scholarly journals Adverse Reproductive Outcomes Associated With Teenage Pregnancy

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Siddhartha Yadav ◽  
Dilip Choudhary ◽  
Narayan KC ◽  
Rajesh Kumar Mandal ◽  
Achyut Sharma ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Teenage Pregnancy ◽  
Post Partum ◽  
Preterm Births ◽  
Teenage Mothers ◽  
Reproductive Outcomes ◽  
Increased Risk ◽  
Significant Difference ◽  
Low Birth Weight Babies

Introduction– It is debated whether teenage pregnancy is associated with an adverse reproductive outcome. This study assessed the reproductive outcomes in teenage pregnancy in Nepal, a developing setting. Methods – Ahospital based retrospective cohort study of 4,101 deliveries to compare the outcomes between teenage and non-teenage pregnancies. Results – Pregnancy in teenagers was associated with significantly increased risk (P<0.05) of delivery of very and moderately preterm births and Low Birth Weight babies. There was no significant difference in risk of having small for gestational age babies, low APGAR score at birth at 1 min and 5min, stillbirth, neonatal death, and post partum hemorrhage. However, the risk of having delivery by episiotomy, vacuum or forceps and Caesarean section was significantly lower (P<0.05) among teenage mothers. Conclusion – Teenage women were more likely to have preterm births and low birth weight babies. However, they were less likely to have delivery by episiotomy, forceps or vacuum and Caesarean sections. In other respects, there were no significant differences between teenage and non-teenage mothers.

scholarly journals Adverse Reproductive Outcomes Associated with Teenage Pregnancy in three Maternity Hospitals in Asmara, Jan 01 – DEC 31, 2018

2020 ◽  
Author(s):  
Daniel Tikue Asrat ◽  
Eden Hagos Beloweden ◽  
Hana Andeberhan Teklay ◽  
Luwam Solomon Tesfamaryam ◽  
Ruth Zeragaber Weldemaryam ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Apgar Score ◽  
Teenage Pregnancy ◽  
Post Partum ◽  
Teenage Mothers ◽  
Adverse Outcomes ◽  
Delivery Mode ◽  
Post Partum Hemorrhage

Abstract Background: The highest rate of teenage pregnancy in the world is in sub Saharan Africa. Thus, out of the twenty countries with the highest rate of teen marriage, Eritrea ranked fourteenth. This aim of this study was to assess adverse outcomes associated with teenage pregnancy. Methods: A retrospective cohort study was followed for 424 nulliparous pregnant women between the age of 14 and 24 years. The maternity clinical record was used to review data on maternal spontaneous abortions, preterm birth, method of delivery, postpartum hemorrhage, perineal laceration, baby weight, Apgar score at 5 minute and congenital anomalies were taken as our variables of interest. Moreover, face-to-face interview was conducted to enlighten the socio demographic characteristics, circumcision status of the mother and antenatal care visits during their last pregnancy. Descriptive and inferential data was analyzed using SPSS version 20. Chi-square test and bivariate logistic regression were also used.Results: The socio demographic characteristic of the study shows that the educational status of teenage mother was low compared to adult mothers; in addition unmarried teenage mothers were high compared to adult mothers. In this study teenage mothers had significantly higher anemia, preterm delivery, Post partum hemorrhage and low birth weight babies as compared to the adult mothers. Also the study revealed that compared to adult mothers, teenage mothers had significantly higher abnormal delivery mode with low Apgar score among teenage mothers.Conclusions: In this study adolescent pregnancy was found to be associated with increased outcomes of anemia, preterm birth, low birth weight, abnormal delivery and post-partum hemorrhage. Even though preeclampsia and Apgar score were not significantly different between adolescents and adult mothers this should not be ignored and just bypass it not as adverse outcomes of teenage.

scholarly journals Changes in pregnancy outcomes during the COVID-19 lockdown in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fahimeh Ranjbar ◽  
Leila Allahqoli ◽  
Soheila Ahmadi ◽  
Robab Mousavi ◽  
Maryam Gharacheh ◽  
...  
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Health Care Services ◽  
Mode Of Delivery ◽  
Preterm Births ◽  
Future Health ◽  
Significant Difference

