open access
The pregnancy rate among Romanian adolescents: an eleven years (2009-–2020) observational, retrospective study from a single center
- 2nd Department of Obstetrics and Gynecology, “Grigore T Popa” University of Medicine and Pharmacy, Iasi, Romania, Romania
- Department of Biology, Alexandru Ioan Cuza University, Iasi, RomaniaAlexandru Ioan Cuza, Romania
- “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Romania
open access
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.
Keywords
adolescent pregnancy; birth under 37 weeks; full-term birth; gestational age; prevalence; rural; urban
Title
The pregnancy rate among Romanian adolescents: an eleven years (2009-–2020) observational, retrospective study from a single center
Journal
Issue
Article type
Research paper
Pages
42-46
Published online
2021-09-24
Page views
5697
Article views/downloads
660
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(1):42-46.
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
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. N Engl J Med. 1995; 332(17): 1113–1117.
- 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.
- 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.
- Vaz RF, Monteiro DL, Rodrigues NC. Trends of teenage pregnancy in Brazil, 2000-2011. Rev Assoc Med Bras (1992). 2016; 62(4): 330–335.
- 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.
- 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.
- Shrestha S. Socio-cultural factors influencing adolescent pregnancy in rural Nepal. Int J Adolesc Med Health. 2002; 14(2): 101–109.
- 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.
- Rada C. Sexual behaviour and sexual and reproductive health education: a cross-sectional study in Romania. Reprod Health. 2014; 11: 48.
- Ganatra B, Hirve S. Induced abortions among adolescent women in rural Maharashtra, India. Reprod Health Matters. 2002; 10(19): 76–85.
- 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.
- 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.
- 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.
- 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.