Abstract
It has been widely reported that teenage mothers experience more complications of labor and delivery as well as higher rates of prematurity and low-birth weight infants than women 20–30 years old. However, a few studies have suggested that birth complications are related to social class, not maternal age. The purpose of this study was to examine the interaction of social class, maternal age, and obstetric and neonatal outcome. When samples of primparous low-income and middle-income teenagers (15–19 years) were compared with samples of primiparous low-income and middle-income women (20–30 years), the reported differences by maternal age did not emerge. Instead there was evidence of a complex interaction between maternal age and social class that suggested that low-income, older mothers may be the most “at-risk” group, while middle-income teenage mothers may be the least at-risk group. It is suggested that risk assessment based on social class or maternal age alone is too simplistic to be useful.
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References
Alan Guttmacher Institute (1981).Teenage Pregnancy: The Problem That Hasn't Gone Away Author, New York.
Belmont, L., Cohen, P., Dryfoos, J., Stein, Z., and Zayac, S. (1981). Maternal age and children's intelligence. In Scott, K. G., Field, T., and Robertson, E. (eds.),Teenage Parents and Their Offspring Grune & Stratton, New York.
Broman, S. (1981). Longterm development of children born to teenagers. In Scott, K. G., Field, T., and Robertson, E. (eds),Teenage Parents and Their Offspring Grune & Stratton, New York.
Broman, S. H., Nichols, P. L., and Kennedy, W. A. (1975).Preschool IQ: Parental and Early Developmental Correlates Wiley, New York.
Coates, J. B. (1970). Obstetrics in the very young adolescent.,Am. J. Obstet. Gynecol. 108(1): 68–72.
Dott, A. B., and Fort, A. T. (1976). Medical and social factors affecting early teenage child-bearing.Am. J. Obstet. Gynecol. 125(4): 532–536.
Dougherty, C. R. S., and Jones, A. D. (1982). The determinants of birth weight.Am. J. Obstet. Gynecol. 144(2): 190–200.
Duenhoelter, J. H., Jimienez, J. M., and Baumann, G. (1975). Pregnancy performance of patients under fifteen years of ageObstet Gynecol. 46(1): 49–52.
Dwyer, J. F. (1974). Teenage pregnancy.Am. J. Obstet. Gynecol. 118(3): 373–376.
Fielding, J. E. (1978). Adolescent pregnancy revisited.N. Engl. J. Med. 299(16): 893–896.
Glass, G. V., and Stanley, J. C. (1970).Statistical Methods in Education and Psychology Prentice-Hall, Englewood Cliffs, N.J.
Hardy, J. B., Welcher, D. W., Stanley, J., and Dallas, J. R. (1978). Long range outcome of adolescent pregnancy.Clin. Obstet. Gynecol. 21(4): 1215–1232.
Hollingsworth, D. R., Moser, R. J., Carlson, J. W., and Thompson, K. T. (1976). Abnormal adolescent primiparous pregnancy: Association of race, human chorionic somatomammotropin production, and smoking.Am. J. Obstet. Gynecol. 126(2): 230–237.
Hollingsworth, D. R., Kotchen, J. M., and Felice, M. E. (1983). Impact of gynecological age on outcome of adolescent pregnancy. In McAnarney, E. R. (ed.),Premature Adolescent Pregnancy and Parenthood Grune & Stratton, New York.
Hulka, J. F., and Schaaf, J. T. (1964). Obstetrics in adolescents: A controlled study of deliveries by mothers in 15 years of age and under.Obstet. Gynecol. 23(5): 678–685.
Illsley, R. (1967a). Family growth and its effect on the relationship between obstetric factors and child functioning. In Platt, R., and Parkes, A. S. (eds.),Social and Genetic Influences on Life and Death Oliver and Boyd, London.
Illsley, R. (1967b). The sociological study of reproduction and its outcome. In Richardson, S. A., and Guttmacher, A. F. (eds.),Childbearing—Its Social and Psychological Aspects Williams & Wilkins, Cambridge.
