Evidence map›Paper›PMID 42040762›Full record

ArticleFrontiers in reproductive health2026

Early perinatal outcomes in adolescent pregnancy: a Romanian decade of demographic and social change (2011-2012 vs. 2022-2023).

Laura Mihaela Suciu, Vlăduț Săsăran, Irina Bianca Kosovski, Diana Maria Chiorean, Mihai Muntean, Amalia Făgărășan, Claudiu Mărginean, Irina Prelipcean

Abstract read
In one paragraph

Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Laura Mihaela SuciuDepartment of Neonatology, University of Medicine Pharmacy Science and Technology George Emil Palade of Târgu Mureș, Târgu Mureș, Romania.
Vlăduț SăsăranDepartment of Obstetrics and Gynecology, University of Medicine Pharmacy Science and Technology George Emil Palade of Târgu Mureș, Târgu Mureș, Romania.
Irina Bianca KosovskiDepartment of Pathophysiology, University of Medicine Pharmacy Science and Technology George Emil Palade of Târgu Mureș, Târgu Mureș, Romania.
Diana Maria ChioreanDepartment of Pathophysiology, University of Medicine Pharmacy Science and Technology George Emil Palade of Târgu Mureș, Târgu Mureș, Romania.
Mihai MunteanDepartment of Obstetrics and Gynecology, University of Medicine Pharmacy Science and Technology George Emil Palade of Târgu Mureș, Târgu Mureș, Romania.
Amalia FăgărășanDepartment of Pediatrics, University of Medicine Pharmacy Science and Technology George Emil Palade of Târgu Mureș, Târgu Mureș, Romania.
Claudiu MărgineanDepartment of Obstetrics and Gynecology, University of Medicine Pharmacy Science and Technology George Emil Palade of Târgu Mureș, Târgu Mureș, Romania.
Irina PrelipceanDepartment of Neonatology, University of Rochester Medical Center, Golisano Children's Hospital, Rochester, NY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pregnancy in adolescence disrupts education, perpetuates economic dependence, and contributes to repeated cycles of poverty. Romania continues to report high adolescent birth rates within the European Union. We evaluated changes in adolescent socioeconomic profiles, perinatal care patterns, and early neonatal outcomes in a Romanian public academic maternity hospital between two snapshots taken ten years apart. Materials and methods: We conducted a retrospective repeated cross-sectional study of 2237 mother-newborn dyads from two periods: 2011-2012 and 2022-2023. Adolescents (<20 years) were compared with adults aged 25-29 years. The outcomes were delivery mode, preterm birth, low birth weight, small for gestational age (SGA), 5-Apgar score <7, Neonatal Intensive Care Unit (NICU) admission, and breastfeeding initiation. Multivariable logistic models included age group, time period, and their interaction, adjusting for education, antenatal care, and parity. Results: In 2022-2023, adolescent pregnancy was associated with decreased odds of cesarean delivery (OR 0.34, 95% CI 0.26-0.46), SGA (OR 1.76, 95% CI 1.1-2.93), and NICU admission (OR 2.31, 95%CI 1.56-3.01). Breastfeeding initiation declined over time and was less likely among adolescents in the newer period (OR 0.49, 95% CI 0.29-0.84). Conclusions: Despite improved antenatal care, education and reduced early marriage/cohabiting, adolescents continued to experience higher-risk neonatal outcomes over the past decade. Implementing interventions that strengthen social determinants of health and expand postpartum support is essential.

Indexed as

adolescent pregnancybirth rateneonatal outcomesrepeated cross-sectional studytemporal trends

Identifiers

PMID42040762
PMCPMC13102844

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.