The Effect of Teenage Maternity on Obstetrical and Perinatal Outcomes

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Daniel Alexander Beyer, University of Luebeck
ClinicalTrials.gov Identifier:
NCT01115413
First received: April 30, 2010
Last updated: June 5, 2014
Last verified: June 2014
  Purpose

The purpose of this study is to estimate the effect of maternal teenage on pregnancy and perinatal outcomes among Caucasian pregnant women.


Condition
Pregnancy

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Influence of Young Maternal Age on Pregnancy Outcome in Central Europe

Further study details as provided by University of Luebeck:

Primary Outcome Measures:
  • mode of delivery [ Time Frame: 9yrs ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • time of labor [ Time Frame: 9yrs ] [ Designated as safety issue: No ]
  • maternal injury during labor and delivery [ Time Frame: 9yrs ] [ Designated as safety issue: No ]
  • neonatal outcome [ Time Frame: 9yrs ] [ Designated as safety issue: No ]

Enrollment: 150
Study Start Date: April 2010
Study Completion Date: December 2013
Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts
young maternal age
maternal age of < 18 years
adult maternal age
maternal age >/= 18 years

Detailed Description:

During the past decade in the United States, approximately 10 percent of teenage girls from 15 to 19 became pregnant. According to the National Vital Statistics Report 2009 seventy of one thousand births in the United States accounted to teenagers from 15 to nineteen years of age during in 2005 and fell to forty per 1,000 women in 2006. In contrary, the overall teenage birth rate lay at twenty- two per 1,000 births in Massachusetts in 2007 ranging from seventy to thirteen per 1,000 women for Hispanic vs. white women aged 15- 19 years. Central European data showed equal results for teenage pregnancy birth rates. According to the German National Institute of Vital Statistics thirty-four of one thousand births in Germany accounted to teenagers younger than 20 years of age. This pattern is a source of concern since teenage mothers have an increased risk of having low-birth- weight babies, premature babies, and babies who die during the first year of life. Additionally, teenage mothers are more likely to suffer from other concomitant pregnancy diseases such as preeclampsia or anemia.

Furthermore, teenage mothers are more likely than older mothers to be poor, less well educated, non- white, unmarried and they are less likely to have received early prenatal care. Dealing with pregnant adolescents therefore means a great challenge in modern obstetrics. Previous research has shown racial differences as well as weight differences for increased risk of adverse prenatal outcome among African Americans and teenagers. Taking into account the impact of race on pregnancy outcomes, our goal was to examine the relationship of young maternal age on obstetrical outcomes in a predominantly Caucasian central European teenaged population.

  Eligibility

Ages Eligible for Study:   11 Years to 50 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

retrospective cohort analysis of all deliveries at the Schleswig-Holstein University Hospital Center in Lübeck from January 2000 through December 2009

Criteria

Inclusion Criteria:

  • Nulliparity
  • Maternal age of < 18 years for group A and
  • Maternal age >/= 18 years for group B

Exclusion Criteria:

  • Preterm delivery < 24 + 0 weeks of gestation post menstruation
  • Confirmed multiple pregnancy
  • Maternal and fetal co morbidity
  • Presentation other than cephalic presentation and incomplete data
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01115413

Locations
Germany
Schleswig- Holstein University, Campus Lübeck, Department of Obstetrics and Gynecology
Lübeck, Schleswig- Holstein, Germany, D-23538
Sponsors and Collaborators
University of Luebeck
Investigators
Principal Investigator: Daniel A Beyer, M.D. Lübeck University
  More Information

Publications:
Responsible Party: Daniel Alexander Beyer, Dr. D. A. Beyer, University of Luebeck
ClinicalTrials.gov Identifier: NCT01115413     History of Changes
Other Study ID Numbers: UKSH-HL-10-064
Study First Received: April 30, 2010
Last Updated: June 5, 2014
Health Authority: Germany: Ethics Commission

Keywords provided by University of Luebeck:
teenage
pregnancy
obstetrical risk

ClinicalTrials.gov processed this record on July 23, 2014