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Young Birthing Age and Postpartum Outcomes
Trisha Nandakumar1, Alexandra Bader1, Caroline Brumley1
1Department of Obstetrics, Gynecology and Women's Health, University of Minnesota, Minneapolis, Minnesota, United States.
Insights
Young birthing patients (≤18 years) have lower breastfeeding rates and higher contraception use after birth compared to older mothers. Postpartum care and depression screening are also less frequent in this younger group.
Area of Science:
- Reproductive Health
- Maternal-Fetal Medicine
- Public Health
Background:
- Perinatal risks are known for adolescents (≤18 years), but postpartum outcomes remain understudied.
- This study addresses the knowledge gap regarding postpartum outcomes in young mothers.
Purpose of the Study:
- To compare postpartum outcomes in primiparous young birthing patients (≤18 years) versus a control group aged 25-30 years.
- To identify specific challenges and differences in postpartum care for adolescent mothers.
Main Methods:
- Retrospective cohort study comparing young primiparous patients (n=520) with a control group (n=558).
- Outcomes analyzed include contraception prescription, breastfeeding rates, postpartum visit attendance, and depression screening.
- Adjusted odds ratios (aOR) with 95% confidence intervals (CI) were calculated.
Main Results:
- Younger patients were more likely to receive contraception at discharge (aOR: 2.07) and less likely to breastfeed (aOR: 0.09).
- Adolescent mothers had lower postpartum visit attendance (aOR: 0.69) and continued lower breastfeeding rates (aOR: 0.12) and higher contraception use (aOR: 2.43) postpartum.
- Postpartum depression screening was less frequent in the younger group (59.5% vs. 71.5%).
Conclusions:
- Young birthing age is associated with significantly lower breastfeeding rates and higher contraception use post-birth.
- Adolescent mothers experience reduced postpartum care engagement and screening for depression.
- Findings suggest a need for tailored postpartum programs to address the unique needs of young mothers.
Objective:
Studies have identified increased perinatal risks for young birthing age (≤18 years), but less is known about postpartum outcomes. This study examines postpartum outcomes in a primiparous cohort of young birthing patients as compared to a population aged 25 to 30 years.
Study Design:
This retrospective cohort study compares postpartum outcomes in primiparous young birthing age patients (n = 520) compared to birthing patients 25 to 30 years (n = 558). Outcomes are presented as adjusted odds ratios (aOR) with 95% confidence intervals (CI).
Results:
Primiparous young birthing patients were more likely to be prescribed contraception at hospital discharge (34.4 vs. 16.5%, aOR: 2.07, 95% CI: 1.49-2.89) than primiparous 25- to 30-year-old patients. They were also less likely to breastfeed at hospital discharge (78.4 vs. 97.1%, aOR: 0.09, 95% CI: 0.05-0.17). Additionally, young patients were significantly less likely to attend postpartum visits (39.4 vs. 47.1%, aOR: 0.69, 95% CI: 0.52-0.92), although less than half of participants overall attended a postpartum visit. Differences identified at hospital discharge persisted during postpartum care for contraceptive use (87.2 vs. 77.8%, aOR: 2.43, 95% CI: 1.35-4.51) and for breastfeeding (44.9 vs. 87.2%, aOR: 0.12, 95% CI: 0.07-0.2). There was also a trend toward decreased postpartum depression screening, with 59.5% of the young group screened, and 71.5% of the 25- to 30-year-old group screened.
Conclusion:
Young birthing age at the time of first birth is associated with lower breastfeeding rates and higher contraception use, compared to primiparous standard risk patients. Furthermore, young birthing patients appear to have a decreased rate of standardized screening for postpartum depression, although screening rates are low in both groups. These data may help tailor birthing and postpartum follow-up programs to better address specific risks for younger patients.
Key Points:
· Postpartum outcomes differ with younger birthing age.. · Postpartum care is less likely with a younger birthing age.. · Depression screening is less frequent with younger birthing age..
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