Pregnancy in Adolescence - A Challenge Beyond Public Health Policies

Silva, João Luiz Pinto e; Surita, Fernanda Garanhani

doi:10.1055/s-0037-1600899

Cited by 15 publications

(5 citation statements)

References 17 publications

(17 reference statements)

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“…Globally, adolescent childbearing remains a major public health concern most especially in the low-and middle-income countries (LMICs). Approximately 1 in 8 of the 140 million births annually occurs to adolescent women with 95% of these occurring in LMIC, and 23% in sub-Sahara Africa [1][2][3][4]. Uganda has a high adolescent childbearing rate with estimates at 25% of [15][16][17][18][19] year old having begun childbearing [5].…”

Section: Introductionmentioning

confidence: 99%

“…Adolescent childbearing lays a foundation for disadvantages in the areas of health, social, and economic outcomes both in the short term and long term [3,4,[6][7][8][9]. Adolescent women and their babies are at higher risk of experiencing poor health outcomes such as obstetric fistula, sepsis, stillbirths, preterm births, birth asphyxia, poor child survival and mental disorders.…”

Section: Introductionmentioning

confidence: 99%

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Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

et al. 2020

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BackgroundInformation on repeat adolescent birth remains scarce in sub-Sahara Africa. We investigated the prevalence and time trends in repeat adolescent birth in Uganda, and associated factors. MethodsWe analyzed Uganda Demographic and Health Survey data of women age 20-24 years collected on 6 surveys (1988/89-2016) to estimate repeat adolescent birth (first live birth <18 years of age followed by another live birth(s) <20 years). Further, we estimated the wantedness of the second order birth and the prevalence of short birth intervals birth (<13 months) between the first and second such birth. On the 2016 survey, we examined factors associated with repeat adolescent birth using bivariate and multivariate modified Poisson regression. ResultsAt the 1988/89 survey, 58.9% of women with first birth <18 years reported a repeat adolescent birth. This percentage increased to 66.8% in 2006 (+7.9 percentage points [pp], p = 0.010) and thereafter declined to 55.6% by 2016 (-11.2 pp, p<0.001), nevertheless, no change occurred between 1988/89 and 2016 (-3.3pp, p = 0.251). Among women with repeat adolescent births, the mean number of live births by exact age 20 years (2.2 births) and prevalence of short birth intervals (3.5% in 1988/89, 5.4% in 2016) (+1.9pp, p = 0.245) did not change. Increasingly more women with repeat adolescent births preferred to have had PLOS ONE

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

et al. 2020

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“…19 Poverty, lower educational level, and inadequate family support can contribute to a lack of adequate prenatal care, which may account for most negative health outcomes for both the adolescent mother and her child, including anemia, preeclampsia, poor nutrition, preterm birth, and low birth weight. 20 The Prenatal Visit: Meet the Pediatrician It is optimal for the pregnant teenager, the partner, and a trusted family member to schedule a prenatal visit with the pediatrician during the last trimester. The AAP Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, Fourth Edition, outlines the goals of this visit to include assessing family resources, community resources, and parental well-being and discussing breastfeeding decisions.…”

Section: Medical Management Of the Adolescent Parent And Child Prenatal Managementmentioning

confidence: 99%

Care of Adolescent Parents and Their Children

Powers

Takagishi

2021

Pediatrics

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Teen pregnancy and parenting remain important public health issues in the United States and around the world. A significant proportion of teen parents reside with their families of origin, which may positively or negatively affect the family structure. Teen parents, defined as those 15 to 19 years of age, are at high risk for repeat births. Pediatricians can play an important role in the care of adolescent parents and their children. This clinical report updates a previous report on the care of adolescent parents and their children and addresses clinical management specific to this population, including updates on breastfeeding, prenatal management, and adjustments to parenthood. Challenges unique to teen parents and their children are reviewed, along with suggestions for the pediatrician on models for intervention and care.

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“…Open access years, is associated with poor social, economic and health outcomes for both the girl and her offspring. [12][13][14][15] The health challenges associated with adolescent birth include obstructed labour, postpartum haemorrhage, preterm birth, fistulae, sepsis and infant death among others. 5 12 16 In addition, adolescent childbirth can negatively affect socioeconomic outcomes leading to school dropout, limited cash income and forced/early marriage.…”

Section: Introductionmentioning

confidence: 99%

Later life outcomes of women by adolescent birth history: analysis of the 2016 Uganda Demographic and Health Survey

et al. 2021

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ObjectivesTo describe the long-term socioeconomic and reproductive health outcomes of women in Uganda by adolescent birth history.DesignCross-sectional study.SettingUganda.ParticipantsWomen aged 40–49 years at the 2016 Uganda Demographic and Health Survey.Outcome measuresWe compared socioeconomic and reproductive outcomes among those with first birth <18 years versus not. Among those with a first birth <18 years, we compared those with and without repeat adolescent births (another birth <20 years). We used two-sample test for proportions, linear regression and Poisson regression.FindingsAmong the 2814 women aged 40–49 years analysed, 36.2% reported a first birth <18 years and 85.9% of these had a repeat adolescent birth. Compared with women with no birth <18 years, those with first birth <18 years were less likely to have completed primary education (16.3% vs 32.2%, p<0.001), more likely to be illiterate (55.0% vs 44.0%, p<0.001), to report challenges seeking healthcare (67.6% vs 61.8%, p=0.002) and had higher mean number of births by age 40 years (6.6 vs 5.3, p<0.001). Among women married at time of survey, those with birth <18 years had older husbands (p<0.001) who also had lower educational attainment (p<0.001). Educational attainment, household wealth score, total number of births and under-5 mortality among women with one adolescent birth were similar, and sometimes better, than among those with no birth <18 years.ConclusionsResults suggest lifelong adverse socioeconomic and reproductive outcomes among women with adolescent birth, primarily in the category with repeat adolescent birth. While our results might be birth-cohort specific, they underscore the need to support adolescent mothers to have the same possibilities to develop their potentials, by supporting school continuation and prevention of further unwanted pregnancies.

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Pregnancy in Adolescence - A Challenge Beyond Public Health Policies

Cited by 15 publications

References 17 publications

Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

Time trends in and factors associated with repeat adolescent birth in Uganda: Analysis of six demographic and health surveys

Care of Adolescent Parents and Their Children

Later life outcomes of women by adolescent birth history: analysis of the 2016 Uganda Demographic and Health Survey

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