Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study
Objective To investigate the risk of adverse pregnancy outcomes among adolescents in 29 countries. Design Secondary analysis using facility‐based cross‐sectional data of the World Health Organization Multicountry Survey on Maternal and Newborn Health. Setting Twenty‐nine countries in Africa, Latin A...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2014-03, Vol.121 (s1), p.40-48 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
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| creator | Ganchimeg, T Ota, E Morisaki, N Laopaiboon, M Lumbiganon, P Zhang, J Yamdamsuren, B Temmerman, M Say, L Tunçalp, Ö Vogel, JP Souza, JP Mori, R |
| description | Objective
To investigate the risk of adverse pregnancy outcomes among adolescents in 29 countries.
Design
Secondary analysis using facility‐based cross‐sectional data of the World Health Organization Multicountry Survey on Maternal and Newborn Health.
Setting
Twenty‐nine countries in Africa, Latin America, Asia and the Middle East.
Population
Women admitted for delivery in 359 health facilities during 2–4 months between 2010 and 2011.
Methods
Multilevel logistic regression models were used to estimate the association between young maternal age and adverse pregnancy outcomes.
Main outcome measures
Risk of adverse pregnancy outcomes among adolescent mothers.
Results
A total of 124 446 mothers aged ≤24 years and their infants were analysed. Compared with mothers aged 20–24 years, adolescent mothers aged 10–19 years had higher risks of eclampsia, puerperal endometritis, systemic infections, low birthweight, preterm delivery and severe neonatal conditions. The increased risk of intra‐hospital early neonatal death among infants born to adolescent mothers was reduced and statistically insignificant after adjustment for gestational age and birthweight, in addition to maternal characteristics, mode of delivery and congenital malformation. The coverage of prophylactic uterotonics, prophylactic antibiotics for caesarean section and antenatal corticosteroids for preterm delivery at 26–34 weeks was significantly lower among adolescent mothers.
Conclusions
Adolescent pregnancy was associated with higher risks of adverse pregnancy outcomes. Pregnancy prevention strategies and the improvement of healthcare interventions are crucial to reduce adverse pregnancy outcomes among adolescent women in low‐ and middle‐income countries. |
| doi_str_mv | 10.1111/1471-0528.12630 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1508940810</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3248414771</sourcerecordid><originalsourceid>FETCH-LOGICAL-j3920-b36d20185c45e13feb3d98b7b2d2240add3c1faf0b2f53313af767deae35e82b3</originalsourceid><addsrcrecordid>eNpdkU1PwzAMhiMEgjE4c0ORuHDpcJKm7bjBBAyENA4gjlHapFunNIEkFSq_nm58HPDFlv3YeuUXoRMCEzLEBUlzkgCnxYTQjMEOGv11drc1JMBocYAOQ1gDkIwC20cHNM1Swlk6Qusnr5dW2qrH0ipcrRqjysbHFXZdrFyrA5ats0sslTM6VNpG3Lq40j5cYolfnTcKz7U0w8bCL6VtPmVsnMVtZ2JTuc5G3-MQO9Ufob1amqCPf_IYvdzePM_myePi7n529Zis2ZRCUrJMUSAFr1KuCat1ydS0KPOSKkpTkEqxitSyhpLWnDHCZJ1nudJSM64LWrIxOv----bde6dDFG0zCDdGWu26IAiHYppCQWBAz_6ha9d5O6jbUsAzmvOBOv2hurLVSrz5ppW-F79fHAD-DXw0Rvd_cwJiY5LYWCI2loitSeL6YbEt2BfdmoRG</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1508056275</pqid></control><display><type>article</type><title>Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study</title><source>Wiley-Blackwell Journals</source><source>MEDLINE</source><creator>Ganchimeg, T ; Ota, E ; Morisaki, N ; Laopaiboon, M ; Lumbiganon, P ; Zhang, J ; Yamdamsuren, B ; Temmerman, M ; Say, L ; Tunçalp, Ö ; Vogel, JP ; Souza, JP ; Mori, R</creator><creatorcontrib>Ganchimeg, T ; Ota, E ; Morisaki, N ; Laopaiboon, M ; Lumbiganon, P ; Zhang, J ; Yamdamsuren, B ; Temmerman, M ; Say, L ; Tunçalp, Ö ; Vogel, JP ; Souza, JP ; Mori, R ; WHO Multicountry Survey on Maternal Newborn Health Research Network</creatorcontrib><description>Objective
To investigate the risk of adverse pregnancy outcomes among adolescents in 29 countries.
Design
Secondary analysis using facility‐based cross‐sectional data of the World Health Organization Multicountry Survey on Maternal and Newborn Health.
