Premium
Teenage antenatal clinics may reduce the rate of preterm birth: a prospective study
Author(s) -
Quinlivan Julie A.,
Evans Sharon F.
Publication year - 2004
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2004.00146.x
Subject(s) - medicine , breastfeeding , teenage pregnancy , obstetrics , prospective cohort study , pediatrics , pregnancy , population , prenatal care , surgery , environmental health , biology , genetics
Objective To examine whether teenage antenatal clinics reduce the incidence of preterm birth. Design A multicentre prospective study was performed. Setting Three Australian hospitals with maternity services. Population Consecutive teenage patients ( N = 731) were approached at their first or second antenatal visit. Methods Cases were women attending multidisciplinary teenage antenatal clinics and controls attended general hospital‐based antenatal clinics. Teenage antenatal clinics involved multidisciplinary care and included guidelines to screen and treat all patients for infectious and social pathology. General antenatal clinic care was in accordance with Australian standards. Main outcome measures Preterm birth, newborn biometry adjusted for gestational age, breastfeeding and contraception plans at discharge. Results Consent was obtained from 651 (89%) patients. Teenage pregnancy clinic patients were significantly less likely to present with threatened preterm labour (OR 0.45; 95% CI 0.29–0.68), preterm, prelabour, prolonged rupture of membranes (OR 0.34; 95% CI 0.18–0.63) or deliver preterm (OR 0.40; 95% CI 0.25–0.62) compared with those from general clinics. However, there was no independent effect of clinic care upon newborn biometry outcomes. Clinic care did not significantly alter rates of initiation of breastfeeding in hospital. However, significantly more of the teenage antenatal clinic mothers were discharged on contraception (OR 1.58; 95% CI 1.07–2.25). Conclusion Teenage‐specific antenatal clinics may reduce the rate of preterm birth.