Abstract Background The Covid-19 pandemic response is influencing maternal and neonatal health care services especially in developing countries. However, the indirect effects of Covid-19 on pregnancy outcomes remain unknown. The aim of the present study was to compare pregnancy outcomes before and after the beginning of the Covid-19 pandemic in Iran. Methods We performed a retrospective analysis of the medical records of 2,503 pregnant women with singleton pregnancies, admitted to the maternity department of a women’s hospital in Tehran, Iran, during the pre-Covid-19 pandemic (February 19 to April 19, 2019) and the intra-Covid- 19 pandemic (February 19 to April 19, 2020) period. Results We included 2,503 women admitted to the hospital; 1,287 (51.4 %) were admitted before the Covid-19 lockdown and 1,216 (48.6 %) during the Covid-19 lockdown. There were no significant differences in stillbirth rates (p = 0.584) or pregnancy complications (including preeclampsia, pregnancy-induced hypertension and gestational diabetes) (p = 0.115) between pregnant women in the pre- and intra-pandemic periods. However, decreases in preterm births (p = 0.001), and low birth weight (p = 0.005) were observed in the pandemic period compared to the pre-pandemic period. No significant difference in the mode of delivery, and no maternal deaths were observed during the two time periods. Conclusions In our study we observed a decrease in preterm births and low birth weight, no change in stillbirths, and a rise in the admission rates of mothers to the ICU during the initial Covid-19 lockdown period compared to pre-Covid-19 lockdown period. Further research will be needed to devise plan for immediate post-pandemic care and future health care crises.

scholarly journals Knowledge Regarding Care of Low Birth Neonates among Nurses of Morang, Nepal

2021 ◽  
Vol 9 (01) ◽  
pp. 66-70
Author(s):  
Anuja Kachapati ◽  
Kavita Lamichhane ◽  
Sangam Shrestha
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cross Sectional ◽  
Adequate Care ◽  
Increased Risk ◽  
Low Birth Weight Babies ◽  
Life Threatening ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
High Level

INTRODUCTION Babies born preterm or at low birth weight are at increased risk of immediate life-threatening health problems as well as long-term complications and developmental delays. The occurrence of this condition causes substantial morbidity and mortality in children. The nurses are the key persons to provide care for the low birth weight neonates. The role of nurses to assess the low birth weight babies and to protect them from various complications. MATERIAL AND METHODS  A descriptive cross-sectional design was used to find out the level of knowledge regarding care of low birth weight neonates among 60 registered nurses of Nepal (staff nurses and bachelor nurses) by using enumerative technique in Koshi Hospital, Biratnagar, Nepal. Semi-structured, pre-tested interview schedule was used to collect data and analysed by using descriptive and inferential statistic with SPSS version 16. RESULTS The study findings revealed that 63.3% of the respondents had high level of knowledge regarding care of low birth weight neonates. There was no statistically significant association between respondents' professional qualification and respondents' level of knowledge regarding care of low birth weight neonates. CONCLUSION The study concluded that more than half of the respondents had high level of knowledge regarding care of low birth weight neonates. Nurse is an important primary care provider and therefore, her education and access to information on care of low birth weight new born will help her provide adequate care and prevent complications in low birth weight babies.  

scholarly journals Teenage Pregnancy and Its Adverse Obstetric and Perinatal Outcomes at Lemlem Karl Hospital, Tigray, Ethiopia, 2018

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Ayele Mamo Abebe ◽  
Girma Wogie Fitie ◽  
Desalegn Abebaw Jember ◽  
Mihretab Mehari Reda ◽  
Getu Engida Wake
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cesarean Delivery ◽  
Teenage Pregnancy ◽  
Perinatal Outcomes ◽  
Teenage Mothers ◽  
World Health ◽  
Premature Delivery ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension

Introduction. One of the major public health issues across the whole world these days is teenage pregnancy which is defined as being pregnant in the age ranging from 13–19 years. About 11% of all births which occurred worldwide accounted for girls aged 15 to 19 years. From these, 95% teenage deliveries occur in low- and middle-income countries. World health 2014 statistics show that complications during pregnancy and childbirth are the second cause of death for 15–19-year-old girls globally. The aim of this study was to determine adverse obstetrical and perinatal outcomes of teenage pregnancy among deliveries at Lemlem Karl General Hospital, Tigray, Ethiopia, 2018. Result. This study result showed that 17.5% of the teenagers and 6.8% of the adults deliver low birth weight neonates. From the total teenage mothers, about thirty-five (11.3%) of them had developed pregnancy-induced hypertension, whereas about thirteen (4.2%) of adults develop pregnancy-induced hypertension. Regarding cesarean delivery, forty (12.9%) of those teenage mothers deliver by a cesarean section while 58 (18%) of the adult mothers deliver by cesarean delivery. Teenage pregnancy was significantly associated with adverse obstetric and perinatal outcomes, a cesarean delivery (AOR: 0.57; 95% CI, 0.36–0.90), episiotomy (AOR: 2.01; 95% CI, 1.25–3.39), and low birth weight (AOR: 2.22; 95% CI, 1.13–4.36), and premature delivery were 2.87 (1.49–5.52). This study shows that adverse obstetric and perinatal outcomes were significantly associated with teenagers than adult mothers. Therefore, giving health education on focused ANC is very important to bring change to the teenager at this study area.

