The burden of adolescent motherhood and health consequences in Nepal

Autor: Pragya Gautam Poudel, Sangeeta Mishra, Ashish Kc, Zhou Hong, Avinash K Sunny, Rejina Gurung, Mats Målqvist, Srijana Sharma, Nisso Nurova
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
medicine.medical_specialty
Adolescent
Ethnic group
Reproductive medicine
Reproduktionsmedicin och gynekologi
lcsh:Gynecology and obstetrics
Adolescent age
Prolonged labour
Congenital Abnormalities
Adverse outcome
03 medical and health sciences
0302 clinical medicine
Nepal
Pregnancy
Risk Factors
Obstetrics
Gynecology and Reproductive Medicine
medicine
Humans
030212 general & internal medicine
lcsh:RG1-991
030219 obstetrics & reproductive medicine
business.industry
Incidence
Incidence (epidemiology)
Medical record
Infant
Newborn
Obstetrics and Gynecology
Preterm birth
Public Health
Global Health
Social Medicine and Epidemiology
medicine.disease
Major malformation
Obstetric Labor Complications
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Logistic Models
Infant
Small for Gestational Age
Pregnancy in Adolescence
Adolescent mother
Premature Birth
Small for gestational age
Female
business
Maternal Age
Research Article
Demography
Zdroj: BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-7 (2020)
Popis: Background Annually, 18 million babies are born to mothers 18 years or less. Two thirds of these births take place in South Asia and Sub-Saharan Africa. Due to social and biological factors, adolescent mothers have a higher risk of adverse birth outcomes. We conducted this study to assess the incidence, risk factors, maternal and neonatal health consequences among adolescent mothers. Methods We conducted an observational study in 12 hospitals of Nepal for a period of 12 months. Patient medical record and semi-structured interviews were used to collect demographic information of mothers, intrapartum care and outcomes. The risks of adverse birth outcomes among adolescent compared to adult mothers were assessed using multivariate logistic regression. Results During the study period, among the total 60,742 deliveries, 7.8% were adolescent mothers. Two third of the adolescent mothers were from disadvantaged ethnic groups, compared to half of adult mothers (66.1% vs 47.8%, p-valuep-valuep p Conclusion Women from disadvantaged ethnic group have higher risk of being pregnant during adolescent age. Adolescent mothers were more likely to have prolonged labour, a preterm birth, small for gestational age baby and major congenital malformation. Special attention to this high-risk group during pregnancy, labour and delivery is critical.
Databáze: OpenAIRE
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