Setting
Twenty‐nine countries in Africa, Latin America, Asia and the Middle East.
Population
Women admitted for delivery in 359 health facilities during 2–4 months between 2010 and 2011.
Methods
Multilevel logistic regression models were used to estimate the association between young maternal age and adverse pregnancy outcomes.
Main outcome measures
Risk of adverse pregnancy outcomes among adolescent mothers.
Results
A total of 124 446 mothers aged ≤24 years and their infants were analysed. Compared with mothers aged 20–24 years, adolescent mothers aged 10–19 years had higher risks of eclampsia, puerperal endometritis, systemic infections, low birthweight, preterm delivery and severe neonatal conditions. The increased risk of intra‐hospital early neonatal death among infants born to adolescent mothers was reduced and statistically insignificant after adjustment for gestational age and birthweight, in addition to maternal characteristics, mode of delivery and congenital malformation. The coverage of prophylactic uterotonics, prophylactic antibiotics for caesarean section and antenatal corticosteroids for preterm delivery at 26–34 weeks was significantly lower among adolescent mothers.
Conclusions
Adolescent pregnancy was associated with higher risks of adverse pregnancy outcomes. Pregnancy prevention strategies and the improvement of healthcare interventions are crucial to reduce adverse pregnancy outcomes among adolescent women in low‐ and middle‐income countries.</description><identifier>ISSN: 1470-0328</identifier><identifier>ISSN: 1471-0528</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.12630</identifier><identifier>PMID: 24641534</identifier><identifier>CODEN: BIOGFQ</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject><![CDATA[Adolescent ; Adolescent Health Services - organization & administration ; Adolescent pregnancy ; adverse pregnancy outcomes ; Africa - epidemiology ; Asia - epidemiology ; Cesarean Section - mortality ; Cesarean Section - statistics & numerical data ; Child ; Cross-Sectional Studies ; Delivery, Obstetric - mortality ; Delivery, Obstetric - statistics & numerical data ; Developing Countries ; Eclampsia - mortality ; Eclampsia - prevention & control ; Female ; Health Care Surveys ; Health Services Accessibility ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Latin America - epidemiology ; low birthweight ; Maternal Age ; Maternal-Child Health Centers - organization & administration ; Middle East - epidemiology ; perinatal mortality ; Pregnancy ; Pregnancy in Adolescence - prevention & control ; Pregnancy Outcome ; Pregnancy, Unplanned ; preterm birth ; Puerperal Infection - mortality ; Puerperal Infection - prevention & control ; Reproductive Health Services ; Risk Factors ; World Health Organization ; Young Adult]]></subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2014-03, Vol.121 (s1), p.40-48</ispartof><rights>2014 RCOG The World Health Organization retains copyright and all other rights in the manuscript of this article as submitted for publication.</rights><rights>Copyright © 2014 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.12630$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.12630$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24641534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ganchimeg, T</creatorcontrib><creatorcontrib>Ota, E</creatorcontrib><creatorcontrib>Morisaki, N</creatorcontrib><creatorcontrib>Laopaiboon, M</creatorcontrib><creatorcontrib>Lumbiganon, P</creatorcontrib><creatorcontrib>Zhang, J</creatorcontrib><creatorcontrib>Yamdamsuren, B</creatorcontrib><creatorcontrib>Temmerman, M</creatorcontrib><creatorcontrib>Say, L</creatorcontrib><creatorcontrib>Tunçalp, Ö</creatorcontrib><creatorcontrib>Vogel, JP</creatorcontrib><creatorcontrib>Souza, JP</creatorcontrib><creatorcontrib>Mori, R</creatorcontrib><creatorcontrib>WHO Multicountry Survey on Maternal Newborn Health Research Network</creatorcontrib><title>Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To investigate the risk of adverse pregnancy outcomes among adolescents in 29 countries.
Design
Secondary analysis using facility‐based cross‐sectional data of the World Health Organization Multicountry Survey on Maternal and Newborn Health.
Setting
Twenty‐nine countries in Africa, Latin America, Asia and the Middle East.
Population
Women admitted for delivery in 359 health facilities during 2–4 months between 2010 and 2011.
Methods
Multilevel logistic regression models were used to estimate the association between young maternal age and adverse pregnancy outcomes.
Main outcome measures
Risk of adverse pregnancy outcomes among adolescent mothers.