scholarly journals The effects of occupational pollutants on the reproductive health of female informal street traders in Warwick Junction, Durban, South Africa – a cross-sectional study

2019 ◽  
Author(s):  
Sujatha Hariparsad ◽  
Rajen Naidoo
Keyword(s):  
South Africa ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Total Sample ◽  
Daily Basis ◽  
Cross Sectional Study ◽  
Reproductive Outcomes ◽  
Sectional Study ◽  
Cross Sectional ◽  
Increased Risk

Abstract Background: Informal street traders are exposed on a daily basis to traffic emissions and biomass fuel smoke containing a variety of pollutants. These exposures are likely to place the female traders at increased risk for adverse reproductive outcomes. Aim The aim of this study was to compare the reproductive outcomes among street traders exposed to pollutants from their work-related activities and traders without such exposure. Methods: A cross-sectional study was conducted among 305 female traders selected from exposed and non-exposed areas within the Warwick Junction trading hub, located in Durban, South Africa. Validated reproductive questionnaires and clinical assessments were conducted on all participants. Adverse reproductive outcomes such as low birth weight, spontaneous abortions and infertility were assessed Results: The mean age of the traders was 43.6 years (SD:12.1), mostly single (63%) and worked in trading hub for an average of 14 years. There were 876 pregnancies reported in the total sample. Traders pregnant while working in in this location accounted for 120 pregnancies There was an increased risk of exposed traders having a low birth weight infant as compared to non-exposed traders (OR=3.7; CI: 1.8, 7.6). Exposed traders were also almost 3 times more likely to be infertile as compared to non-exposed traders (OR=2.6; CI: 1.6, 4.3). Conclusions: Working as a street trader may have a causal association with developing adverse reproductive outcomes in females. Recommendations to mitigate adverse exposures have been suggested which include short term safety interventions and better cooking practices and future long term policy interventions.

scholarly journals Maternity in adolescents and its association with caesarean labor

2015 ◽  
Vol 12 (2) ◽  
pp. 11
Author(s):  
Henry Rodrigo Gallardo-Lizarazo ◽  
Ingrid Sofía Guerrero-Romero ◽  
Jorge Ernesto Niño-González ◽  
Mariana Villaveces-Franco
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Teenage Pregnancy ◽  
Simple Random Sampling ◽  
Increased Risk ◽  
Para Determinar ◽  
Statistical Sample ◽  
First Time ◽  
Abdominal Delivery ◽  
Control Study

