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Preeclampsia and neonatal outcomes in adolescent and adult patients

Ana Veronica Uzunov1, Diana Cristina Secara1,2, Claudia Mehedințu1,3

  • 1Department of Obstetrics and Gynaecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Journal of Medicine and Life
|February 10, 2023
PubMed

Insights

Preeclampsia disproportionately affects adolescents, leading to poorer neonatal outcomes like lower birth weight and increased preterm birth. This study highlights preeclampsia as a significant risk for both adolescent mothers and newborns.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Health
  • Adolescent Medicine

Background:

  • Preeclampsia is a serious pregnancy complication with higher incidence in adolescents.
  • Adolescent pregnancies carry inherent risks, which are exacerbated by preeclampsia.
  • Adverse maternal and neonatal outcomes are linked to preeclampsia and adolescent pregnancies.

Purpose of the Study:

  • To compare neonatal outcomes in adolescent and adult patients with preeclampsia.
  • To investigate the impact of preeclampsia on newborns from adolescent mothers versus adult mothers.

Main Methods:

  • Retrospective analysis of newborns from adolescent mothers with preeclampsia (n=12) and adult mothers with preeclampsia (n=12).
  • Data collected from January 1st, 2019, to December 31st, 2019, at a University Emergency Hospital.
  • Comparison of neonatal outcomes including birth weight, Apgar scores, and delivery type.

Main Results:

  • Preeclampsia prevalence was higher in the adolescent group.
  • Newborns of adolescent mothers with preeclampsia had significantly lower birth weight.
  • Preterm delivery was more frequent in the adolescent preeclampsia group; Apgar scores showed no significant difference.

Conclusions:

  • Preeclampsia presents additional risks for adolescent pregnancies, compounding existing challenges.
  • Adolescent pregnancy combined with preeclampsia leads to poorer neonatal outcomes.
  • Preeclampsia is a severe materno-fetal complication, particularly for the adolescent population.

Keywords:
adolescentsbirth weightneonatal outcomepreeclampsiapreterm

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