Pregnancy and childbirth outcomes among adolescent mothers

A W orld H ealth O rganization multicountry study

Bibliographic Data

ID23363544
AuthorsTogoobaatar Ganchimeg (0000-0002-5116-5601, National Center For Child Health and Development, corresponding author), Erika Ota (0000-0002-3945-7441, National Center For Child Health and Development), Naho Morisaki (0000-0001-6151-4513, National Center For Child Health and Development), Malinee Laopaiboon (0000-0002-2554-0543, Khon Kaen University), Pisake Lumbiganon (0000-0001-9372-0071, Khon Kaen University), Jun Zhang (0000-0003-1706-1611, Shanghai Jiao Tong University), B Yamdamsuren (Division for Diagnostic and Treatment Technology Ministry of Health Ulaanbaatar Mongolia), Marleen Temmerman (0000-0003-2069-8752, World Health Organization), Lale Say (0000-0002-1377-1328, World Health Organization), Özge Tunçalp (0000-0002-5370-682X, World Health Organization), Joshua P Vogel (0000-0002-3214-7096, The University of Western Australia), JP Vogel (UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research Development and Research Training in Human Reproduction (HRP) Department of Reproductive Health and Research World Health Organization Geneva Switzerland), Juliano P Souza (0000-0002-2288-4244, World Health Organization), JP Souza (UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research Development and Research Training in Human Reproduction (HRP) Department of Reproductive Health and Research World Health Organization Geneva Switzerland), Rintaro Mori (0000-0001-7656-6156, National Center For Child Health and Development)
Year2014
Volume121
Issues1
Pages40-48
Publication date2014-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBJOG An International Journal of Obstetrics & Gynaecology (JOURNAL)
Journal identifiersISSN: 1470-0328 • E-ISSN: 1471-0528
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1471-0528.12630
PMID24641534
OpenAlexW2012400934
LanguageEN
Citations received165
References cited29

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.

Adverse effect · Caesarean section · Childbirth · Gestational age · Logistic regression · Obstetrics · Pregnancy · Psychological intervention · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Internal Medicine · Medicine · Nursing · Reproductive Health and Contraception · Pediatrics