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Research paper
Published online: 2021-09-24
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The pregnancy rate among Romanian adolescents: an eleven years (2009-–2020) observational, retrospective study from a single center

Bogdan Doroftei1, Ovidiu Dumitru Ilie2, Radu Maftei1, Ana Maria Dabuleanu1, Ioana Scripcariu1, Emil Anton1, Bogdan Puha3
DOI: 10.5603/GP.a2021.0132
Affiliations
  1. 2nd Department of Obstetrics and Gynecology, “Grigore T Popa” University of Medicine and Pharmacy, Iasi, Romania, Romania
  2. Department of Biology, Alexandru Ioan Cuza University, Iasi, RomaniaAlexandru Ioan Cuza, Romania
  3. “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Romania

open access

Ahead of Print
ORIGINAL PAPERS Obstetrics
Published online: 2021-09-24

Abstract

Objectives: It has been recently documented that Romania has the highest prevalence of adolescent pregnancy in Europe.

Material and methods: Therefore, the present study aims to offer a conclusive view of the current situation by assessing a series of parameters in the last 11 years.

Results: Throughout the present manuscript, we showed that 1788 pregnancies occurred in the last 11 years in just one center from the northeastern region of Romania. The Kolmogorov–Smirnov test (p < 0.05) performed suggests that gestational age does not follow a normal distribution; an interval during which 899 (50.27%) male and 889 (49.72%) female babies were born. There were a total of 1383 (86.00%) deliveries at full-term and 225 (13.99%) were under 37 weeks. Of 1788 teenage girls, 1467 (82.04%) were from the rural area, whereas 321 (17.95%) from the urban area.

Conclusions: Fortunately, one common feature that we observed was that starting from 2017 there was a significant reduction within the last 2 studied parameters, the situation being much more fluctuating until 2014.

Abstract

Objectives: It has been recently documented that Romania has the highest prevalence of adolescent pregnancy in Europe.

Material and methods: Therefore, the present study aims to offer a conclusive view of the current situation by assessing a series of parameters in the last 11 years.

Results: Throughout the present manuscript, we showed that 1788 pregnancies occurred in the last 11 years in just one center from the northeastern region of Romania. The Kolmogorov–Smirnov test (p < 0.05) performed suggests that gestational age does not follow a normal distribution; an interval during which 899 (50.27%) male and 889 (49.72%) female babies were born. There were a total of 1383 (86.00%) deliveries at full-term and 225 (13.99%) were under 37 weeks. Of 1788 teenage girls, 1467 (82.04%) were from the rural area, whereas 321 (17.95%) from the urban area.

Conclusions: Fortunately, one common feature that we observed was that starting from 2017 there was a significant reduction within the last 2 studied parameters, the situation being much more fluctuating until 2014.

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Keywords

adolescent pregnancy; birth under 37 weeks; full-term birth; gestational age; prevalence; rural; urban

About this article
Title

The pregnancy rate among Romanian adolescents: an eleven years (2009-–2020) observational, retrospective study from a single center

Journal

Ginekologia Polska

Issue

Ahead of Print

Article type

Research paper

Published online

2021-09-24

DOI

10.5603/GP.a2021.0132

Keywords

adolescent pregnancy
birth under 37 weeks
full-term birth
gestational age
prevalence
rural
urban

Authors

Bogdan Doroftei
Ovidiu Dumitru Ilie
Radu Maftei
Ana Maria Dabuleanu
Ioana Scripcariu
Emil Anton
Bogdan Puha

References (21)
  1. Nkhoma DE, Lin CP, Katengeza HL, et al. Girls' empowerment and adolescent pregnancy: a systematic review. Int J Environ Res Public Health. 2020; 17(5): 1664.
  2. Neal S, Matthews Z, Frost M, et al. Childbearing in adolescents aged 12–15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries. Acta Obstet Gynecol Scand. 2012; 91(9): 1114–1118.
  3. Imamura M, Tucker J, Hannaford P, et al. REPROSTAT 2 group. Factors associated with teenage pregnancy in the European Union countries: a systematic review. Eur J Public Health. 2007; 17(6): 630–636.
  4. Sedgh G, Finer LB, Bankole A, et al. Adolescent pregnancy, birth, and abortion rates across countries: levels and recent trends. J Adolesc Health. 2015; 56(2): 223–230.
  5. Dimitriu M, Ionescu CA, Matei A, et al. The problems associated with adolescent pregnancy in Romania: a cross-sectional study. J Eval Clin Pract. 2019; 25(1): 117–124.
  6. Iorga M, Socolov R, Socolov D. An 8 years analysis of pregnancies and births among teenagers in a university hospital in North-Eastern Romania. Revista De Cercetare Si Interventie Sociala. 2016; 54: 55–65.
  7. Torvie AJ, Callegari LS, Schiff MA, et al. Labor and delivery outcomes among young adolescents. Am J Obstet Gynecol. 2015; 213(1): 95.e1–95.e8.
  8. Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. N Engl J Med. 1995; 332(17): 1113–1117.
  9. Nove A, Matthews Z, Neal S, et al. Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries. Lancet Glob Health. 2014; 2(3): e155–e164.
  10. Rada C. Family planning in Romania: a cross-sectional study of knowledge, practice and attitudes. Int J Collab Res Intern Med Public Heal. 2014; 6(9): 260–275.
  11. Vaz RF, Monteiro DL, Rodrigues NC. Trends of teenage pregnancy in Brazil, 2000-2011. Rev Assoc Med Bras (1992). 2016; 62(4): 330–335.
  12. Lys C, Reading C. Coming of age: how young women in the Northwest Territories understand the barriers and facilitators to positive, empowered, and safer sexual health. Int J Circumpolar Health. 2012; 71: 18957.
  13. Juma M, Alaii J, Bartholomew LK, et al. Understanding orphan and non-orphan adolescents' sexual risks in the context of poverty: a qualitative study in Nyanza Province, Kenya. BMC Int Health Hum Rights. 2013; 13: 32.
  14. Shrestha S. Socio-cultural factors influencing adolescent pregnancy in rural Nepal. Int J Adolesc Med Health. 2002; 14(2): 101–109.
  15. Murray SR, Shenkin SD, McIntosh K, et al. Long term cognitive outcomes of early term (37–38 weeks) and late preterm (34–36 weeks) births: a systematic review. Wellcome Open Res. 2017; 2: 101.
  16. Rada C. Sexual behaviour and sexual and reproductive health education: a cross-sectional study in Romania. Reprod Health. 2014; 11: 48.
  17. Ganatra B, Hirve S. Induced abortions among adolescent women in rural Maharashtra, India. Reprod Health Matters. 2002; 10(19): 76–85.
  18. Zaręba K, Makara-Studzińska M, Ciebiera M, et al. Role of social and informational support while deciding on pregnancy termination for medical reasons. Int J Environ Res Public Health. 2018; 15(12): 2854.
  19. Mavroforou A, Koumantakis E, Michalodimitrakis E. Adolescence and abortion in Greece: women's profile and perceptions. J Pediatr Adolesc Gynecol. 2004; 17(5): 321–326.
  20. Kaestle CE, Halpern CT, Miller WC, et al. Young age at first sexual intercourse and sexually transmitted infections in adolescents and young adults. Am J Epidemiol. 2005; 161(8): 774–780.
  21. Horga M, Gerdts C, Potts M. The remarkable story of Romanian women's struggle to manage their fertility. J Fam Plann Reprod Health Care. 2013; 39(1): 2–4.

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