Teenage pregnancy and mental health beyond the postpartum period: a systematic review

Xavier, Chloé; Benoit, Anita C.; Brown, Hilary K.

doi:10.1136/jech-2017-209923

Cited by 33 publications

(19 citation statements)

References 32 publications

(35 reference statements)

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“…Our review did not identify any primary studies in sub-Saharan Africa related to mental health, cognitive health, or educational outcomes of adolescent mothers affected by HIV. Globally, poor mental health has been found to be associated with adolescent pregnancy (Hodgkinson et al, 2014;LePlatte et al, 2012;McCracken & Loveless, 2014;Mitsuhiro et al, 2009), although a systematic review showed mixed results of the impact of adolescent pregnancy on long-term mental health (Xavier et al, 2018). Many adolescents affected by HIV face mental health challenges related to family grief and HIV stigma-by-association, which are also key issues for parenting adolescents (Amzel et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Toska

Laurenzi

Roberts

et al. 2020

Global Public Health

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While adolescents have received increasing attention in the global HIV response and international strategies and commitments, adolescent mothers and their children remain largely overlooked in research, funding and, programming for health-related outcomes. We conducted an extensive scoping review of current evidence on the experiences of adolescent mothers affected by HIV and their children in this region. We included published literature and conference abstracts, complemented by consultations with key stakeholders, and a review of documents through grey literature searching. First, we summarise the experiences of adolescent mothers and their children related to HIV and key health and development indicators. The syndemic of early motherhood and HIV in sub-Saharan Africa increases the vulnerability of adolescent mothers and their children. We then highlight lessons from a series of promising programmes focused on supporting adolescent mothers through novel approaches. In sub-Saharan Africa, supporting adolescent mothers living in high HIV-risk communities is critical not only to eliminate HIV/AIDS, but also to attain the Sustainable Development Goals. While research on and programming for adolescent mothers and their children is growing, the complex needs for this vulnerable group remain unmet. We conclude with evidence gaps and programming priorities for adolescent mothers affected by HIV and their children.

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Section: Discussionmentioning

confidence: 99%

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Toska

Laurenzi

Roberts

et al. 2020

Global Public Health

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“…This synthesis suggests that young women recognise stress as profoundly impactful, and want to avoid it, but find that it is exacerbated by their socioeconomic situation. This emphasises the need for interventions that target social factors to impact long term mental health outcomes [69].…”

Section: Discussionmentioning

confidence: 99%

No straight lines – young women’s perceptions of their mental health and wellbeing during and after pregnancy: a systematic review and meta-ethnography

et al. 2019

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BackgroundYoung mothers face mental health challenges during and after pregnancy including increased rates of depression compared to older mothers. While the prevention of teenage pregnancy in countries such as the United States and the United Kingdom has been a focus for policy and research in recent decades, the need to understand young women’s own experiences has been highlighted. The aim of this meta-ethnography was to examine young women’s perceptions of their mental health and wellbeing during and after pregnancy to provide new understandings of those experiences.MethodsA systematic review and meta-ethnographic synthesis of qualitative research was conducted. Seven databases were systematically searched and forward and backward searching conducted. Papers were included if they were from Organisation for Economic Co-operation and Development countries and explored mental health and wellbeing experiences of young mothers (age under 20 in pregnancy; under 25 at time of research) as a primary research question – or where evidence about mental health and wellbeing from participants was foregrounded. Nineteen papers were identified and the Critical Appraisal Skills Programme checklist for qualitative research used to appraise the evidence. Following the seven-step process of meta-ethnography, key constructs were examined within each study and then translated into one another.ResultsSeven translated themes were identified forming a new line of argument wherein mental health and wellbeing was analysed as relating to individual bodily experiences; tied into past and present relationships; underpinned by economic insecurity and entangled with feelings of societal surveillance. There were ‘no straight lines’ in young women’s experiences, which were more complex than dominant narratives around overcoming adversity suggest.ConclusionsThe synthesis concludes that health and social care professionals need to reflect on the operation of power and stigma in young women’s lives and its impact on wellbeing. It adds to understanding of young women’s mental health and wellbeing during and after pregnancy as located in physical and structural factors rather than individual capacities alone.

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“…A local study revealed that this might be related to poor contraceptive knowledge and low socioeconomic status [ 38 ]. Moreover, teen child-bearing women are more likely to have lower educational growth, more adverse pregnancy complications, and even more postpartum depression [ 39 , 40 ]. In our study, infants of mothers aged <20 years had 2.81 times higher SIDS risk than those of mothers aged ≥20 years.…”

Section: Discussionmentioning

confidence: 99%

Maternal Age, the Disparity across Regions and Their Correlation to Sudden Infant Death Syndrome in Taiwan: A Nationwide Cohort Study

et al. 2021

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Sudden infant death syndrome (SIDS) has always been a regrettable issue for families. After sleeping in the supine position was proposed, the incidence of SIDS declined dramatically worldwide. However, SIDS still accounts for the top 10 causes of infant deaths in Taiwan. Recognizing the risk factors and attempting to minimize these cases are imperative. We obtained information on cases with SIDS from the National Health Insurance Research Database in Taiwan and interconnected it with the Taiwan Maternal and Child Health Database to acquire infant–maternal basal characteristics between 2004 and 2017. The SIDS subjects were matched 1:10 considering gestational age to normal infants. After case selection, a total of 953 SIDS cases were included. Compared with healthy infants, SIDS infants had younger parents, lower birth weight, and lower Apgar scores. After adjusting for potential confounders, infants with mothers aged <20 years had 2.81 times higher risk of SIDS. Moreover, infants in the non-eastern region had a significantly lower risk of SIDS than those in the eastern region. We concluded that infants of young mothers (especially maternal age <20 years) and infants in the eastern region of Taiwan had a higher risk of SIDS than their counterparts.

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Teenage pregnancy and mental health beyond the postpartum period: a systematic review

Cited by 33 publications

References 32 publications

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

No straight lines – young women’s perceptions of their mental health and wellbeing during and after pregnancy: a systematic review and meta-ethnography

Maternal Age, the Disparity across Regions and Their Correlation to Sudden Infant Death Syndrome in Taiwan: A Nationwide Cohort Study

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