Identifying Risk Factors for Cesarean Delivery in a?Predominantly Hispanic Teenage Population: A 5-Year Retrospective Study

摘要

Study ObjectiveTo identify risk factors for primary nonelective cesarean delivery, in a predominantly Hispanic teen population of an urban tertiary care center. DesignRetrospective descriptive study. SettingA tertiary academic center with approximately 3000 deliveries per year. ParticipantsOur 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. InterventionsNone. Main Outcome MeasuresOur main outcome of interest was primary nonelective cesarean delivery. ResultsOf 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 ( 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). ConclusionAmong 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.