Results
A total of 124 446 mothers aged ≤24 years and their infants were analysed. Compared with mothers aged 20–24 years, adolescent mothers aged 10–19 years had higher risks of eclampsia, puerperal endometritis, systemic infections, low birthweight, preterm delivery and severe neonatal conditions. The increased risk of intra‐hospital early neonatal death among infants born to adolescent mothers was reduced and statistically insignificant after adjustment for gestational age and birthweight, in addition to maternal characteristics, mode of delivery and congenital malformation. The coverage of prophylactic uterotonics, prophylactic antibiotics for caesarean section and antenatal corticosteroids for preterm delivery at 26–34 weeks was significantly lower among adolescent mothers.
Conclusions
Adolescent pregnancy was associated with higher risks of adverse pregnancy outcomes. Pregnancy prevention strategies and the improvement of healthcare interventions are crucial to reduce adverse pregnancy outcomes among adolescent women in low‐ and middle‐income countries.</description><subject>Adolescent</subject><subject>Adolescent Health Services - organization & administration</subject><subject>Adolescent pregnancy</subject><subject>adverse pregnancy outcomes</subject><subject>Africa - epidemiology</subject><subject>Asia - epidemiology</subject><subject>Cesarean Section - mortality</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Delivery, Obstetric - mortality</subject><subject>Delivery, Obstetric - statistics & numerical data</subject><subject>Developing Countries</subject><subject>Eclampsia - mortality</subject><subject>Eclampsia - prevention & control</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Latin America - epidemiology</subject><subject>low birthweight</subject><subject>Maternal Age</subject><subject>Maternal-Child Health Centers - organization & administration</subject><subject>Middle East - epidemiology</subject><subject>perinatal mortality</subject><subject>Pregnancy</subject><subject>Pregnancy in Adolescence - prevention & control</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy, Unplanned</subject><subject>preterm birth</subject><subject>Puerperal Infection - mortality</subject><subject>Puerperal Infection - prevention & control</subject><subject>Reproductive Health Services</subject><subject>Risk Factors</subject><subject>World Health Organization</subject><subject>Young Adult</subject><issn>1470-0328</issn><issn>1471-0528</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1PwzAMhiMEgjE4c0ORuHDpcJKm7bjBBAyENA4gjlHapFunNIEkFSq_nm58HPDFlv3YeuUXoRMCEzLEBUlzkgCnxYTQjMEOGv11drc1JMBocYAOQ1gDkIwC20cHNM1Swlk6Qusnr5dW2qrH0ipcrRqjysbHFXZdrFyrA5ats0sslTM6VNpG3Lq40j5cYolfnTcKz7U0w8bCL6VtPmVsnMVtZ2JTuc5G3-MQO9Ufob1amqCPf_IYvdzePM_myePi7n529Zis2ZRCUrJMUSAFr1KuCat1ydS0KPOSKkpTkEqxitSyhpLWnDHCZJ1nudJSM64LWrIxOv----bde6dDFG0zCDdGWu26IAiHYppCQWBAz_6ha9d5O6jbUsAzmvOBOv2hurLVSrz5ppW-F79fHAD-DXw0Rvd_cwJiY5LYWCI2loitSeL6YbEt2BfdmoRG</recordid><startdate>201403</startdate><enddate>201403</enddate><creator>Ganchimeg, T</creator><creator>Ota, E</creator><creator>Morisaki, N</creator><creator>Laopaiboon, M</creator><creator>Lumbiganon, P</creator><creator>Zhang, J</creator><creator>Yamdamsuren, B</creator><creator>Temmerman, M</creator><creator>Say, L</creator><creator>Tunçalp, Ö</creator><creator>Vogel, JP</creator><creator>Souza, JP</creator><creator>Mori, R</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201403</creationdate><title>Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study</title><author>Ganchimeg, T ; Ota, E ; Morisaki, N ; Laopaiboon, M ; Lumbiganon, P ; Zhang, J ; Yamdamsuren, B ; Temmerman, M ; Say, L ; Tunçalp, Ö ; Vogel, JP ; Souza, JP ; Mori, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j3920-b36d20185c45e13feb3d98b7b2d2240add3c1faf0b2f53313af767deae35e82b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adolescent Health Services - organization & administration</topic><topic>Adolescent pregnancy</topic><topic>adverse pregnancy outcomes</topic><topic>Africa - epidemiology</topic><topic>Asia - epidemiology</topic><topic>Cesarean Section - mortality</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Delivery, Obstetric - mortality</topic><topic>Delivery, Obstetric - statistics & numerical data</topic><topic>Developing Countries</topic><topic>Eclampsia - mortality</topic><topic>Eclampsia - prevention & control</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Latin America - epidemiology</topic><topic>low birthweight</topic><topic>Maternal Age</topic><topic>Maternal-Child Health Centers - organization & administration</topic><topic>Middle East - epidemiology</topic><topic>perinatal