Publication date: Dec 11, 2025
The purpose of this study was to (1) evaluate adolescent and young adult (AYA) delivery outcomes from 2015-2022 and (2) compare patient and delivery characteristics between the pre-pandemic period and during the pandemic. A retrospective cohort study was performed using the Texas Inpatient Public Use Data File from 2015-2022. Descriptive statistics (mean, standard deviation, frequency, and percentage) were used to summarize the data. Chi-squared or Fisher exact tests were used for association studies between the categorical variables. ANOVA with Bonferroni adjustment for least squares means or t-tests were used for continuous response variables. The study sample consisted of 105,458 deliveries. Overall AYA deliveries decreased by approximately 50% from the pre-pandemic period (46,112) to during the pandemic (32,913). Deliveries prior to the pandemic were more likely to be among AYA mothers who were non-Hispanic and Black. During the pandemic, deliveries were more likely to be among AYA mothers who were Hispanic and White (p

| Concepts | Keywords |
|---|---|
| Inpatient | Covid-19 pandemic |
| Mothers | pregnancy complications |
| Texas | teenage pregnancy |
Semantics
| Type | Source | Name |
|---|---|---|
| disease | MESH | Covid-19 pandemic |
| disease | MESH | pregnancy complications |