黑人和白人青少年连续怀孕的健康行为和结果
M L Blankson1, S P Cliver, R L Goldenberg
1School of Public Health, University of Albama, Birmingham 35294-0008.
JAMA
|March 17, 1993
概括
青少年在第二次怀孕中使用产前护理较少,导致胎儿生长迟缓减少,但早产增加. 这些发现凸显了随后青少年怀孕的风险.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 青少年医学 青少年医学
背景情况:
- 青少年怀孕带来了独特的挑战,结果通常在第一次怀孕和随后的怀孕之间有所不同.
- 了解平等对出生结果和产前护理的影响对于有针对性的干预至关重要.
研究的目的:
- 调查青春期妇女的平价,早产,胎儿生长迟缓和产前护理使用之间的联系.
- 分析第一个和第二个青少年怀孕之间的分娩结果的差异.
主要方法:
- 一项回顾性纵向研究分析了产科,行为和社会人口统计数据.
- 这项研究包括737名低收入的黑人和白人青少年,在怀孕20周后分娩单独婴儿.
- 测量的主要结果包括出生体重,早产,胎儿生长迟缓,Apgar分数和围产死亡率.
主要成果:
- 青少年参加更少的产前护理访问,并在第二次怀孕后晚些时候提出护理.
- 婴儿出生时的平均体重在第二次怀孕中增加,与母亲怀孕前的BMI有关.
- 胎儿生长迟缓率下降,而第二次怀孕的早产率增加,具有显著的复发风险.
结论:
- 第二次青少年怀孕的特点是减少产前护理的利用率和高风险的反复不良结果.
- 青少年怀孕的干预计划应该解决与后续怀孕相关的这些特定风险.
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