© 2003 BMJ Publishing Group & Royal College of Nursing
Causation
Young maternal age was associated with increased risk of postneonatal death in full term, healthy infants
Phipps MG, Blume JD, DeMonner SM. Young maternal age associated with increased risk of postneonatal death.Obstet Gynecol 2002 ;100:481–6[CrossRef][Medline]
QUESTION: Are full term, healthy infants born to young mothers at increased risk of postneonatal death compared with infants born to adult (older) mothers?
Key Words: pregnancy in adolescents • infant mortality • maternal age
| The first 150 words of the full text of this article appear below. |
Cohort study with 
365 days of follow up.
United States.
1 830 350 mothers who were 12–29 years of age and delivered healthy (
37 wks gestation, birth weight 2500 g), singleton infants in the US in 1996 and 1997, who survived the first 28 days after birth. Data sets were racially stratified as non-Hispanic white (1 246 863), non-Hispanic black (303 699), and Mexican-American (279 788). Multiple births, higher order births, and infants with congenital defects were excluded.
Maternal age 15 years was the main risk factor. Other potential risk factors were maternal race or ethnicity, adequacy of prenatal care utilisation, self reported tobacco use, self reported alcohol use, marital status, and presence of father’s name on the birth certificate. Demographic information was extracted from birth certificate records.
Postneonatal infant death between 28 and 365 days after birth. Data were combined from the 1996 and 1997 US Linked Birth/Infant
Nurse Practitioner
Pinecrest Queensway Health and Community Services
Ottawa, Ontario, Canada
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