Teenage pregnancy as a risk factor for placental abruption: Findings from the prospective Japan environment and children's study.
<h4>Objective</h4>Placental abruption is a significant obstetric complication that affects both maternal and neonatal mortality and morbidity. The present study examined the effect of maternal age on the incidence of placental abruption.<h4>Methods</h4>We used data of singlet...
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2021
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oai:doaj.org-article:3eccaed1270545be8dd6698e14685c842021-12-02T20:04:04ZTeenage pregnancy as a risk factor for placental abruption: Findings from the prospective Japan environment and children's study.1932-620310.1371/journal.pone.0251428https://doaj.org/article/3eccaed1270545be8dd6698e14685c842021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251428https://doaj.org/toc/1932-6203<h4>Objective</h4>Placental abruption is a significant obstetric complication that affects both maternal and neonatal mortality and morbidity. The present study examined the effect of maternal age on the incidence of placental abruption.<h4>Methods</h4>We used data of singleton pregnancies from the Japan Environment and Children's Study, which was a prospective birth cohort study conducted between January 2011 and March 2014 across 15 regional centers in Japan. A multiple regression model was used to identify whether maternal age (<20 years, 20-24 years, 25-29 years, 30-34 years, and ≥35 years) is a risk factor for placental abruption. The analyses were conducted while considering the history of placental abruption, assisted reproductive technology, number of previous deliveries, smoking during pregnancy, body mass index before pregnancy, and chronic hypertension.<h4>Results</h4>A total of 94,410 Japanese women (93,994 without placental abruption and 416 with placental abruption) were recruited. Herein, 764, 8421, 25915, 33517, and 25793 women were aged <20 years, 20-24 years, 25-29 years, 30-34 years, and ≥35 years, respectively. Besides advanced maternal age (≥35 years; adjusted odds ratio: 1.7, 95% confidence interval: 1.1-2.5), teenage pregnancy was also a risk factor for placental abruption (adjusted odds ratio: 2.8, 95% confidence interval: 1.2-6.5) when the maternal age of 20-24 years was set as a reference.<h4>Conclusions</h4>In the Japanese general population, besides advanced maternal age, teenage pregnancy was associated with placental abruption. Recently, the mean maternal age has been changing in Japan. Therefore, it is important for obstetric care providers to provide proper counseling to young women based on up-to-date evidence.Hyo KyozukaTsuyoshi MurataToma FukusdaAkiko YamaguchiAya KannoShun YasudaAkiko SatoYuka OgataYuta EndoMitsuaki HosoyaSeiji YasumuraKoichi HashimotoHidekazu NishigoriKeiya FujimoriJapan Environment and Children’s Study (JECS) GroupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251428 (2021) |
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DOAJ |
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EN |
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Medicine R Science Q |
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Medicine R Science Q Hyo Kyozuka Tsuyoshi Murata Toma Fukusda Akiko Yamaguchi Aya Kanno Shun Yasuda Akiko Sato Yuka Ogata Yuta Endo Mitsuaki Hosoya Seiji Yasumura Koichi Hashimoto Hidekazu Nishigori Keiya Fujimori Japan Environment and Children’s Study (JECS) Group Teenage pregnancy as a risk factor for placental abruption: Findings from the prospective Japan environment and children's study. |
| description |
<h4>Objective</h4>Placental abruption is a significant obstetric complication that affects both maternal and neonatal mortality and morbidity. The present study examined the effect of maternal age on the incidence of placental abruption.<h4>Methods</h4>We used data of singleton pregnancies from the Japan Environment and Children's Study, which was a prospective birth cohort study conducted between January 2011 and March 2014 across 15 regional centers in Japan. A multiple regression model was used to identify whether maternal age (<20 years, 20-24 years, 25-29 years, 30-34 years, and ≥35 years) is a risk factor for placental abruption. The analyses were conducted while considering the history of placental abruption, assisted reproductive technology, number of previous deliveries, smoking during pregnancy, body mass index before pregnancy, and chronic hypertension.<h4>Results</h4>A total of 94,410 Japanese women (93,994 without placental abruption and 416 with placental abruption) were recruited. Herein, 764, 8421, 25915, 33517, and 25793 women were aged <20 years, 20-24 years, 25-29 years, 30-34 years, and ≥35 years, respectively. Besides advanced maternal age (≥35 years; adjusted odds ratio: 1.7, 95% confidence interval: 1.1-2.5), teenage pregnancy was also a risk factor for placental abruption (adjusted odds ratio: 2.8, 95% confidence interval: 1.2-6.5) when the maternal age of 20-24 years was set as a reference.<h4>Conclusions</h4>In the Japanese general population, besides advanced maternal age, teenage pregnancy was associated with placental abruption. Recently, the mean maternal age has been changing in Japan. Therefore, it is important for obstetric care providers to provide proper counseling to young women based on up-to-date evidence. |
| format |
article |
| author |
Hyo Kyozuka Tsuyoshi Murata Toma Fukusda Akiko Yamaguchi Aya Kanno Shun Yasuda Akiko Sato Yuka Ogata Yuta Endo Mitsuaki Hosoya Seiji Yasumura Koichi Hashimoto Hidekazu Nishigori Keiya Fujimori Japan Environment and Children’s Study (JECS) Group |
| author_facet |
Hyo Kyozuka Tsuyoshi Murata Toma Fukusda Akiko Yamaguchi Aya Kanno Shun Yasuda Akiko Sato Yuka Ogata Yuta Endo Mitsuaki Hosoya Seiji Yasumura Koichi Hashimoto Hidekazu Nishigori Keiya Fujimori Japan Environment and Children’s Study (JECS) Group |
| author_sort |
Hyo Kyozuka |
| title |
Teenage pregnancy as a risk factor for placental abruption: Findings from the prospective Japan environment and children's study. |
| title_short |
Teenage pregnancy as a risk factor for placental abruption: Findings from the prospective Japan environment and children's study. |
| title_full |
Teenage pregnancy as a risk factor for placental abruption: Findings from the prospective Japan environment and children's study. |
| title_fullStr |
Teenage pregnancy as a risk factor for placental abruption: Findings from the prospective Japan environment and children's study. |
| title_full_unstemmed |
Teenage pregnancy as a risk factor for placental abruption: Findings from the prospective Japan environment and children's study. |
| title_sort |
teenage pregnancy as a risk factor for placental abruption: findings from the prospective japan environment and children's study. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/3eccaed1270545be8dd6698e14685c84 |
| work_keys_str_mv |
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