{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:57:21Z","timestamp":1765727841760,"version":"3.37.3"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,17]],"date-time":"2018-10-17T00:00:00Z","timestamp":1539734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale<\/jats:title><jats:p>The extent of pregnancy in adolescents and young adults, especially in low and middle\u2010income countries, is a source of increasing concern given its social and economic impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims and Objective<\/jats:title><jats:p>We hypothesized that there would be correlations between female patients becoming pregnant at a young age and practices such as harmful alcohol misuse, cigarette smoking, and drug use, the use of toxic substances, low educational attainment, and an essential absence of health care seeking about the outcome of adolescent pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a prospective cross\u2010sectional study of patients who gave birth between August and November 2017 at St. Pantelimon Emergency Hospital in Bucharest, Romania. Seventy\u2010four patients aged 14 to 20\u00a0years, with a mean maternal age of 18.07\u00a0years, were enrolled in the study and answered a 15\u2010item questionnaire about their social, educational, and medical background.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010three patients (71.6%) gave birth by caesarean section and 21 (28.3%) by vaginal delivery. Notably, patients aged 14 to 16\u00a0years had a lower rate of caesarean delivery compared with those aged 17 to 20\u00a0years. Moreover, 83.0% of the caesarean sections and 76.1% of the vaginal deliveries were at term. With reference to age and type of delivery, women are more likely to give birth by caesarean section at any age group (the association is not statistically significant at <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05), except for the age of 15\u00a0years (five out of six patients in our sample had a spontaneous birth). Smoking was the most common risk behavior in the sample (45.9%, <jats:italic>n<\/jats:italic>\u00a0=\u00a034), followed by alcohol consumption (17.5%, <jats:italic>n<\/jats:italic>\u00a0=\u00a013) and drug use (5.40%, <jats:italic>n<\/jats:italic>\u00a0=\u00a04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A high percentage of caesarean delivery was reported, particularly in patients aged &gt;17\u00a0years. The percentage of female participants who underwent a caesarean delivery for their second pregnancy was significantly higher than compared with primipara participants. Patients receiving consistent antenatal care visits compared with those who did not monitor their pregnancy did not differ in the likelihood of undergoing a caesarean section.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.13036","type":"journal-article","created":{"date-parts":[[2018,10,18]],"date-time":"2018-10-18T04:00:34Z","timestamp":1539835234000},"page":"117-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The problems associated with adolescent pregnancy in Romania: A cross\u2010sectional study"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7454-7389","authenticated-orcid":false,"given":"Mihai","family":"Dimitriu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology \u201cCarol Davila\u201d University of Medicine and Pharmacy  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4533-6766","authenticated-orcid":false,"given":"Cringu Antoniu","family":"Ionescu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u201cCarol Davila\u201d University of Medicine and Pharmacy  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Matei","sequence":"additional","affiliation":[{"name":"Department Obstetrics Gynecology \u201cSf Pantelimon\u201d Clinical Emergency Hospital  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxana","family":"Viezuina","sequence":"additional","affiliation":[{"name":"Department Obstetrics Gynecology \u201cSf Pantelimon\u201d Clinical Emergency Hospital  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Rosu","sequence":"additional","affiliation":[{"name":"Department Obstetrics Gynecology \u201cSf Pantelimon\u201d Clinical Emergency Hospital  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corina","family":"Ilinca","sequence":"additional","affiliation":[{"name":"Faculty of Sociology and Social Work Statistical Office University of Bucharest  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8150-4790","authenticated-orcid":false,"given":"Mihai","family":"Banacu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u201cCarol Davila\u201d University of Medicine and Pharmacy  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liana","family":"Ples","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology \u201cCarol Davila\u201d University of Medicine and Pharmacy  Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,17]]},"reference":[{"volume-title":"Adolescent Pregnancy","author":"World Health Organization","key":"e_1_2_9_2_1"},{"volume-title":"Global Health Observatory Data Repository\u2014Adolescent Birth Rate: Data by Country","author":"World Health Organization","key":"e_1_2_9_3_1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1751-486X.12133"},{"volume-title":"Media Center\u2014Adolescent Pregnancy","author":"World Health Organization","key":"e_1_2_9_5_1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwi095"},{"volume-title":"Media Center\u2014United Nations Agencies Report Steady Progress in Saving Mothers' Lives","author":"World Health Organization","key":"e_1_2_9_7_1"},{"key":"e_1_2_9_8_1","unstructured":"Euroregional Center for Public Initiatives.Este nevoie de o nou\u0103 strategie na\u0163ional\u0103 privind s\u0103n\u0103tatea \u015fi drepturile sexuale \u015fi ale reproducerii!. [http:\/\/www.ecpi.ro\/este\u2010nevoie\u2010de\u2010o\u2010noua\u2010strategie\u2010nationala\u2010privind\u2010sanatatea\u2010si\u2010drepturile\u2010sexuale\u2010si\u2010ale\u2010reproducerii\/]. 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