Pregnancy and childbirth outcomes among adolescent mothers: a <scp>W</scp>orld <scp>H</scp>ealth <scp>O</scp>rganization multicountry study

BJOG: An International Journal of Obstetrics and Gynaecology - Tập 121 Số s1 - Trang 40-48 - 2014
Togoobaatar Ganchimeg1, Erika Ota2, Naho Morisaki1,3, Malinee Laopaiboon4, Pisake Lumbiganon5, Jun Zhang6, B Yamdamsuren7, Marleen Temmerman8, Lale Say8, Özge Tunçalp8, Joshua P. Vogel9,8, João Paulo Souza8, Rintaro Mori1
1Department of Health Policy, National Center for Child Health and Development, Tokyo, Japan
2Department of Maternal and Child Health, National Center for Child Health and Development, Tokyo, Japan
3Department of Paediatrics, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
4Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand
5Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
6Ministry of Education and Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University, School of Medicine and School of Public Health, Shanghai, China
7Division for Diagnostic and Treatment Technology, Ministry of Health, Ulaanbaatar, Mongolia
8UNDP/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
9School of Population Health, University of Western Australia, Perth, Australia

Tóm tắt

ObjectiveTo investigate the risk of adverse pregnancy outcomes among adolescents in 29 countries.DesignSecondary analysis using facility‐based cross‐sectional data of the World Health Organization Multicountry Survey on Maternal and Newborn Health.SettingTwenty‐nine countries in Africa, Latin America, Asia and the Middle East.PopulationWomen admitted for delivery in 359 health facilities during 2–4 months between 2010 and 2011.MethodsMultilevel logistic regression models were used to estimate the association between young maternal age and adverse pregnancy outcomes.Main outcome measuresRisk of adverse pregnancy outcomes among adolescent mothers.ResultsA 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.ConclusionsAdolescent 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.

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BJOG: An International Journal of Obstetrics and Gynaecology

Tập 121 Số s1

40-48

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