Assessing the impact of adolescent pregnancy and the premarital conception stress complex on birth weight among young mothers in Gibraltar's civilian community

Sawchuk, Lawrence A.; Burke, Stacie D. A.; Benady, Sam

doi:10.1016/s1054-139x(97)00114-6

Cited by 7 publications

(5 citation statements)

References 31 publications

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“…The study has also shown that odds of maternal near-miss were 3.1 times higher among women who had their first pregnancy before 18 years of age compared to those who had their first pregnancy after 18 years of age (OR = 3.091, 95% CI, 2.044–4.674). Almost similar study results were presented by several studies [ 17 , 37 , 38 ]. This could be explained that younger women are often not physically capable of childbearing.…”

Section: Discussionsupporting

confidence: 91%

Determinants of maternal near miss events among women admitted to tertiary hospitals in Mogadishu, Somalia: a facility-based case–control study

Dahie

2022

BMC Pregnancy Childbirth

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Background A maternal near-miss is a situation in which a woman was on the verge of death but survived a life-threatening obstetric complication that happened during pregnancy, childbirth, or within 42 days after the pregnancy's termination. Survivors of near-miss events share several features with mothers who have died and identifying determinants of maternal near miss will aid in improving the capacity of the health system to reduce severe maternal morbidity and mortality. Therefore, this study was designed to identify determinants of maternal near miss incidents among women hospitalized to tertiary hospitals in Mogadishu, Somalia. Methods A facility-based unmatched case–control study was conducted in four tertiary hospitals in Mogadishu from May 1 to July 31, 2021. A total of five hundred thirty-three (178 cases and 355 controls) study participants were involved in the study. The discharge period, cases were recruited consecutively as they emerged, whereas controls were chosen using systematic sampling approach based on every fifth interval of those delivered through normal spontaneous vaginal delivery. Women who were hospitalized during pregnancy, delivery, or within 42 days of termination of pregnancy and met at least one of the maternal near-miss disease specific criteria were classified as cases, while women who were admitted and gave birth by normal vaginal delivery and resealed from the hospital without experiencing severe obstetric complications were considered controls. Participants were interviewed by well-trained research assistants using pre-tested structured questionnaire and the medical records were reviewed to identify maternal near-miss cases. Data were entered into and analyzed with SPSS 25.0. Logistic regression was used, and the significance level was set at p value ≤ 0.05. Results The most common maternal near-miss morbidities identified were severe anemia (32%), severe pre-eclampsia (19.6%), severe ante partum haemorrhage (15.0%), abortion complications (8.4%), eclampsia (6.1%), ICU admission (5.6%), severe PPH (2.8%) and severe systemic infections (2.8%). The main factors associated with maternal near-miss were rural residency [OR = 2.685, 95%CI: (1.702–4.235)], age below 20 years [OR = 2.728, 95%CI: (1.604–4.5640)], unmarried [OR = 2.18, 2.18, 95%CI (1.247–3.81)], lack of formal education [OR = 2.829, 95%CI: (1.262–6.341)], husband’s unemployment [OR = 2.992, 95%CI: (1.886–4.745)], low family income [OR = 3.333, 95%CI (1.055–10.530)], first pregnancy before 18 years of age [OR = 3.091, 95% CI: (2.044–4.674)], short birth interval [OR = 5.922, 95%CI: (3.891–9.014)], previous history of obstetric complication [OR = 6.568, 95%CI: (4.286–10.066)], never attended ANC services [OR = 2.687, 95%CI: (1.802–4.006)], lack of autonomy in seeking medical help [OR = 3.538, 95%CI: (1.468–8.524)], delivery at non-health facility setting [OR = 4.672, 95%CI: (3.105–7.029)], experiencing the second delay [OR = 1.773, 95% CI: (1.212–2.595)] and stillbirth of the last pregnancy [OR = 5.543, 95%CI: (2.880–10.668)]. Conclusion and recommendation. Lack of maternal education, lack of antenatal care, lack of autonomy to seek medical assistance, short birth interval, rural residence and delay in accessing obstetric services were identified as factors associated with maternal near-miss morbidity. As a result, the study suggests that those modifiable characteristics must be improved in order to avoid severe maternal complications and consequent maternal death.

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Section: Discussionsupporting

confidence: 91%

Determinants of maternal near miss events among women admitted to tertiary hospitals in Mogadishu, Somalia: a facility-based case–control study

Dahie

2022

BMC Pregnancy Childbirth

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“…Socio‐cultural problems of adolescent mothers include that they might be forced to leave their parents’ homes, and struggle to live alone with many responsibilities and few resources. Adolescent mothers experience moral stigmas such as possible non‐acceptance by future boyfriends, resulting in markedly reduced prospects of marriage (Sawchuk et al 1997). The adolescent mothers no longer share common interests with their peer groups, who attend school, college or university, further aggravating their loneliness.…”

Section: Literature Reviewmentioning

confidence: 99%

Adolescent mothers’ utilization of contraceptive services in South Africa

Ehlers

2003

International Nursing Review

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“…These include hypertensive disorders, 4,5 anaemia, 5-7 cephalopelvic disproportion, 8 increased rates of caesarean section 4 and postnatal depression. 9,10 It has also been claimed that their children are at increased risk of prematurity, 4,7,[11][12][13][14][15][16][17][18][19][20][21][22] low birth weight, 13,[15][16][17][18][19][22][23][24][25] intra-uterine growth retardation, 13,15 congenital malformations, 26 and death in the neonatal, 16,17,[26][27][28] post-neonatal, 26,27 and infant periods. 29 Some authors consider that it is young age itself that is responsible for the adverse outcomes associated with teenage pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…29 Some authors consider that it is young age itself that is responsible for the adverse outcomes associated with teenage pregnancy. 15,23,26,30 However, teenage pregnancy is strongly associated with a large number of social, economic, educational and behavioural factors. 2,31,32 The complex interaction of these effects on teenage pregnancy is still poorly understood.…”

Section: Introductionmentioning

confidence: 99%