Abstract
Study Objective
To identify risk factors for primary nonelective cesarean delivery, in a predominantly
Hispanic teen population of an urban tertiary care center.
Design
Retrospective descriptive study.
Setting
A tertiary academic center with approximately 3000 deliveries per year.
Participants
Our study population comprised all women (ages 13-19 years at time of delivery) who
gave birth at our tertiary university hospital between July 2011 and July 2016.
Interventions
None.
Main Outcome Measures
Our main outcome of interest was primary nonelective cesarean delivery.
Results
Of the 958 included deliveries, 9.6% (92/958) were delivered via nonelective cesarean
section. The population was 89% Hispanic with a mean age of 17.7 years. Age, body
mass index at delivery, and neonatal birth weight were significantly associated with
delivery via cesarean section. Mothers of neonates with extremes of birth weights
(<2500 g, >4000 g) had higher odds of having a cesarean delivery, compared with neonates
with normal birth weight (odds ratio, 3.27; 95% confidence interval, 1.90-5.63 and
odds ratio, 4.43; 95% confidence interval, 1.33-14.72).
Conclusion
Among adolescent patients, age, body mass index at delivery, and birth weight of the
neonate were found to be risk factors that place the gravid teen at increased risk
for cesarean delivery.
Key Words
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Article info
Publication history
Published online: May 10, 2018
Footnotes
The authors indicate no conflicts of interest.
Identification
Copyright
© 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
