Risk-profiles and outcomes of multi-foetal pregnancies in adolescent mothers. (16th November 2016)

• Record Type: Journal Article
• Authors: Alrahmani, Layan; Abdelsattar, Zaid M.; Adekola, Henry; Puscheck, Elizabeth; Gonik, Bernard; Awonuga, Awoniyi O.
• Is Part Of: Journal of obstetrics and gynaecology. Volume 36:Number 8(2016)
• Page Start: 1056
• Page End: 1060
• Publication Date: 2016-11-16
• Subjects: Adolescents -- outcomes -- twin pregnancy; Obstetrics -- Periodicals; Gynecology -- Periodicals; 618.05
• DOI: 10.1080/01443615.2016.1196477
• Languages: English
• ISSNs: 0144-3615

Abstract

Abstract: In this retrospective review of 468 mothers with a multi-foetal pregnancy in Detroit, we describe the risk-profiles and the obstetrical, maternal and foetal outcomes of multi-foetal pregnancy in 59 (13%) adolescents. Overall, most mothers were African American, did not have private insurance and all were unmarried. For most mothers, this was their first pregnancy (59.3%) and their first delivery (69.5%). Almost 50% presented to triage at least once during their pregnancy. Anaemia (78%) and hypertensive disorders (18.6%) were common in this age group. The majority of adolescents delivered preterm as 81.4% were <37 weeks and 49% were <34 weeks. Furthermore, the majority of infants (79%) had low birth weights (median: 1975 g, range: 365–3405 g). This contemporary report emphasises the need for multidisciplinary prenatal management and specialist supervision, as multi-foetal pregnancies in adolescents pose real risks and impact obstetrical, maternal and neonatal outcomes.