Risk Factors and Birth Outcomes Associated with Teenage Pregnancy: A Canadian Sample

Wong, Stephanie P.W.; Twynstra, Jasna; Gilliland, Jason A.; Cook, Jocelynn L.; Seabrook, Jamie A.

doi:10.1016/j.jpag.2019.10.006

Cited by 76 publications

(92 citation statements)

References 48 publications

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“…Other health and socio-economic complications include a higher incidence of HIV/AIDS among unmarried pregnant teenagers, termination of academic pursuits [ 4 , 30 ], teenage mothers struggle due to lack of preparedness for childbearing, negative public attitude directed towards adolescent pregnant women [ 31 ], mental health problems, and socioeconomic disadvantage [ 32 ]. Other social problems include single parenthood, with long term effects of increased risk of child abuse, child neglect, maternal suicide, and repeated suicidal attempts [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Teenage pregnancy and experience of physical violence among women aged 15-19 years in five African countries: Analysis of complex survey data

et al. 2020

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Background Pregnant teenage women are prime targets of violence against women perpetrated by intimate partners, family members, and miscreants in their neighborhoods. This study estimated the prevalence of Teenage pregnancy (TP) and Physical Violence (PV) and further assessed the relationship between TP and PV in five Low-and-Middle-Income Countries (LMICs). Methods The study was conducted among five LIMCs (Burkina Faso, Kenya, Malawi, Nigeria, and Tanzania) using data from the most recent Demographic and Health Surveys conducted in these countries. Modified Poisson with the robust standard error was used to quantify the association between TP and PV. All analyses adjusted for the complex survey design structure (clustering, weighting, and stratification). Results The analysis involved a total of 26055 adolescent women aged 15–19 years across the five countries. The overall prevalence of TP was 25.4% (95%CI = 24.4–26.4) with the highest prevalence occurring among Malawians [29.0% (95%CI = 27.4–30.7)]. Meanwhile, the prevalence of TP among older adolescents (18–19 years) was approximately two-thirds significantly higher compared with young adolescents [aPR(95%CI) = 1.60[1.49–1.71)]. The prevalence of PV among teenagers across the five countries was 24.2% (95%CI = 22.3–26.2). The highest prevalence of PV was recorded among Nigerian adolescent women [31.8% (95%CI = 28.5–35.3)]. The prevalence of PV among adolescent women who were pregnant was approximately 5-folds significant compared to those who were not pregnant (adjusted prevalence ratio; aPR = 4.70; 95% CI: 3.86–5.73; p<0.0001). Conclusion There was a high prevalence of pregnancy among older teenagers aged 18–19 years. Close to a quarter of teenage women ever experienced physical violence. Pregnant teenage women ever experience of physical violence was very high compared to non-pregnant peers. Intervention should target PV and TP by adopting a gender-sensitive approach to eliminate physical violence, particularly among teenagers to prevent TP.

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Section: Introductionmentioning

confidence: 99%

Teenage pregnancy and experience of physical violence among women aged 15-19 years in five African countries: Analysis of complex survey data

et al. 2020

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“…2 A study of adolescent pregnant women in Southwestern Ontario (SWO) in 2019 efficiently reported that young mothers living in disadvantaged socioeconomic neighborhoods were more predisposed to depression during pregnancy. 3 In the same social bias, this study reported that pregnant women aged 20e34 with more than five prenatal exams and living in rural areas had the highest percentage of prenatal pathological antecedents. This fact is related to the unequal distribution of healthcare resources that proves the lack of identification of these antecedents by health professionals.…”

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confidence: 71%

Response to the article: Pregnancy in adolescence and adverse neonatal outcomes in Ecuadorian mestizo newborns

Almeida

Bittencourt

Santos

et al. 2020

Pediatrics & Neonatology

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“…5 Preterm birth, stillbirths and newborn deaths are also more frequent among adolescents. 6,7 Prenatal care is an important strategy to reduce infant morbidity and mortality and to promote positive health behaviors of pregnant women, including birth preparedness. 8 Quality prenatal care may assist in the early identification and treatment of dangerous health conditions as well as mitigate certain obstetrical risks related to early childbearing.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have reported that adolescent pregnancy is associated with higher incidence of complications during pregnancy than during adulthood, including conditions such as anemia, urinary and vaginal infections, as well as higher rates of preterm birth, low birth weight and perinatal mortality. 7,25 The lack of records for these exams may contribute to the increased risk for this group, since it reduces the possibility of identification and, consequently, mitigation of these risk factors. Thus, it is worrying that despite overall greater risk, adolescents may be receiving poorer prenatal care than adults.…”

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confidence: 99%

<p>Adequacy of Prenatal Care in Northeast Brazil: Pilot Data Comparing Attainment of Standard Care Criteria for First-Time Adolescent and Adult Pregnant Women</p>

Andrade

Pirkle

Sentell

et al. 2020

IJWH

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Background Adolescent pregnancy is a public health concern worldwide, particularly in low-income settings. Adolescent mothers face higher risks during pregnancy and delivery compared to adult mothers and yet, may also experience worse quality of obstetrical care. This study evaluates adherence to meeting Brazilian recommendations for prenatal care by comparing first-time adolescent versus adult mothers in a rural, low-income setting. Methods Using data from the Adolescence and Motherhood Research (AMOR) project, we evaluated adherence to national recommendations as documented in the prenatal cards of 39 adolescents (13–18 years) and 37 adults (23–28 years) from a low-income area in northeast Brazil. Recommendations included ≥6 prenatal consultations, gestational age ≤12 weeks at the first visit, participation in 3 educational activities, 2 serology for syphilis (VDRL) and HIV, 1 Toxoplasmosis serology, 2 urine tests, 2 blood glucose and 2 hemoglobin/hematocrit (Hb/Ht) exams. Chi-square tests were used to compare the proportions of adolescents and adults with a record of these procedures in the prenatal cards. Results Compared to adult women, the adolescent group had lower attainment of almost all recommended components of prenatal care compared to the adult group, with statistically significant differences for 2 blood glucose tests (46.2% vs 78.4%; p=0.004), 2 VDRL tests (30.8% vs 54.1%; p=0.040), 2 Hb/Ht exams (35.9% vs 83.8%; p<0.001), and at least 6 consultations (84.6% vs 100%; p=0.013). Conclusion Despite greater health risks of adolescent fertility, the prenatal cards of adolescent mothers presented a poorer record of adherence to recommendations for adequate prenatal care compared to adult mothers from a low-income setting of Brazil. Health policies for both health professionals and the target population are needed to ensure adequacy of prenatal care and appropriate risk reduction for this vulnerable population.

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Risk Factors and Birth Outcomes Associated with Teenage Pregnancy: A Canadian Sample

Cited by 76 publications

References 48 publications

Teenage pregnancy and experience of physical violence among women aged 15-19 years in five African countries: Analysis of complex survey data

Teenage pregnancy and experience of physical violence among women aged 15-19 years in five African countries: Analysis of complex survey data

Response to the article: Pregnancy in adolescence and adverse neonatal outcomes in Ecuadorian mestizo newborns

<p>Adequacy of Prenatal Care in Northeast Brazil: Pilot Data Comparing Attainment of Standard Care Criteria for First-Time Adolescent and Adult Pregnant Women</p>

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