Adolescent pregnancy: Understanding the impact of age and race on outcomes

DuPlessis, Helen; Bell, Robert M.; Richards, Toni

doi:10.1016/s1054-139x(96)00174-7

Cited by 90 publications

(89 citation statements)

References 18 publications

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“…In study of Ali and Lulseged 4 adolescent pregnancy was found to be significantly associated with higher rates of premature baby and LBW infants (p<0.001) which is comparable to present study. DuPlessis et al 7 in their study on adolescent pregnancy found that women of young maternal age are approximately 2.5 times more likely to have a LBW infant. This is comparable to present study.…”

Section: Discussionmentioning

confidence: 97%

“…At every step of lifecycle of women they are prey of injustice which is affecting the next generation. Factors related to the teenage pregnancy are a multi-factorial issue, which is regulated by social, economic, biological, cultural situation and also highly related to women's position in the society [6][7][8][9][10][11] . Though a magic lamp is not in hand hut a sincere approach to the problem, preventative interventions and appropriate care during pregnancy, delivery and to neonates can do much in improving the situation 7 .…”

Section: Discussionmentioning

confidence: 99%

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Risk of Teenager Pregnancy in Adverse Neonatal Outcome: A Hospital Based Case-Control Study

Ara

Alam

2018

J Curr Adv Med Res

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Background: Teenage pregnancy is a risk of adverse neonatal outcome. Objective: The purpose of the present study was to estimate the risk of teenage pregnancy in the adverse neonatal outcomes. Methodology: This case-control study was conducted in the Department of Obstetrics and Gynecology at Dhaka Medical College & Hospital, Dhaka, Bangladesh and Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh from April to July 1999 for a period of four (4) months. The teenage mothers with the age group of 11 to 19 years who were admitted in the study period was selected as case and pregnant women with the age group of more than 19 years were selected as control group. Perinatal mortality rate was calculated by foetal death after 28 weeks of gestation up to death within one week of delivery per 1000 live births. At birth, babies were examined for any congenital malformation. Gestational age of infants was assessed by Perkins' scoring system. Babies were assessed by Apgar score at l and 5 minutes. Result: A total number of 100 pregnant mothers were recruited for this study of which 50 pregnant mothers were in the case group and the rest 50 mothers were in the control group. Thirty-two babies of teenage mothers were asphyxiated at birth and 56.0% were healthy. At 1 minute, 52.0% babies of teen mothers have more than 7 Apgar score, whereas 86.0% babies born to non-teen mothers showed a Apgar score more than 7 which was also a significant difference. Among the cases, 54.0% babies have birth weight >2.5 kg. On the other hand, 72.0% of babies of non-teen mothers have birth weight >2.5 kg. Higher rate of perinatal morbidity in terms of birth asphyxia, prematurity, intrauterine growth retardation (IUGR), jaundice and septicaemia was found among the neonates of teen mothers than non-teen mothers. Conclusion: In conclusion birth asphyxia, prematurity, intrauterine growth retardation, jaundice and septicaemia are most commonly found among the neonates of teen mothers than non-teen mothers.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Risk of Teenager Pregnancy in Adverse Neonatal Outcome: A Hospital Based Case-Control Study

Ara

Alam

2018

J Curr Adv Med Res

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“…1 They are at increased risk of multiple adverse outcomes, including preterm birth, poor fetal growth, stillbirth, postpartum depression, and psychosocial instability across the perinatal period. [2][3][4][5][6][7][8][9] Public health and school-and communitybased interventions to reduce pregnancies among adolescents have led to reductions of up to 35% in Canada, the United States, the United Kingdom, and in other developed countries over the past several years. [10][11][12] However, certain groups of adolescents remain at higher risk of pregnancy, including minority groups and those with family and/or economic instability.…”

Section: Discussionmentioning

confidence: 99%

Fertility Rate Trends Among Adolescent Girls With Major Mental Illness: A Population-Based Study

et al. 2014

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OBJECTIVE: Fertility rates among adolescents have decreased substantially in recent years, yet fertility rates among adolescent girls with mental illness have not been studied. We examined temporal trends in fertility rates among adolescent girls with major mental illness. METHODS: We conducted a repeated annual cross-sectional study of fertility rates among girls aged 15 to 19 years in Ontario, Canada (1999–2009). Girls with major mental illness were identified through administrative health data indicating the presence of a psychotic, bipolar, or major depressive disorder within 5 years preceding pregnancy (60 228 person-years). The remaining girls were classified into the comparison group (4 496 317 person-years). The age-specific fertility rate (number of live births per 1000 girls) was calculated annually and by using 3-year moving averages for both groups. RESULTS: The incidence of births to girls with major mental illness was 1 in 25. The age-specific fertility rate for girls with major mental illness was 44.9 per 1000 (95% confidence interval [CI]: 43.3–46.7) compared with 15.2 per 1000 (95% CI: 15.1–15.3) in unaffected girls (rate ratio: 2.95; 95% CI: 2.84–3.07). Over time, girls with major mental illness had a smaller reduction in fertility rate (relative rate: 0.86; 95% CI: 0.78–0.96) than did unaffected girls (relative rate: 0.78; 95% CI: 0.76–0.79). CONCLUSIONS: These results have key clinical and public policy implications. Our findings highlight the importance of considering major mental illness in the design and implementation of pregnancy prevention programs as well as in targeted antenatal and postnatal programs to ensure maternal and child well-being.

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“…The infant mortality rate in the United States (U.S.) for young women has remained persistently high despite widespread study of this phenomenon. In 1999, the infant mortality rate for women under 20 years of age was 10.3 deaths per 1,000 live births compared to 7.0 per 1,000 live births for all ages [2] Although the U.S. teenage (ages [15][16][17][18][19] birth rate has declined substantially during the last decade, from 62.1 to 48.7 per 1,000 women in 2000 [3], this country still leads the developed countries by wide margins. Simple calculations would suggest that, with an estimated 470,000 births to teen mothers in the year 2000, over 1,500 excess infant deaths occurred among adolescent mothers.…”

Section: Introductionmentioning

confidence: 99%

“…Among adolescents living in poor communities, 69% report having had intercourse, compared to 37% of those living in more affluent neighborhoods [13]. Support can be found to defend or refute all or none of these factors as independent risk factors [6,7,11,[14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and postneonatal deaths?

Reading¹

2005

Child

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Adolescent pregnancy: Understanding the impact of age and race on outcomes

Cited by 90 publications

References 18 publications

Risk of Teenager Pregnancy in Adverse Neonatal Outcome: A Hospital Based Case-Control Study

Risk of Teenager Pregnancy in Adverse Neonatal Outcome: A Hospital Based Case-Control Study

Fertility Rate Trends Among Adolescent Girls With Major Mental Illness: A Population-Based Study

Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and postneonatal deaths?

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