher S, Beck JD, Boggess KA. Racial differences in C-reactive protein levels during normal pregnancy. Am J Obstet Gynecol. 2008 Nov;199(5):523.e1-6. doi: 10.1016/j.ajog.2008.04.017. Epub 2008 Jun 9.

Reference Type: BACKGROUND

PMID: 18539258 (View on PubMed)

Steinfeld JD, Valentine S, Lerer T, Ingardia CJ, Wax JR, Curry SL. Obesity-related complications of pregnancy vary by race. J Matern Fetal Med. 2000 Jul-Aug;9(4):238-41. doi: 10.1002/1520-6661(200007/08)9:43.0.CO;2-5.

Reference Type: BACKGROUND

PMID: 11048836 (View on PubMed)

Woods C. At-risk, pregnant youth and appropriate use of health care. Am Fam Physician. 2010 Mar 1;81(5):577. No abstract available.

Reference Type: BACKGROUND

PMID: 20187592 (View on PubMed)

Other Identifiers

UKSH-HL-10-064

Identifier Type: -

Identifier Source: org_study_id