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Int. J. Environ. Res. Public Health 2018, 15(2), 261; https://doi.org/10.3390/ijerph15020261

Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study

1
Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø 9037, Norway
2
Department of Neonatology and Perinatology, Northern State Medical University, 51 Troitsky Ave., Arkhangelsk 163000, Russia
3
Department of Public Health, Health Care and Social Work, Northern State Medical University, 51 Troitsky Ave., Arkhangelsk 163000, Russia
4
Central Scientific Research Laboratory, Northern State Medical University, 51 Troitsky Ave., Arkhangelsk 163000, Russia
5
Department of Public Health and Healthcare, Hygiene and Bioethics, North-Eastern Federal University, 58 Belinsky Str., Yakutsk 677000, Russia
*
Author to whom correspondence should be addressed.
Received: 14 December 2017 / Revised: 29 January 2018 / Accepted: 30 January 2018 / Published: 3 February 2018
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Abstract

This study aimed to assess whether adolescents have an increased risk of adverse pregnancy outcomes (APO) compared to adult women. We used data on 43,327 births from the population-based Arkhangelsk County Birth Registry, Northwest Russia, for 2012–2014. The perinatal outcomes included stillbirth, preterm birth (<37 and <32 weeks), low and very low birthweight, 5 min Apgar score <7 and <4, perinatal infections, and the need for neonatal transfer to a higher-level hospital. Multivariable logistic regression was applied to assess the associations between age and APO. Altogether, 4.7% of deliveries occurred in adolescents. Both folic acid intake and multivitamin intake during pregnancy were more prevalent in adults. Adolescents were more likely to be underweight, to smoke, and to have infections of the kidney and the genital tract compared to adult women. Compared to adults, adolescents were at lower risk of low birthweight, a 5 min Apgar score <7, and need for neonatal transfer. Adolescents had no increased risk of other APO studied in the adjusted analysis, suggesting that a constellation of other factors, but not young age per se, is associated with APO in the study setting. View Full-Text
Keywords: Apgar score; birth registry; low birthweight; preterm birth; Russia; stillbirth; adolescent pregnancy; very low birthweight Apgar score; birth registry; low birthweight; preterm birth; Russia; stillbirth; adolescent pregnancy; very low birthweight
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Usynina, A.A.; Postoev, V.; Odland, J.Ø.; Grjibovski, A.M. Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study. Int. J. Environ. Res. Public Health 2018, 15, 261.

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