Gastroschisis, low maternal age, and fetal morbidity outcomes

Donath Emusu1, Hamisu M Salihu, Zakari Y Aliyu

  • 1Department of Maternal and Child Health, University of Alabama at Birmingham, 35294, USA.

Insights

Teen mothers with gastroschisis-affected fetuses face higher risks of low birth weight and very preterm birth. This finding aids healthcare providers in planning and counseling parents of affected infants.

Area of Science:

  • Perinatal medicine
  • Neonatology
  • Maternal-fetal medicine

Background:

  • Gastroschisis is a congenital defect with potential impacts on fetal growth.
  • Maternal age is a known factor influencing pregnancy outcomes.
  • Understanding risks associated with teenage pregnancy in gastroschisis cases is crucial.

Purpose of the Study:

  • To investigate whether younger mothers (teenagers) have a higher risk of fetal growth inhibition in fetuses diagnosed with gastroschisis.
  • To compare adverse fetal outcomes between infants of teenage mothers and mature mothers with gastroschisis.

Main Methods:

  • Retrospective cohort study analyzing live-born infants with isolated gastroschisis in New York State (1983-1999).
  • Comparison of outcomes between infants of mothers younger than 20 years and those 20 years or older.
  • Assessment of fetal morbidity outcomes including low birth weight, very low birth weight, preterm birth, very preterm birth, and small for gestational age.

Main Results:

  • Infants of teen mothers with gastroschisis were significantly more likely to be low birth weight (OR=1.70) and very preterm (OR=2.80).
  • Mean gestational age and birth weight were lower for infants of teen mothers compared to mature mothers.
  • No significant differences were found for very low birth weight, preterm birth, or small for gestational age outcomes.

Conclusions:

  • Young maternal age is identified as a risk factor for low birth weight and very preterm birth in fetuses with gastroschisis.
  • These findings can inform care planning for healthcare providers.
  • The results are valuable for counseling parents of infants diagnosed with gastroschisis.
Abstract

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