Adolescent parenthood associated with adverse socio‐economic outcomes at age 30 years in women and men of the Pelotas, Brazil: 1982 Birth Cohort Study

Gigante, Denise P.; França, Gva de; Rolfe, Emanuella De Lucia; Lima, NP; Motta, JV dos Santos; Gonçalves, Helen; Bl, Horta; Barros, Fernando C.; Ong, KK

doi:10.1111/1471-0528.15428

Cited by 11 publications

(10 citation statements)

References 32 publications

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“…Provision of contraception services for adolescents is an important component of the public healthcare system. Pregnant adolescents show a higher risk of neonatal and maternal morbidity and mortality than adults, 11 and when pregnancy occurs, the possibility of socioeconomic development is impaired even 30 years later 12 …”

Section: Barriers To the Use Of Iuds In Adolescents And Nulligravidasmentioning

confidence: 99%

Intrauterine device use is safe among nulligravidas and adolescent girls

Bahamondes¹,

Bahamondes

2021

Acta Obstet Gynecol Scand

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The use of intrauterine devices (IUDs), including the copper‐bearing device and the levonorgestrel intrauterine system (LNG‐IUS), is safe among nulligravidas and adolescent girls. However, several misconceptions limit their use in clinical practice; health‐care providers are hesitant to prescribe IUDs, and several myths associated with their usage in nulligravidas and adolescents exist among both providers and women themselves. The high rates of unplanned pregnancies (which in many settings constitute a public health issue, primarily among adolescent females) can be attributed at least partially to lack of awareness and limited use of highly effective contraceptives such as IUDs. In this review, we discuss the role of non‐hormonal and hormonal IUDs as effective contraceptives in nulligravidas and adolescent girls. We present a literature review of data that highlight contraceptive efficacy, side effects (including reasons for discontinuation), and continuation rates with the method. We searched the PubMed/MEDLINE, Cochrane Library, Embase, and Scopus databases for all articles published in English between January 1990 through September 2020. A large body of evidence confirmed the effectiveness of IUD/IUS, independent of age and parity. Studies showed a high expulsion rate among adolescents but not among nulligravidas. Additionally, bleeding patterns among adolescents and nulligravidas were similar to those observed among adults and parous women. The high early removal rates observed in adolescents were attributable to bleeding and/or pain, which indicate that compared with adults, adolescents are less likely to accept IUD‐induced side effects. IUD placement is an excellent strategy to avoid the high rates of unplanned pregnancies in adolescents and nulligravidas. IUDs are more effective than short‐acting reversible contraceptives with failure rates that are equivalent to those observed with permanent contraception. However, few long‐term studies have investigated this category of women to definitively establish the role of IUD/IUS as effective means of contraception.

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Section: Barriers To the Use Of Iuds In Adolescents And Nulligravidasmentioning

confidence: 99%

Intrauterine device use is safe among nulligravidas and adolescent girls

Bahamondes¹,

Bahamondes

2021

Acta Obstet Gynecol Scand

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“…It is a major contributor to maternal and child mortality, and leads to dropping out of school, lower educational achievement, other negative socioeconomic effects, and intergenerational cycles of ill-health and poverty. [7][8][9] To ensure targeted action and to track progress in achieving adolescent health, a Lancet commission on adolescent health and wellbeing proposed 12 headline indicators encompassing health needs, health risks and social determinants of health. In recognition of the impact of adolescent pregnancy, one of these headline indicators is 'met need for contraception' .…”

Section: Implications For Policy and Practice In South Africamentioning

confidence: 99%

Interventions for preventing unintended pregnancies among adolescents

2019

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“… 1 , 2 , 3 In addition, most teenage pregnancies are unintended, unwanted and are associated with high rates of morbidity and mortality, unsafe miscarriage and low birthweight babies. 1 , 2 , 3 Recently, the Saving Mothers Report 2014-2016 of the National Committee on Confidential Enquiries into Maternal Deaths (NCCEMD) in South Africa (SA) found that when institutional Maternal Mortality Ratios (iMMR) related to maternal age are plotted against the underlying cause of death, there is a high rate of mortality in women aged ≤ 24 years. 1 , 2 , 3 , 4 Hypertensive deaths owing to pregnancy accounted for large proportion of deaths in this age group.…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 , 3 Recently, the Saving Mothers Report 2014-2016 of the National Committee on Confidential Enquiries into Maternal Deaths (NCCEMD) in South Africa (SA) found that when institutional Maternal Mortality Ratios (iMMR) related to maternal age are plotted against the underlying cause of death, there is a high rate of mortality in women aged ≤ 24 years. 1 , 2 , 3 , 4 Hypertensive deaths owing to pregnancy accounted for large proportion of deaths in this age group. Furthermore, deaths from eclampsia (seizures associated with high blood pressure and proteinuria) occurred in teenagers ( Figure 1 ).…”

Section: Introductionmentioning

confidence: 99%

Maternal deaths due to eclampsia in teenagers: Lessons from assessment of maternal deaths in South Africa

Moodley

Ngene

2020

African Journal of Primary Health Care & Family Medicine

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Background Eclampsia remains a major cause of maternal mortality, particularly in teenage pregnancies. Healthcare professionals providing antenatal must regard teenagers as a high risk group for the pre-eclampsia-eclampsia syndrome. Setting Data extracted from the South African Saving Mothers Report: 2014–2016. Aim To establish the clinical details in teenage maternal deaths owing to eclampsia. Method Retrospective review of the case records and maternal death assessment forms of teenagers that died due to eclampsia during 2014–2016. Results There were 47 teenagers (aged 14 to 19 years) who died from eclampsia. Of these 18 out of 47 (38%) deaths occurred in the post-partum period. Forty (85.1%) of the patients had antenatal care. Three (6.4%) had post-partum eclampsia, and of the remaining 44 of the 47 (93.6%), the gestational age at first occurrence of a seizure ranged from 25 to 39 weeks. The blood pressures at the time of seizure ranged from systolic of 131 to 210 mmHg and diastolic of 89 to 130 mmHg. The commonest final causes of death were intracerebral haemorrhage associated with severe hypertension and multi-organ failure. Avoidable factors included transport delays, referral to the wrong levels of health care and poor care by health professionals. Conclusion Teenage pregnancy is a risk factor for eclampsia-related death; awareness of borderline elevations of blood pressure levels from baseline values (prehypertension levels) and taking following national guidelines on the management of hypertensive disorders of pregnancy will decrease deaths from eclampsia.

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Adolescent parenthood associated with adverse socio‐economic outcomes at age 30 years in women and men of the Pelotas, Brazil: 1982 Birth Cohort Study

Abstract: Adolescent parenthood has an adverse effect on educational attainment later in life, and on household income among women.

Cited by 11 publications

References 32 publications

Intrauterine device use is safe among nulligravidas and adolescent girls

Intrauterine device use is safe among nulligravidas and adolescent girls

Interventions for preventing unintended pregnancies among adolescents

Maternal deaths due to eclampsia in teenagers: Lessons from assessment of maternal deaths in South Africa

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