A comparison of neonatal outcomes between adolescent and adult mothers in developed countries: A systematic review and meta-analysis

Marvin-Dowle, Katie; Soltani, Hora

doi:10.1016/j.eurox.2020.100109

Cited by 34 publications

(25 citation statements)

References 37 publications

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“… [49] The equiplots also showed that the birthweight indicators would be worse for mothers aged <19 years; this observation agrees with the literature on the subject. [ 50 , 51 ] Regarding low birthweight prevalence, the youngest mothers were closely followed by those aged 36+ years, which has also been documented before. [52] Both extremes of the reproductive age are considered at risk for adverse birth outcomes, and the prevalence of adverse birth outcomes have kept similar along time.…”

Section: Discussionsupporting

confidence: 64%

National and subnational trends of birthweight in Peru: Pooled analysis of 2,927,761 births between 2012 and 2019 from the national birth registry

Carrillo‐Larco

Cajachagua-Torres

Guzman‐Vilca

et al. 2021

The Lancet Regional Health - Americas

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Summary Background National and subnational characterization of birthweight profiles lacks in low- and middle-income countries, yet these are needed for monitoring the progress of national and global nutritional targets. We aimed to describe birthweight indicators at the national and subnational levels in Peru (2012-2019), and by selected correlates. Methods We studied mean birthweight (g), low birthweight (<2,500 g) and small for gestational age (according to international growth curves) prevalences. We analysed the national birth registry and summarized the three birthweight indicators at the national, regional, and province level, also by geographic area (Coast, Highlands, and Amazon). With individual-level data from the mother, we described the birthweight indicators by age, educational level and healthcare provider. Following an ecological approach (province level), we described the birthweight indicators by human development index (HDI), altitude above sea level, proportion of the population living in poverty and proportion of rural population. Findings Mean birthweight was always the lowest in the Highlands (2,954 g in 2019) yet the highest in the Coast (3,516 g in 2019). The same was observed for low birthweight and small for gestational age. In regions with Coast and Highlands, the birthweight indicators worsen from the Coast to the Highlands; the largest absolute difference in mean birthweight between Coast and Highlands in the same region was 367 g. All birthweight indicators were the worst in mothers with none/initial education, while they improved with higher HDI. Interpretation This analysis suggests that interventions are needed at the province level, given the large differences observed between Coast and Highlands even in the same region. Funding Wellcome Trust (214185/Z/18/Z)

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Section: Discussionsupporting

confidence: 64%

National and subnational trends of birthweight in Peru: Pooled analysis of 2,927,761 births between 2012 and 2019 from the national birth registry

Carrillo‐Larco

Cajachagua-Torres

Guzman‐Vilca

et al. 2021

The Lancet Regional Health - Americas

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“…In studies with Mexican adolescent women, pregestational BMI has been different from adults [ 5 , 12 , 13 ]. Moreover, being a pregnant adolescent increases the risk of complications, including preeclampsia, preterm birth, and low infant birth weight [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City

Sámano

Chico-Barba

Flores-Quijano

et al. 2021

IJERPH

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During pregnancy, adolescents experience physiological changes different from adults because they have not concluded their physical growth. Therefore, maternal and neonatal outcomes may not be the same. This paper aimed to analyze the association between pregestational BMI (pBMI) and gestational weight gain (GWG) with maternal and neonatal outcomes in adolescent and adult pregnant women. The authors performed an observational study that included 1112 women, where 52.6% (n = 585) were adolescents. Sociodemographic information, pBMI, GWG, neonatal anthropometric measures, and maternal and neonatal outcomes were obtained. Adolescent women had a mean lower (21.4 vs. 26.2, p ≤ 0.001) pBMI than adults and a higher gestational weight gain (12.3 vs. 10.7 kg, p ≤ 0.001). According to Poisson regression models, gestational diabetes is positively associated with insufficient GWG and with pregestational obesity. Furthermore, the probability of developing pregnancy-induced hypertension increased with pBMI of obesity compared to normal weight. Preeclampsia, anemia, and preterm birth were not associated with GWG. Insufficient GWG was a risk factor, and being overweight was a protective factor for low birth weight and small for gestational age. We conclude that pBMI, GWG, and age group were associated only with gestational diabetes and low birth weight.

