Prevalence of rapid repeat pregnancy and associated factors in adolescents in Caruaru, Pernambuco

Albuquerque, Ana Paula dos Santos; Pitangui, Ana Carolina Rodarti; Rodrigues, Poliana Maria Gaspar; Araújo, Rodrigo Cappato de

doi:10.1590/1806-93042017000200008

Cited by 15 publications

(15 citation statements)

References 18 publications

(29 reference statements)

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“…These girls had resolved to avoid the repeat adolescent birth for reasons including: abandonment by the partner, stern warning with counselling from parents and objection to marriage. These results align with previous findings that repeat adolescent pregnancy can be delayed or averted by provision of viable alternatives such as: school continuation, economic activity, parental support, and contraception use [ 36 , 55 ]. This calls for renewed efforts to ensure school continuation, provision of contraception to adolescent girls that ensures autonomy, and economic empowerment of adolescent girls.…”

Section: Discussionsupporting

confidence: 91%

“… I would have left that man long time ago but, …” exploring circumstances of and motivators for repeat adolescent birth in Eastern Uganda

et al. 2021

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Background First birth before 18 years has declined in Uganda unlike repeat adolescent birth (=second or more births before age 20 years). We explored the circumstances of and motivators for repeat adolescent birth in Eastern Uganda. Methods Between January and March 2020, we conducted a qualitative study involving 70 individual in-depth interviews with purposively selected respondents - 20-25-year-old women with and without repeat adolescent birth, their partners, and parents, in the communities of Teso sub-region. We conducted latent content analysis. Results Four major themes emerged: poverty, vulnerability, domestic violence, and demotivators. Sub-themes identified under poverty were: “limited provisions”, “peasantry”, “large families”, “dropping out of school”, “alcohol abuse”, and “broken family structure”. Vulnerability included “marital entrapment” and “partner coercion”. Demotivators included: “abandonment”, “stern warning”, “objection to marriage”, and “empowerment”. Extreme poverty resulted in inadequate provision of basic needs leading to unprotected sexual activity in a bid to secure financial support. Following the first birth, more than three quarters of the women with repeat adolescent birth reported increased economic distress that forced them to remain in unwanted marriage/union, often characterized by partner coercion, despite wanting to delay that repeat birth. Women without repeat adolescent birth avoided a second birth by empowerment through: an economic activity, contraception use, and resumption of schooling. Conclusion Repeat adolescent birth in Uganda is premised around attempts to address the economic distress precipitated by first birth. Many women want to delay that repeat birth but the challenges robbed them of their reproductive autonomy. Beyond efforts to prevent first birth, programs need to address economic empowerment, ensure contraceptive access, and school re-integration for adolescent mothers in order to prevent shortly-spaced repeat births.

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Section: Discussionsupporting

confidence: 91%

“… I would have left that man long time ago but, …” exploring circumstances of and motivators for repeat adolescent birth in Eastern Uganda

et al. 2021

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“…In this study, there was a majority of young women with an average age of 24 years, complete elementary school, family income of up to 1 minimum wage, primiparous women, with an unplanned pregnancy. This profile corroborates with that found in other studies on the non-attendance of prenatal care, which reveals an association between low income and education, being primiparous, young maternal age, unplanned pregnancy and not seeking attendance (9)(10)(12)(13) .…”

Section: Discussionsupporting

confidence: 91%

“…Studies indicate that the failure to perform prenatal care occurs mainly due to socioeconomic factors (low family income and education), maternal age (adolescence and older age), not living with a partner, use of alcohol or other drugs during pregnancy, multiparity, non-acceptance of pregnancy, access to consultations (place of residence far from the service and cost for commuting), quality of health care, lack of family support, adverse social context, negative experiences of care and conceptions of discredit about the prenatal (9)(10) . It is worth noting that the low adherence to prenatal care implies obstetric complications and an increase in maternal and neonatal deaths, which are due to the lack of diagnoses and treatment of pregnancy complications (10)(11) .…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of mobile applications in pregnant women's adherence to prenatal consultations: randomized clinical trial

Souza

Santos

et al. 2021

Rev. Bras. Enferm.

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Objective: to evaluate the effectiveness of a mobile application for cell phones in the adherence of pregnant women to prenatal consultations. Method: a randomized controlled clinical trial, simple-blind with two parallel groups, conducted from January to December 2018. Data collection was carried out through a structured interview at the end of the third trimester of pregnancy. For analysis, Chi-Square and Mann-Whitney tests were used. The sample consisted of 88 pregnant women from 2 Family Health Strategies in Northeast Brazil. Participants were randomized into two groups: intervention (IG), who used the application, and control (CG), who attended prenatal consultations. Results: pregnant women who used the application (IG) attended a greater number of consultations when compared to participants in the CG, identifying a statistical difference between the groups (p<0.05). Conclusion: the application showed to be an effective health technology to improve adherence to prenatal care. Brazilian Registry of Clinical Trials: RBR-74SNST.

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“…Different factors have been reported to be associated with the occurrence of repeated adolescent pregnancy which includes: young age at first birth, low income, low education level and low use of contraceptives [ 4 , 10 ], inadequate knowledge about contraception, history of abortion and depression [ 6 , 15 ], and history of spontaneous abortion [ 3 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys

Ngoda¹,

Mboya²,

Mahande³

et al. 2021

Pan Afr Med J

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Introduction a repeated pregnancy represents a failure of health and social systems to educate and provide the necessary services and skills to ensure adolescent girls do not experience any further unwanted pregnancies during this young age. We aimed to determine trends and factors associated with repeated adolescent pregnancies in Tanzania 2004-2016. Methods an analytical cross-sectional study was conducted using secondary data from Tanzania demographic and health surveys of the years 2004-2005, 2010 and 2015-2016 among adolescent mothers aged 15 to 19 years. Data analysis was performed using STATA version 15 and considered the complex survey design. The Poisson regression model was used to estimate prevalence ratios (PR) and 95% confidence intervals for factors associated with repeated adolescent pregnancy. Results the proportion of repeated adolescent pregnancies increased from 15.8% in 2004/2005 to 18.6% in 2010, then to 18.8% in 2015/2016. Adolescents who delivered their first pregnancy at home (APR: 1.36, 95% CI: 1.03, 1.78) and who started sexual activity before 15 years of age (APR: 1.80, 95% CI: 1.40, 2.31) were likely repeated adolescent pregnancy. In contrast, adolescents who used contraception (APR: 0.52, 95% CI: 0.34, 0.81) had a lower prevalence of repeated adolescent pregnancies. Conclusion the prevalence of repeated adolescent pregnancies has increased and remains unacceptably high. Adolescents who had low education delivered their first pregnancy at home and were non-contraceptive users need to be targeted in policies and programs for the prevention of repeated adolescent pregnancies.

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Prevalence of rapid repeat pregnancy and associated factors in adolescents in Caruaru, Pernambuco

Abstract: Objectives: to determine the prevalence and factors associated with the rapid repeat pregnancy (RRP) 42.6% (n = 23) . The variables associated with RRP were non-use of contraceptive methods and no previous pregnancy planning

Cited by 15 publications

References 18 publications

“… I would have left that man long time ago but, …” exploring circumstances of and motivators for repeat adolescent birth in Eastern Uganda

“… I would have left that man long time ago but, …” exploring circumstances of and motivators for repeat adolescent birth in Eastern Uganda

Effectiveness of mobile applications in pregnant women's adherence to prenatal consultations: randomized clinical trial

Trends and factors associated with repeated adolescent pregnancies in Tanzania from 2004-2016: evidence from Tanzania demographic and health surveys

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