Reproductive Outcomes and Infant Health in Adolescent Pregnancy in Taichung City

台中市青少女懷孕結果及其嬰兒健康狀況研究

蔡欄鑫(Tzyy-Shin Tsai) ； 陳家玉(Jia-Yuh Chen) ； 李孟智(Meng-Chih Lii)

《Acta Paediatrica Taiwanica》 42卷3期 (2001/06) Pp. 151-157

https://doi.org/10.7097/APT.200106.0151

摘要

本研究目的在於比較青少女懷孕之結果、育兒狀況及嬰兒生長發育情形和正常育齡母親者是否不同。本研究以台中市1997看初産青少女線親者是否不同。本研究以台中市1997年初産青少女線親及基嬰兒爲對象，結果顯示；兩組在早産兒及先天性疾病的比率方面沒有差異，但低出生體重方面，青少女母親組之勝算比爲正常育齡母親組的1.61倍(95% C.I.=1.21-2.80)。造成新生兒低出生體重之多變項過歸分析發現，母親懷孕時所增加體重及懷孕時是否曾有住院爲新生兒是否爲低體重兒的顯著危險因子。兩組在生活照顧方面如哺育線乳時間、意外傷害比率、疾病需住院次數、疫苗注射完成率上沒有差異。兩組嬰兒在生長方面如身高、體重、頭圍及發育遲緩方面也沒有不同。本文建議對青少女懷孕生子之各種預後需要長期的追蹤研究。

關鍵字

青少女懷孕 ； 育兒狀況 ； 嬰兒

並列摘要

The study aimed at determining the reproductive outcomes, caregiving condition, and children’s growth and development compared to those born to adult mothers. All adolescent mothers ages less than 20 years and their first born infants matched with adults mothers aged 20-29 years and their first born infants at the same neighborhoods in Taichung city in 1997 were included in this study. The results showed that there is no significant difference between children of adolescent mothers and of adult mothers in terms of the prevalence of prematurity and congenital diseases, but the children of teenage mothers have a significantly higher prevalence of low birth weight (adjusted odds ratio=1.61, 95% CI=1.21-2.80) than those of compared mothers. Multiple logistic regression was used to find out the risk factors for low birth weight, and found that maternal weight gain and hospitalization or not during pregnancies in mothers are significant risk factors for low birth weight. We can not find difference between the two groups in cargiving condition, such as breast feeding duration, accidental injury, diseases necessitating admission, and vaccination rates. Also there is no difference in the rate of failure to thrive or delayed developmental milestones. A long-term follow-up study on the prognosis for the adolescent mothers and their children is recommended.

並列關鍵字

adolescent pregnancy ； caregiving ； infant