Increased risk of maternal complications from repeat pregnancy among adolescent women

Maravilla, Joemer Calderon; Betts, Kim; Alati, Rosa

doi:10.1002/ijgo.12776

Cited by 12 publications

(8 citation statements)

References 19 publications

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“…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%

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%

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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“…Moreover, it is necessary to guide pregnant women during prenatal care about the actions developed at this level of health care, aiming to encourage comprehensive assistance. The need for protection against repeated pregnancies also deserves attention, as the literature indicates a direct association with both maternal and neonatal complications, such as hemorrhagic syndrome and preterm delivery [31]. It is worth mentioning the importance of age when becoming pregnant, and the fact that a first pregnancy under the age of 15 years seems to entail a higher risk of complications.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, socioeconomic factors and obstetric outcomes associated with adolescent motherhood in Ceará, Brazil: a population-based study

Bruno

Rocha

et al. 2021

BMC Pregnancy Childbirth

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Background Adolescent motherhood (AM) remains a public health problem, especially in low and middle income countries, where approximately 95% of these births occur. Evidence from studies with population representativeness about events associated with AM is limited. We assessed the prevalence of AM, as well as its association with Socioeconomic Factors and Obstetric Outcomes. Methods A population-based cross-sectional study on maternal and child health of women aged 10 to 49 years, living in the state of Ceará, in northeastern Brazil was carried out to assess the prevalence of AM, as well as its association with Socioeconomic Factors and Obstetric Outcomes. The definition of adolescence used in the study was the one utilized by the WHO. In addition to the interview, data were double-checked according to the information in the government’s pregnancy health booklet. Sample-adjusted logistic models to determine the association of socioeconomic factors and AM, as well as the association of AM with obstetric outcomes, with a causal approach to multivariate analyses, were used. Results The prevalence of adolescent motherhood was 18.6%. Poverty and household crowding were associated with greater chances of AM (p values of 0.038 and < 0.001, respectively), as well as not being in a stable relationship (OR 2.26 (95%CI: 1.67, 3.07), p < 0.001). AM showed a greater chance of not using community health services (p < 0.001), had fewer prenatal consultations (β − 0.432 (95%CI: − 0.75, − 0.10)) and started prenatal care at a later date (β 0.38 (95%CI: 0.21, 0.55), p < 0.001)). AM are also less likely to be tested for HIV and more likely to have urinary tract infections. Conclusions Interventions aimed at socially-vulnerable adolescents are suggested. However, if pregnant, adolescents should receive proactive and differentiated prenatal care.

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“…The authors did not investigate the causes of recurrent teenage pregnancy from the perspective of teenage mothers. The causes and challenges faced by teenage mothers with recurrent pregnancies may have some cultural, socio-demographic, and ethnic variations [ 22 ]. Thus, there is the need to conduct studies in various geographical areas to identify the specific causes and challenges faced by teenagers with recurrent pregnancies to assist develop and implement community-centered interventions to tackle this public health menace.…”

Section: Introductionmentioning

confidence: 99%

A phenomenological study on recurrent teenage pregnancies in effutu municipality- Ghana.the experiences of teenage mothers

Boateng

Botchwey

Adatorvor³

et al. 2023

BMC Public Health

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Background Generally, recurrent teenage pregnancies are public health menaces that impede the quality of life of teenage mothers, their offspring, and society as a whole. However, there is paucity of information regarding factors influencing this social issue especially, in developing countries where Ghana is no exception. Moreover, this menace has been least investigated from the perspective of the teenager with multiple pregnancies. Hence, this study aimed at identifying the factors influencing recurrent teenage pregnancies and the challenges confronted by these teenage mothers. Method This study is a phenomenological qualitative study that was conducted in the Effutu Municipality in the Central Region of Ghana. Employing convenience and snowball sampling, 40 participants who were residents of the study area, had a child each, and were pregnant at the time of the study were included. Other participants included teenage mothers who had at least two (2) children. A face-to-face in-depth interview with the help of an interview guide was conducted. Proceedings were recorded, transcribed, and analysed using thematic analysis. Quotations were used in the result presentation. Results The results of the study revealed that factors influencing recurrent teenage pregnancies are multifactorial. It includes peer pressure, parental neglect, poverty, living with a partner, and inadequate knowledge of family planning. The teenager with recurrent pregnancy is confronted with financial difficulties and is faced with stigmatisation in the society where she finds herself. Conclusion To this effect, it is important to intensify education on family planning and good parental practices among parents with teenage mothers while providing a similar form of sensitization for members of the society about the harmful effects of stigmatisation on the teenage mother and her children. Again, a social support network for teenagers with recurrent pregnancies could be formed to help curb this public health menace.

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Increased risk of maternal complications from repeat pregnancy among adolescent women

Cited by 12 publications

References 19 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

Prevalence, socioeconomic factors and obstetric outcomes associated with adolescent motherhood in Ceará, Brazil: a population-based study

A phenomenological study on recurrent teenage pregnancies in effutu municipality- Ghana.the experiences of teenage mothers

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