Objective: to evaluate the association between adolescence and cesarean section in women  aged 10-19 years compared with those found in ages between 19 and 25 years, patients in a hospital, and determine its association with sociodemographic variables and neonatal in terms of prematurity, and Apgar low birth weight. Materials and Methods: a case-control study was performed using a simple random sampling, considering the calculation of a statistical sample. a total of 1,304 cases and 2,608 controls were included. First time mom patients treated at an institution x over a period of three years, to determine associations of risk through analysis of hypothesis testing is included. Results: the risk of caesarean section in teenagers is (OR 1.13, 95% CI 1.10 to 1.51). In addition, it was determined that there is an increased risk of low birth weight (OR 9.4, 95% CI 7.59 to 11.76), with no difference in adolescents in the risk of  Apgar down score at minute and 5 minutes later. Conclusion: there is an increased risk of low birth weight and require termination of pregnancy via cesarean in adolescents compared to young adults, especially if they are under 14. It is necessary to promote campaigns to prevent teenage pregnancy, as the main measure of control over these population.KEYWORDS: abdominal delivery, childbirth, complications of pregnancy, teenage pregnancy, teenagers. Adolescencia materna y su asociación con la realización de cesáreaRESUMEN Objetivo: evaluar la asociación entre adolescencia y la realización de cesárea en mujeres de 10 a 19 años, en comparación con las que se encuentran en edades entre 19 y 25 años, atendidas en un hospital X, y determinar su asociación con variables sociodemográficas y neonatales en términos de prematurez, Apgar y bajo peso al nacer. Materiales y Métodos: se realizó un estudio de casos y controles, mediante un muestreo simple aleatorio, teniendo en cuenta el cálculo de una muestra estadística. Se incluyeron un total de 1.304 casos y 2.608 controles. Se incluyeron pacientes primigestantes atendidas en una institución X en un período de tres años, para determinar asociaciones de riesgo mediante análisis de contraste de hipótesis. Resultados: el riesgo de cesárea en adolescentes es de (OR 1,13, IC 95% 1,10-1,51). Además, se determinó que en las adolescentes existe un riesgo mayor de bajo peso al nacer (OR 9,4, IC 95% 7,59-11,76), sin diferencia en cuanto al riesgo de Apgar bajo al minuto y los 5 minutos. Conclusión: existe un mayor riesgo de presentar bajo peso neonatal y requerir terminación de la gestación por vía cesárea en adolescentes, en comparación con las adultas jóvenes, especialmente si son menores de 14 años. Se requiere promover campañas para evitar el embarazo adolescente, como principal medida de control sobre esta población.PALABRAS CLAVE: parto abdominal, parto, complicaciones del embarazo, embarazo en adolescencia, adolescentes. Mãe adolescente e sua associação com cesariana SUMÁRIO Objetivo: avaliar a associação entre a adolescência ea cesariana em mulheres com idade entre 10 a 19 anos, em comparação com aqueles encontrados na faixa etária entre 19 e 25 anos, servido em um hospital, e determinar associação STI com variáveis neonatais e sociodemográficos em termos de prematuridade, Apgar e baixo peso ao nascer. Materiais e Métodos: um estudo de caso-controle foi realizado utilizando amostragem aleatória simples, Considerando o cálculo de uma amostra estatística. Um total de 1.304 casos e 2.608 controles foram incluídos. Primigestas pacientes tratados em uma instituição x ao longo de um período de três anos, para determinar associações de risco através da análise dos testes de hipóteses está incluído. Resultados: o risco de cesariana em adolescentes é (ou CI 1,13, 95% 1,10-1,51). Além disso, determinou-se que há um aumento do risco de baixo peso ao nascer (OR 9,4, IC 95% 7,59-11,76), não havendo diferença em adolescentes no risco de baixo índice de Apgar no minuto 5 minutos. Conclusão: há um aumento do risco de baixo peso ao nascer e exigem a interrupção da gravidez através de cesariana em adolescentes em comparação com adultos jovens, especialmente se eles estão sob 14. É necessário promover campanhas de prevenção da gravidez na adolescência, como a principal medida de controle sobre a população.PALAVRAS-CHAVE: parto abdominal, parto, complicações da gravidez, gravidez na adolescencia, adolescentes. 

scholarly journals Study of feto maternal outcome of teenage pregnancy at tertiary care hospital

2017 ◽  
Vol 6 (7) ◽  
pp. 2841
Author(s):  
Rita D. ◽  
Kiran Naik ◽  
R. M. Desai ◽  
Sphurti Tungal
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Sex Education ◽  
Teenage Pregnancy ◽  
Perinatal Death ◽  
Public Awareness ◽  
Tertiary Care ◽  
High Rate ◽  
Care Hospital ◽  
Increased Risk

Background: Teenage pregnancy due to changing social conditions, it’s important to study the implications of the maternal and fetal health. It is a serious health problem, more so in developing countries like India. Young mothers and newborns are at increased risk of anaemia, pre-eclampsia, increased rate of LSCS, PTVD, LBW, prematurity, NICU care, RDS, sepsis, IUGR. Hence, study is directed to identify the problems and their outcome.Methods: Teenage pregnant ladies between 18 to 20 years were taken up for the study. Study duration was 1 year from January to December 2016, at SDM Medical College Dharwad. During this period, all cases were included in the study, irrespective of their booking and unbooking statuses after 28 weeks of pregnancy are taken.Results: Study showed the incidence of teenage pregnancy is 10.26%. 79.2% of teenage mothers have varying grades of anaemia, 13.6% of women had eclampsia, 16.01% had preterm deliveries, LSCS rate were as high as 52%, 17.4% had instrumental deliveries, 12.5% were low birth weight neonates, 8.4% requiring NICU care and 2% were perinatal deaths due to prematurity, respiratory distress, sepsis.Conclusions: As teenage pregnancy is associated with high risk of anaemia, pre-eclampsia, eclampsia, PTVD, instrumental delivery, high rate of LSCS, prematurity, low birth weight, perinatal death. It’s important to reduce the teenage pregnancy by improving the socio-economic condition, education, public awareness, strict implementation of law, good ANC care, nutrition, access to contraceptive services, sex education.

