The Effect of Teenage Maternity on Obstetrical and Perinatal Outcomes

Study Description

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Brief Summary:

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

Condition or disease
Pregnancy

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.

Study Design

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Study Type :	Observational
Actual Enrollment :	150 participants
Observational Model:	Cohort
Time Perspective:	Retrospective
Official Title:	Influence of Young Maternal Age on Pregnancy Outcome in Central Europe
Study Start Date :	April 2010
Actual Primary Completion Date :	December 2013
Actual Study Completion Date :	December 2013

Groups and Cohorts

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Group/Cohort
young maternal age; maternal age of < 18 years
adult maternal age; maternal age >/= 18 years

Outcome Measures

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Primary Outcome Measures :

1. mode of delivery [ Time Frame: 9yrs ]

Secondary Outcome Measures :

1. time of labor [ Time Frame: 9yrs ]
2. maternal injury during labor and delivery [ Time Frame: 9yrs ]
3. neonatal outcome [ Time Frame: 9yrs ]

Eligibility Criteria

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Ages Eligible for Study:	11 Years to 50 Years (Child, Adult)
Sexes 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

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

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

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Publications:

Picklesimer AH, Jared HL, Moss K, Offenbacher S, Beck JD, Boggess KA. Racial differences in C-reactive protein levels during normal pregnancy. Am J Obstet Gynecol. 2008 Nov;199(5):523.e1-6. doi: 10.1016/j.ajog.2008.04.017. Epub 2008 Jun 9.

Steinfeld JD, Valentine S, Lerer T, Ingardia CJ, Wax JR, Curry SL. Obesity-related complications of pregnancy vary by race. J Matern Fetal Med. 2000 Jul-Aug;9(4):238-41.

Woods C. At-risk, pregnant youth and appropriate use of health care. Am Fam Physician. 2010 Mar 1;81(5):577.

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
First Posted:	May 4, 2010
Last Update Posted:	March 14, 2017
Last Verified:	March 2017

Keywords provided by Daniel Alexander Beyer, University of Luebeck:

teenage; pregnancy; obstetrical risk