Pregnancy, childbirth and neonatal outcomes associated with adolescent pregnancy

Ranjbar, Amene; Jahromi, Maliheh Shirzadfard; Boujarzadeh, Banafsheh; Roozbeh, Nasibeh; Mehrnoush, Vahid; Darsareh, Fatemeh

doi:10.1016/j.gocm.2023.02.002

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…3 Teenage pregnancies can affect the physical, mental and emotional health of adolescents including psychological trauma during childbirth and premature delivery. 4 There is also a risk of violence linked to teenage mothers lack of autonomy in making their own decisions as well as dropping out of school. 5 In adolescents who have undergone an abortion, psychological distress such as depression may appear long term.…”

Section: Introductionmentioning

confidence: 99%

Sexual health services for adolescents on Reunion Island: results from a descriptive interview-based study

Reynaud,

Laboureur,

Marimoutou

et al. 2024

BMJ Open

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ObjectivesTo describe the experiences of sexual health services available for adolescents aged 15–19 years on Reunion Island.DesignA qualitative descriptive study was conducted from 3 December 2022 to 24 October 2023. Data were analysed using the phenomenological interpretative method.SettingCentre Hospitalier Universitaire of Reunion Island.Participants15 participants were recruited through convenience sampling, but 3 of them did not attend the interviews.InterventionsFace-to-face or videoconferencing open-ended individual interviews.Primary and secondary outcome measuresBarriers and facilitators to access sexual health services, relationship between adolescents and healthcare professionals when using these services and suggestions made by adolescents for improving access to care and quality of care.ResultsIn total, 12 adolescents were included with most being female (11 with a mean age of 18 years). Most interviewees were in a relationship, lived in urban areas and had sexual intercourse (nine, respectively). Participants attended high school, university and preparatory college (four, respectively). Most interviews were face to face (11). The mean duration of the interviews was 32 min. Two themes revealing the experiences of sexual health services emerged. Participants described maintaining sexual health as a difficult journey in their quest for information about sexual health and the available services provided. Participants demonstrated that they had the ability to cope with the consequences of unprotected sex.ConclusionsTo date, sexual health services available on Reunion Island may not meet the needs of adolescents. Implementation of a strategy aimed at providing young people with skills, addressing their needs and working with them in a collaborative manner may be necessary. Appropriate teaching methods and the training of healthcare professionals should also be considered.

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Section: Introductionmentioning

confidence: 99%

Sexual health services for adolescents on Reunion Island: results from a descriptive interview-based study

Reynaud,

Laboureur,

Marimoutou

et al. 2024

BMJ Open

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Caesarean delivery and neonatal mortality: evidence from selected slums in and around Dhaka city, Bangladesh- A prospective cohort study

Razzaque,

Chowdhury,

Mustafa

et al. 2024

J Health Popul Nutr

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Background This study examined the neonatal mortality for newborn of women who delivered by caesarean section or vaginally using a prospective cohort. Methods A total of 6,989 live births registered from 2016 to 2018, were followed for neonatal survival from the selected slums of Dhaka (North and South) and Gazipur city corporations, where icddr,b maintained the Health and Demographic Surveillance System (HDSS). Neonatal mortality was compared by maternal and newborn characteristics and mode of delivery using z-test. Logistic regression model performed for neonatal mortality by mode of delivery controlling selected covariates and reported adjusted odd ratios (aOR) with 95% confidence interval (CI). Results Out of 6,989 live births registered, 27.7% were caesarean and the rest were vaginal delivery; of these births, 265 neonatal deaths occurred during the follow-up. The neonatal mortality rate was 2.7 times higher (46 vs. 17 per 1,000 births) for vaginal than caesarean delivered. Until 3rd day of life, the mortality rate was very high for both vaginal and caesarean delivered newborn; however, the rate was 24.8 for vaginal and 6.3 per 1,000 live births for caesarean delivered on the 1st day of life. After adjusting the covariates, the odds of neonatal mortality were higher for vaginal than caesarean delivered (aOR: 2.63; 95% CI: 1.82, 3.85). Additionally, the odds were higher for adolescent than elderly adult mother (aOR: 1.60; 95% CI: 1.03, 2.48), for multiple than singleton birth (aOR: 5.40; 95% CI: 2.82, 10.33), for very/moderate (aOR: 5.13; 95% CI: 3.68, 7.15), and late preterm birth (aOR: 1.48; 95% CI: 1.05, 2.08) than term birth; while the odds were lower for girl than boy (aOR: 0.74; 95% CI: 0.58, 0.96), and for 5th wealth quintile than 1st quintile (aOR: 0.59, 95% CI: 0.38, 0.91). Conclusion Our study found that caesarean delivered babies had significantly lower neonatal mortality than vaginal delivered. Therefore, a comprehensive delivery and postnatal care for vaginal births needed a special attention for the slum mothers to ensure the reduction of neonatal mortality.

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Pregnancy, childbirth and neonatal outcomes associated with adolescent pregnancy

Cited by 2 publications

References 20 publications

Sexual health services for adolescents on Reunion Island: results from a descriptive interview-based study

Sexual health services for adolescents on Reunion Island: results from a descriptive interview-based study

Caesarean delivery and neonatal mortality: evidence from selected slums in and around Dhaka city, Bangladesh- A prospective cohort study

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