TY  - JOUR
U1  - Wissenschaftlicher Artikel
A1  - Hacker, Miriam
A1  - Firk, Christine
A1  - Konrad, Kerstin
A1  - Paschke, Kerstin
A1  - Neulen, Joseph
A1  - Herpertz-Dahlmann, Beate
A1  - Dahmen, Brigitte
T1  - Pregnancy complications, substance abuse, and prenatal care predict birthweight in adolescent mothers
JF  - Archives of Public Health
N2  - Background
Reduced birthweight is associated with adverse physical and mental health outcomes later in life. Children of adolescent mothers are at higher risk for reduced birthweight. The current study aimed to identify the key risk factors affecting birthweight in a well-characterized sample of adolescent mothers to inform preventive public health efforts.

Methods
Sixty-four adolescent mothers (≤ 21 years of age) provided detailed data on pregnancy, birth and psychosocial risk. Separate regression analyses with (1) birthweight and (2) low birthweight (LBW) as outcomes, and pregnancy complications, prenatal care, maternal age, substance abuse during pregnancy, socioeconomic risk, stressful life events and the child’s sex as independent variables were conducted. Exploratively, a receiver operating characteristic (ROC) analysis was performed to investigate the quality of the discriminatory power of the risk factors.

Results
The following variables explained variance in birthweight significantly: prenatal care attendance (p = .006), pregnancy complications (p = .006), and maternal substance abuse during pregnancy (p = .044). Prenatal care attendance (p = .023) and complications during pregnancy (p = .027) were identified as significant contributors to LBW. Substance abuse (p = .013), pregnancy complications (p = .022), and prenatal care attendance (p = .044) showed reasonable accuracy in predicting low birthweight in the ROC analysis.

Conclusions
Among high-risk adolescent mothers, both biological factors, such as pregnancy complications, and behavioural factors amenable to intervention, such as substance abuse and insufficient prenatal care, seem to contribute to reduced birthweight in their children, a predisposing factor for poorer health outcomes later in life. More tailored intervention programmes targeting the specific needs of this high-risk group are needed.
KW  - Schwangerschaft
KW  - Junge Mutter
KW  - Schwangerschaftsbeschwerden
KW  - Prävention
KW  - Geburtsgewicht
KW  - Perinatalperiode
KW  - Adolescent pregnancy
KW  - Teenage mothers
KW  - Low birthweight
KW  - Pregnancy complications
KW  - Prenatal care
KW  - Perinatal prevention
Y1  - 2021
UN  - https://nbn-resolving.org/urn:nbn:de:0295-opus4-46127
U6  - https://doi.org/10.1186/s13690-021-00642-z
DO  - https://doi.org/10.1186/s13690-021-00642-z
VL  - 79
SP  - 9
S1  - 9
ER  -