mortality</topic><topic>Pregnancy</topic><topic>Pregnancy in Adolescence - prevention & control</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy, Unplanned</topic><topic>preterm birth</topic><topic>Puerperal Infection - mortality</topic><topic>Puerperal Infection - prevention & control</topic><topic>Reproductive Health Services</topic><topic>Risk Factors</topic><topic>World Health Organization</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ganchimeg, T</creatorcontrib><creatorcontrib>Ota, E</creatorcontrib><creatorcontrib>Morisaki, N</creatorcontrib><creatorcontrib>Laopaiboon, M</creatorcontrib><creatorcontrib>Lumbiganon, P</creatorcontrib><creatorcontrib>Zhang, J</creatorcontrib><creatorcontrib>Yamdamsuren, B</creatorcontrib><creatorcontrib>Temmerman, M</creatorcontrib><creatorcontrib>Say, L</creatorcontrib><creatorcontrib>Tunçalp, Ö</creatorcontrib><creatorcontrib>Vogel, JP</creatorcontrib><creatorcontrib>Souza, JP</creatorcontrib><creatorcontrib>Mori, R</creatorcontrib><creatorcontrib>WHO Multicountry Survey on Maternal Newborn Health Research Network</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ganchimeg, T</au><au>Ota, E</au><au>Morisaki, N</au><au>Laopaiboon, M</au><au>Lumbiganon, P</au><au>Zhang, J</au><au>Yamdamsuren, B</au><au>Temmerman, M</au><au>Say, L</au><au>Tunçalp, Ö</au><au>Vogel, JP</au><au>Souza, JP</au><au>Mori, R</au><aucorp>WHO Multicountry Survey on Maternal Newborn Health Research Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2014-03</date><risdate>2014</risdate><volume>121</volume><issue>s1</issue><spage>40</spage><epage>48</epage><pages>40-48</pages><issn>1470-0328</issn><issn>1471-0528</issn><eissn>1471-0528</eissn><coden>BIOGFQ</coden><abstract>Objective
To investigate the risk of adverse pregnancy outcomes among adolescents in 29 countries.
Design
Secondary analysis using facility‐based cross‐sectional data of the World Health Organization Multicountry Survey on Maternal and Newborn Health.
Setting
Twenty‐nine countries in Africa, Latin America, Asia and the Middle East.
Population
Women admitted for delivery in 359 health facilities during 2–4 months between 2010 and 2011.
Methods
Multilevel logistic regression models were used to estimate the association between young maternal age and adverse pregnancy outcomes.
Main outcome measures
Risk of adverse pregnancy outcomes among adolescent mothers.
Results
A total of 124 446 mothers aged ≤24 years and their infants were analysed. Compared with mothers aged 20–24 years, adolescent mothers aged 10–19 years had higher risks of eclampsia, puerperal endometritis, systemic infections, low birthweight, preterm delivery and severe neonatal conditions. The increased risk of intra‐hospital early neonatal death among infants born to adolescent mothers was reduced and statistically insignificant after adjustment for gestational age and birthweight, in addition to maternal characteristics, mode of delivery and congenital malformation. The coverage of prophylactic uterotonics, prophylactic antibiotics for caesarean section and antenatal corticosteroids for preterm delivery at 26–34 weeks was significantly lower among adolescent mothers.
Conclusions
Adolescent pregnancy was associated with higher risks of adverse pregnancy outcomes. Pregnancy prevention strategies and the improvement of healthcare interventions are crucial to reduce adverse pregnancy outcomes among adolescent women in low‐ and middle‐income countries.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>24641534</pmid><doi>10.1111/1471-0528.12630</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | Wiley-Blackwell Journals; MEDLINE |
| subjects | Adolescent Adolescent Health Services - organization & administration Adolescent pregnancy adverse pregnancy outcomes Africa - epidemiology Asia - epidemiology Cesarean Section - mortality Cesarean Section - statistics & numerical data Child Cross-Sectional Studies Delivery, Obstetric - mortality Delivery, Obstetric - statistics & numerical data Developing Countries Eclampsia - mortality Eclampsia - prevention & control Female Health Care Surveys Health Services Accessibility Humans Infant, Low Birth Weight Infant, Newborn Latin America - epidemiology low birthweight Maternal Age Maternal-Child Health Centers - organization & administration Middle East - epidemiology perinatal mortality Pregnancy Pregnancy in Adolescence - prevention & control Pregnancy Outcome Pregnancy, Unplanned preterm birth Puerperal Infection - mortality Puerperal Infection - prevention & control Reproductive Health Services Risk Factors World Health Organization Young Adult |
| title | Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study |
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