Pregnancy and childbirth outcomes among adolescent mothers

a multi-country study by the World Health Organization (WHO)

published in ‘BJOG: An International Journal of Obstetrics & Gynaecology’

Special Issue: Maternal and Perinatal Morbidity and Mortality: Findings from the WHO Multicountry Survey

Volume 121Issue Supplement s1pages 40–48,March 2014

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Results

A total of 124 446 mothers aged ≤24 years and their infants were analysed. Compared with mothers aged 2024 years, adolescent mothers aged 10–19 years had higher risks of eclampsia, puerperal endometritis, systemic infections, low birthweight, preterm delivery and severe neonatal conditions. The increased risk of intra-hospital early neonatal death among infants born to adolescent mothers was reduced and statistically insignificant after adjustment for gestational age and birthweight, in addition to maternal characteristics, mode of delivery and congenital malformation. The coverage of prophylactic uterotonics, prophylactic antibiotics for caesarean section and antenatal corticosteroids for preterm delivery at 2634 weeks was significantly lower among adolescent mothers.

Conclusions

Adolescent pregnancy was associated with higher risks of adverse pregnancy outcomes. Pregnancy prevention strategies and the improvement of healthcare interventions are crucial to reduce adverse pregnancy outcomes among adolescent women in low- and middle-income countries.

To access the full article go to the Wiley Online Library  

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Posted on March 27, 2014, in Teen pregnancy and tagged , , , . Bookmark the permalink. Leave a comment.

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