scholarly journals The effects of occupational pollutants on the reproductive health of female informal street traders in Warwick junction, Durban, South Africa – a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sujatha Hariparsad ◽  
Rajen N. Naidoo
Keyword(s):  
South Africa ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Reproductive Outcomes ◽  
Sectional Study ◽  
Low Birth Weight Infants ◽  
Cross Sectional ◽  
Increased Risk

Abstract Background Informal street traders are exposed on a daily basis to traffic emissions and biomass fuel smoke containing a variety of pollutants. These exposures are likely to place the female traders at increased risk for adverse reproductive outcomes. Aim The aim of this study was to compare the reproductive outcomes among street traders exposed to pollutants from their work-related activities and traders without such exposure. Methods A cross-sectional study was conducted among 305 female traders selected from exposed and non-exposed areas within the Warwick Junction trading hub, located in Durban, South Africa. Validated reproductive questionnaires and clinical assessments were conducted on all participants. Adverse reproductive outcomes such as low birth weight, spontaneous abortions and infertility were assessed. Results The mean age of the traders was 43.6 years (SD:12.1), mostly single (63%) and worked in trading hub for an average of 14 years. There were 876 pregnancies reported in the total sample. Traders pregnant while working in this location accounted for 120 pregnancies There was an increased risk of exposed traders having a low birth weight infant as compared to non-exposed traders (OR = 3.7; CI: 1.8, 7.6). Exposed traders were also almost 3 times more likely to be infertile as compared to non-exposed traders (OR = 2.6; CI: 1.6, 4.3). Conclusions This study has demonstrated that female street traders working within a trading hub in KwaZulu-Natal, South Africa; exposed to occupational pollutants show an association with developing infertility and low birth weight infants. Recommendations to mitigate adverse exposures have been suggested which include short term safety interventions and better cooking practices and future long term policy interventions.

scholarly journals Comparison of Maternal and Neonatal Outcomes in Teenage and Reproductive Age Pregnancy at Tertiary Hospital in West Java, Indonesia

2021 ◽  
Vol 9 (B) ◽  
pp. 1080-1084
Author(s):  
Windi Nurdiawan ◽  
Ahmad Raihan Hidayat Koto ◽  
Zulvayanti Zulvayanti ◽  
Nur Atik ◽  
Hadi Susiarno ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Preterm Delivery ◽  
Teenage Mothers ◽  
Neonatal Outcomes ◽  
Reproductive Age ◽  
West Java ◽  
Risk Pregnancy ◽  
Low Birth Weight Babies ◽  
Maternal And Neonatal Outcomes

Aim: This study was aimed to compare the maternal and neonatal outcomes among teenage and reproductive-age pregnancies. Patients and methods: This was a cross-sectional study of pregnant mothers in Hasan Sadikin General Hospital, the tertiary referral hospital in West Java, Indonesia. Patients who gave birth during January 2015-December 2018 were included and divided into two groups (teenage and reproductive-age pregnancy). Their medical record data then were evaluated to compare both maternal and neonatal outcomes. Results: The incidence of teenage pregnancy was 10.05%. A total of 3810 patients were recruited. The teenage mothers were 522 subjects and reproductive-age mothers were 3288 subjects. The incidence of eclampsia (5.2% vs 1.9%, p<0.001), anaemia (18.4% vs 14.9%, p=0.040), and preterm delivery (27.2% vs 18.6%, p<0.001) were more frequent in teenage pregnancies. Teenage mothers also had a higher percentage of low-birth-weight babies (42.3% vs 36.2%, p=0.007). Conclusion: Teenage pregnancies also had a higher risk of eclampsia, anaemia, preterm delivery, and having low-birth-weight babies. More efforts to prevent teenage and high-risk pregnancy are needed, especially in rural areas.

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