Characteristics of the pregnancy course and childbirth in women of early reproductive age
Svintsova E.S., Ivantsova D.A., Khomenko Yu.V.
Objective: To study the characteristics of the pregnancy course, childbirth, and the condition of newborns in women of early reproductive age who gave birth in Vladivostok Clinical Maternity Hospital No. 3 in 2021 and 2022.
Materials and methods: The study presents the analysis of the medical history, pregnancy course, childbirth and perinatal outcomes in 78 women under the age of 18. Methods for calculating averages, standard deviations, frequency distribution, as well as Student’s t-test and Fisher’s exact test were used for statistical processing.
Results: The average age of the patients was 16.7 years in 2021 and 16.4 years in 2022 (p>0.05). In 2021, 45% of patients were from single-parent families, and in 2022, this number decreased to 35% (p>0.05). The age of sexual debut was 15.3 years in 2021 and 15.1 years in 2022 (p>0.05). The share of women whose marriage was registered decreased from 36.7% to 31.3%, respectively (p>0.05). There was an increase in the incidence of chronic extragenital diseases, especially grade II anemia and ENT diseases (p>0.05), and the number of cases of grade I anemia and diseases of the urinary system decreased (p>0.05). The age of menarche remained the same. The rate of menstrual disorders increased from 16.6% to 18.7% (p>0.05), and the number of repeat pregnancies increased from 8.3% to 18.7% (p>0.05). In 2021, there were 75% of full-term births, and there were 68.75% in 2022 (p>0.05). In 2021, the share of preterm births was 16.7%, while in 2022 this number increased to 18.75% (p>0.05). Postterm births were noted in 8.3% of cases in 2021, and in 12.5% of cases in 2022. The rate of vaginal delivery was 83.3% in 2021 and 81.25% in 2022 (p>0.05). The rate of premature rupture of membranes increased to 25.3% in 2022 (p>0.05). The average length of newborns was 52.7 cm in 2021 and 51.1 cm in 2022 (p<0.05), the average body weight decreased from 3570.2 g to 3429.4 g (p<0.05). The condition of newborns was satisfactory in 100% of cases based on the Apgar score, no serious complications were observed.
Conclusion: The determinants of teenage pregnancy are early sexual debut, low level of education and upbringing in single-parent families. It is necessary to adopt an individual approach to pregnancy management in adolescents at risk of complications.
Authors’ contributions: Svintsova E.S., Ivantsova D.A., Khomenko Yu.V. – developing the concept and design of the study, collecting and processing the material, statistical processing and data analysis, writing the text, editing the article.
Conflicts of interest: Authors declare lack of the possible conflicts of interest.
Funding: The study was carried out without sponsorship.
Ethical Approval: The study was approved by the Ethical Review Board of the Pacific State Medical University, Ministry of Health of Russia.
Patient Consent for Publication: The patients signed informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request after approval from the principal investigator.
For citation: Svintsova E.S., Ivantsova D.A., Khomenko Yu.V. Characteristics of the
pregnancy course and childbirth in women of early reproductive age.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (11): 149-155 (in Russian)
https://dx.doi.org/10.18565/aig.2025.84
Keywords
childbirth
pregnancy complications
somatic diseases
pregnancy
young pregnant women
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Received 24.03.2025
Accepted 26.08.2025
About the Authors
Eugenia S. Svintsova, PhD, Associate Professor at the Department of Obstetrics and Gynecology, PSMU, Ministry of Health of Russia, 690002, Russia, Vladivostok, Ostryakova str., 2, +7(914)707-28-43, pasifikstaff@yandex.ruDaria A. Ivantsova, 6 year student of the Medical Faculty, PSMU, Ministry of Health of Russia, 690002, Russia, Vladivostok, Ostryakova str., 2, +7(898)335-64-80,
darya.ivantsova.2001@mail.ru, https://orcid.org/0009-0007-6345-907X
Julia V. Khomenko, 6 year student of the Medical Faculty, PSMU, Ministry of Health of Russia, 690002, Russia, Vladivostok, Ostryakova str., 2, +7(902)078-43-49, Juliabrilliants@mail.ru, https://orcid.org/0000-0002-5251-0083
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