Adolescent and young adult (AYA) pregnancy outcomes in Texas during the COVID pandemic: a retrospective cohort study.

Adolescent and young adult (AYA) pregnancy outcomes in Texas during the COVID pandemic: a retrospective cohort study.

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

Original Article

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