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

Anna A. Usynina, Vitaly Postoev, Jon Øyvind Odland and Andrej M. Grjibovski
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Anna A. Usynina: Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø 9037, Norway
Vitaly Postoev: Department of Public Health, Health Care and Social Work, Northern State Medical University, 51 Troitsky Ave., Arkhangelsk 163000, Russia
Jon Øyvind Odland: Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø 9037, Norway
Andrej M. Grjibovski: Central Scientific Research Laboratory, Northern State Medical University, 51 Troitsky Ave., Arkhangelsk 163000, Russia

IJERPH, 2018, vol. 15, issue 2, 1-12

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.

Keywords: Apgar score; birth registry; low birthweight; preterm birth; Russia; stillbirth; adolescent pregnancy; very low birthweight (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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