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dc.contributor.authorUsynina, Anna Aleksandrovna
dc.contributor.authorPostoev, Vitaly
dc.contributor.authorOdland, Jon Øyvind
dc.contributor.authorGrjibovski, Andrej
dc.date.accessioned2019-03-06T09:57:47Z
dc.date.available2019-03-06T09:57:47Z
dc.date.issued2018-02-03
dc.description.abstractThis 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.en_US
dc.descriptionPublished version licensed <a href=http://creativecommons.org/licenses/by-nc-nd/4.0/> CC BY-NC-ND 4.0. </a>Source at: <a href=http://doi.org/10.3390/ijerph15020261> http://doi.org/10.3390/ijerph15020261 </a>en_US
dc.identifier.citationUsynina, A. A., Postoev, V., Odland, J. Ø. & Grjibovski, A. (2018). Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study. <i>International Journal of Environmental Research and Public Health, 15</i>(261). 1-12. http://doi.org/10.3390/ijerph15020261en_US
dc.identifier.cristinIDFRIDAID 1606834
dc.identifier.doi10.3390/ijerph15020261
dc.identifier.issn1660-4601
dc.identifier.urihttps://hdl.handle.net/10037/14859
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.relation.journalInternational Journal of Environmental Research and Public Health
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en_US
dc.titleAdverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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