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“…Sunulan çalışmada yabancı uyruklu olguların %76,5'inin 3. trimesterde olduğu (p=0,000) ve %10,3'ünün 15 yaşın altında olduğu (p=0,000), 15 yaş altı olguların %87,5'inin yabancı uyruklu olduğu (p=0,000) ve bildirimin yapıldığı anda 3. trimesterde olduğu (p<0,05) belirlenmiştir. Adölesanlarda doğurganlık sadece sağlık sorunları açısından değil aynı zamanda adölesanların eğitimlerini sürdürememesi, meslek sahibi olamaması, resmi nikâh yapılmaması veya gecikmesi ile erken yaşta doğurmanın daha geç doğurganlığa başlamaya göre genellikle daha çok doğuma neden olması ve ekonomik sorunların meydana gelmesi gibi sosyal sorunlara yol açması açısından oldukça büyük öneme sahiptir (2,(33)(34)(35).…”

Section: Verilerin Elde Edilmesiunclassified

Bir Eğitim ve Araştırma Hastanesine Başvuran Adölesan Gebelerin Tıbbi, Sosyal ve Hukuki Açıdan İncelenmesi

Meral¹,

Şener²,

Şen³

2021

Medical Records

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Adölesan gebelikler ülkemizde ve dünyada önemli bir halk sağlığı sorunu olarak karşımıza çıkmaktadır. Bu gebeliklerin önlenebilmesi için her ülke kendi iç politikalarını düzenlemiştir. Ülkemizde de evlilik ve cinsel ilişki yaş sınırları kanunla belirlenmiştir. Bu çalışmada Ocak 2018 -Ağustos 2020 tarihleri arasında Çiğli Eğitim ve Araştırma Hastanesi'ne başvuran, yapılan muayene ve tetkikler sonucunda gebe olduğu belirlenen 18 yaş altı olguların incelenerek, elde edilen verilerin literatürle tartışılması amaçlanmıştır. Materyal ve Metot: Çalışma kapsamına alınan 18 yaş altı 260 gebe olguya ait tıbbi kayıtlar Hastane Bilgi Yönetim Sistemi üzerinden incelenmiştir. Veriler SPSS programı (versiyon 22.0) ile analiz edilmiştir. Analiz için Fisher Exact ve Pearson ki-kare testleri kullanılmıştır. Bulgular: Adölesan gebelerin ilk hastane başvurusuna yaşları 13-17 arasında değişmekte olup ortalaması 16,4±0,7 olarak hesaplanmıştır. Medeni durum bilgisine ulaşılan 39 olgudan 31'inin (%79,4) resmi nikâhlı, 4 olgunun (%10,3) ise bekâr olduğu görülmüştür. Adölesanların gebe olduklarının belirlendiği ilk başvurularında gebelik haftaları 3 ila 41 hafta arasında değişmekte olup, 142 olgunun (%54,6) gebeliğinin üçüncü trimesterde olduğu tespit edilmiştir. Sonuç: Eğitim kurumlarında cinsel sağlık derslerinin yaygınlaştırılması, sağlık kurumlarında adölesan gebeliklerin zararları konusunda hizmet veren polikliniklerin oluşturulması, adölesan gebeliğin kişi ve toplum sağlığı üzerine olumsuz etkilerinin ve ayrıca bir suç teşkil edebileceği gibi hukuki sonuçlarının topluma yeterince duyurulmasının faydalı olacağını düşünmekteyiz.

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A comparison of neonatal outcomes between adolescent and adult mothers in developed countries: A systematic review and meta-analysis

Cited by 34 publications

References 37 publications

National and subnational trends of birthweight in Peru: Pooled analysis of 2,927,761 births between 2012 and 2019 from the national birth registry

National and subnational trends of birthweight in Peru: Pooled analysis of 2,927,761 births between 2012 and 2019 from the national birth registry

Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City

Bir Eğitim ve Araştırma Hastanesine Başvuran Adölesan Gebelerin Tıbbi, Sosyal ve Hukuki Açıdan İncelenmesi

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