Jones, A. E., and Placek, P. (1979). Teenage women in the U.S.A.: Sex, contraception, pregnancy, fertility, and maternal and infant health. A paper presented at the Family Impact Seminar, Teenage Pregnancy and Family Impact: New Perspectives onPolicy, Washington, D.C.
Lawrence, R. A., and Merritt, T. A. (1981). Infants of adolescent mothers: Perinatal, neonatal, and infancy outcome.Semin. Perinatol. 5(1): 19–32.
Lobl, M., Welcher, D. W., and Mellits, E. D. (1971). Maternal age and intellectual functioning of offspring.Hopkins Med. J. 128 (June): 347–361.
McAnarney, E. R. (1975). Adolescent pregnancy—a pediatric concern?Clin. Pediat. 14(1): 19–22.
McAnarney, E. R., and Thiede, H. A. (1981). Adolescent pregnancy and childbearing: What we have learned in a decade and what remains to be learned.Semin. Perinatol. 5(1): 91–103.
Mednick, B. R., Baker, R. L., and Sutton-Smith, B. (1979). Teenage pregnancy and perinatal mortality.J. Youth Adoles. 8(3): 343–357.
Mellor, S., and Wright, J. D. (1975). Adolescent pregnancy.Practitioner 215 (July): 77–82.
Menken, J. (1972). The health and social consequences of teenage childbearing,Fam. Plan. Perspect. 4(3): 45–53.
Merritt, T. A., Lawrence, R. A., and Naeye, R. L. (1980). The infants of adolescent mothers.Pediat. Ann. 9(3): 100–109.
Morse, E. H., Clarke, R. P., Keyser, D. E., Merrow, S. B., and Bee, D. E. (1975). Comparison of the nutritional status of pregnant adolescents with adult pregnant women. I. Biochemical findings,Am. J. Clin. Nutr. 28: (Sept.): 1000–1013.
Nortman, D. (1974). Parental age as a factor in pregnancy outcome and child development.Rep. Popul. Fam. Plan. 16.
Oppel, W. C., and Royston, A. B. (1971). Teenage births. Some social, psychological and physical sequelae.Am. J. Health 61(4): 751–756.
Osofsky, H. J., and Osofsky, J. D. (1970). Adolescents as mothers: Results of a program for low-income pregnant teenagers with some emphasis upon infants' development.Am. J. Orthopsychiat. 40(5): 825–834.
Robertson, E. G. (1981). Adolescence, physiological maturity, and obstetric outcome. In Scott, K. G., Field, T., and Robertson, E. (eds.),Teenage Parents and Their Offspring Grune & Stratton, New York.
Rothenberg, P. B., and Varga, P. E. (1981). The relationship between age of mother and child health and development.Am. J. Pub. Health 810–817.
Ryan, G. M., Jr., and Schneider, J. M. (1978). Teenage obstetric complications.Clin. Obstet. Gynecol. 21(4): 1191–1197.
Stickle, G., and Ma, P. (1975). Pregnancy in adolescents: Scope of the problem.Contemp. Obstet. Gynecol. 5 (June): 85–100.
Zachau-Christiansen, B., and Ross, E. M. (1975).Babies: Human Development During the First Year John Wiley & Sons, New York.
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The author is grateful to the St. Joseph's Hospital and Medical Center, the Maricopa County General Hospital, and the Arizona Perinatal Trust, all of Phoenix, Arizona, for access to the data. Special thanks to Steve Warford for preparation of the data set.
Received his Ph.D. from Michigan State University in 1980. Current interests are teenage sexuality, pregnancy and parenting, and the development of children in stressed households.
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Roosa, M.W. Maternal age, social class, and the obstetric performance of teenagers. J Youth Adolescence 13, 365–374 (1984). https://doi.org/10.1007/BF02094870
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DOI: https://doi.org/10.1007/BF02094870