黒人と白人の青少年の連続妊娠における健康行動と結果
M L Blankson1, S P Cliver, R L Goldenberg
1School of Public Health, University of Albama, Birmingham 35294-0008.
JAMA
|March 17, 1993
まとめ
青年は2回目の妊娠で産前ケアを少なく利用し,胎児の成長遅延が減少し,早産が増加しました. これらの発見は,後の10代の妊娠におけるリスクを強調しています.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 公衆衛生は公衆衛生である.
- 青春期医療について
背景:
- 青春期妊娠はユニークな課題を提示し,最初の妊娠と次の妊娠の間に結果がしばしば変化します.
- 出産の成果と産前ケアに対する均等性の影響を理解することは,標的を絞った介入にとって極めて重要です.
研究 の 目的:
- パリティ,早産,胎児成長遅延,および青春期女性における産前ケアの使用との関連性を調査する.
- 第1胎と第2胎の妊娠における出産結果の違いを分析する.
主な方法:
- 産科,行動,社会人口学的データを分析したレトロスペクティブ縦断研究が行われました.
- この研究では,低所得の黒人と白人の青少年737人が,妊娠20週後にシングルトン赤ちゃんを産んだ.
- 測定された主なアウトカムには,出生体重,早産,胎児成長遅延,アパガースコア,および胎児死亡率が含まれています.
主要な成果:
- 思春期は出産前診療の訪問が少なく,第二次妊娠の診療に遅れて出院した.
- 平均赤ん坊の出生体重は,母親の妊娠前のBMIと関連して,第2妊娠で増加しました.
- 胎児の成長遅延率は低下し,第二次妊娠では早産率が上昇し,重発リスクが大きい.
結論:
- 2回目の青春期妊娠は,産前ケア利用の減少と,再発的な有害な結果のリスクが高いことが特徴です.
- ティーンエイジャー妊娠への介入プログラムは,次の妊娠に関連するこれらの特定のリスクに対処する必要があります.
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