Maternal and neonatal outcomes of adolescent pregnancy

Karataşlı, Volkan; Kanmaz, Ahkam Göksel; İnan, Abdurrahman Hamdi; Budak, Adnan; Beyan, Emrah

doi:10.1016/j.jogoh.2019.02.011

Cited by 53 publications

(54 citation statements)

References 22 publications

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“…Our findings regarding the costs of maternal health care have several policy implications despite the limitations. First, it is well documented that adolescent pregnancy and childbearing are associated with elevated risks of complications [68,69], which are mainly concentrated in sub-Saharan Africa [70]. Our study enhances the understanding of the financial implications of these complications both for patients, families, and health systems.…”

Section: Discussionmentioning

confidence: 58%

Patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa: a systematic review

et al. 2020

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Background: Morbidity and mortality due to pregnancy and childbearing are high in developing countries. This study aims to estimate patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa. Methods: A systematic review of the literature was conducted to identify costing studies published and unpublished, from January 2000 to May 2019. The search was done in Pubmed, EMBASE, Cinahl, and Web of Science databases and grey literature. The study was registered in PROSPERO with registration No. CRD42019119316. All costs were converted to 2018 US dollars using relevant Consumer Price Indices. Results: Out of 1652 studies identified, 48 fulfilled the inclusion criteria. The included studies were of moderate to high quality. Spontaneous vaginal delivery cost patients and health systems between USD 6-52 and USD 8-73, but cesarean section costs between USD 56-377 and USD 80-562, respectively. Patient and health system costs of abortion range between USD 11-66 and USD 40-298, while post-abortion care costs between USD 21-158 and USD 46-151, respectively. The patient and health system costs for managing a case of eclampsia range between USD 52-231 and USD 123-186, while for maternal hemorrhage they range between USD 65-196 and USD 30-127, respectively. Patient cost for caring low-birth weight babies ranges between USD 38-489 while the health system cost was estimated to be USD 514. Conclusion: This is the first systematic review to compile comprehensive up-to-date patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa. It indicates that these costs are relatively high in this region and that patient costs were largely catastrophic relative to a 10 % of average national per capita income.

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Section: Discussionmentioning

confidence: 58%

Patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa: a systematic review

et al. 2020

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“…One of the main problems of adolescent pregnancies is preterm delivery (<37 weeks of gestational age) and intrauterine growth restriction. Pregnant teens have a higher risk of preterm delivery (<37 weeks), very preterm delivery (<32 weeks), and extremely preterm delivery (<28 weeks) [9,14]. In a World Health Organization multi-country study, Ganchimeg et al [7] found that the risk of preterm delivery was significantly higher in infants of adolescent pregnant women compared to adult mothers.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to adults, smoking, drug addiction, and alcohol abuse during pregnancy are more common among adolescent mothers [9,10]. Prenatal exposure to substance abuse might cause harmful effect to pregnancy, fetus (intrauterine growth restriction, preterm delivery, and miscarriages, etc.)…”

Section: Introductionmentioning

confidence: 99%

The Distribution of Congenital Malformations in Adolescent Pregnancies: A Single Tertiary Center Experience in Turkey

Behram

Oğlak

Özköse

et al. 2020

Aegean J Obstet Gynecol

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Objective: Adolescent pregnancies are more severe and dangerous for both mother and baby than adult pregnancies. Low birth weight, infections, intrauterine growth restriction, sudden infant death syndrome, and death risk are higher in neonates of adolescent pregnant women. Besides, anomalies of central nervous, gastrointestinal, and musculoskeletal systems are also seen frequently. The purpose of this study is to investigate congenital malformations of infants born from adolescent mothers. In this study, malformations were grouped according to the systems. Material and Methods: In this retrospective study, 166 pregnant women aged 18 and under who had fetal anomaly were included in the study and their charts reviewed. Descriptive information about the adolescents and information about the fetuses and anomalies were recorded. Maternal and neonatal characteristics were calculated as frequency and percentage. Results: The most common anomalies were the central nervous (40.5%), cardiovascular (15.8%), and urinary (10.8%) system. The anomalies related to the skin and phalanges, including the face, accounted for 8.1% of the cases. Ventricular dilatation (10,4%), neural tube defect (7,2%), and hydrocephalus (7,2%) were the most common abnormalities of the central nervous system. Ventricular septal defect (5,9%), pulmonary artery anomaly (2,7%), and tricuspid valve anomaly (2,3%) were the most common cardiovascular system anomalies. Intrauterine growth restriction (3,6%), pleural effusion/hydrothorax (3,2%), pes equinovarus (2,7%), diaphragmatic hernia (2,3%), cystic hygroma (2,3%), oligohydramnios (2,3%), polyhydramnios (2,3%), and cleft palate/lip (2,3%) were the most common anomalies among the other system and organ anomalies. Conclusion: Adolescent pregnancy was partially associated with an increased risk of severe neonatal anomalies especially in the central nervous, cardiovascular, and urinary systems. Pediatric health care providers should have a low threshold for suspecting pregnancy in adolescents.

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“…No que tange à gravidez na adolescência, nos países de baixa e média renda, estima-se que cerca de 21 milhões de meninas adolescentes entre 15 e 19 anos engravidem e cerca de 16 milhões tem partos anualmente (10). Um estudo da Turquia evidenciou que a gravidez na adolescência pode acarretar aborto, parto prematuro, baixo peso ao nascer e maior taxa de cesariana (11).…”

Section: Introductionunclassified

Saúde sexual e reprodutiva dosadolescentes: percepções dos profissionais emenfermagem

et al. 2019

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Objetivo: conhecer como é percebida e abordada a saúde sexual e reprodutiva dos adolescentes pelos enfermeiros na atenção primária à saúde.Materiais e métodos: estudo qualitativo do tipo descritivo, realizado no primeiro semestre de 2018. Participaram nove enfermeiros vinculados às Estratégias Saúde da Família de um município do sul do Brasil. Foram realizadas entrevistas semiestruturadas e os dados foram estudados segundo a análise de conteúdo temática. Resultados: evidenciou-se que persiste uma visão reducionista sobre a saúde sexual e reprodutiva na atenção primária à saúde. As estratégias para abordar tal tema abarcam a compreensão das experiências dos adolescentes acerca da sexualidade por meio do estímulo à autonomia, do acolhimento da demanda espontânea, das consultas de enfermagem, dos grupos educativos e da abordagem no contexto escolar.Conclusão: os profissionais necessitam atuar na promoção da saúde sexual e reprodutiva e identificar os problemas dessa população, conferindo-lhe visibilidade no serviço de saúde. É importante repensar as práticas junto ao adolescente, sendo necessário criar espaços apropriados e relacionar a família e a escola.

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Maternal and neonatal outcomes of adolescent pregnancy

Cited by 53 publications

References 22 publications

Patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa: a systematic review

Patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa: a systematic review

The Distribution of Congenital Malformations in Adolescent Pregnancies: A Single Tertiary Center Experience in Turkey

Saúde sexual e reprodutiva dosadolescentes: percepções dos profissionais emenfermagem

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