Adolescent pregnancy in Sao Tome and Principe

Detalhes bibliográficos
Autor(a) principal: Vasconcelos, Alexandra
Data de Publicação: 2022
Outros Autores: Bandeira, Nelson, Sousa, Swasilanne, Machado, Maria Céu, Pereira, Filomena
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/149030
Resumo: Funding Information: AV was supported by the Fundação para a Ciência e Tecnologia (FCT) ( https://www.fct.pt/index.phtml.pt/ ), grant number SFRH/BD/117037/2016. The funder had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2022, The Author(s).
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spelling Adolescent pregnancy in Sao Tome and Principeare there different obstetric and perinatal outcomes?Adolescent pregnancyAdverse pregnancy outcomesAntenatal careSao Tome and PrincipeRG Gynecology and obstetricsObstetrics and GynaecologyPediatrics, Perinatology, and Child HealthSDG 3 - Good Health and Well-beingSDG 4 - Quality EducationSDG 5 - Gender EqualityFunding Information: AV was supported by the Fundação para a Ciência e Tecnologia (FCT) ( https://www.fct.pt/index.phtml.pt/ ), grant number SFRH/BD/117037/2016. The funder had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2022, The Author(s).Background: Adolescent childbirth is a major public health problem in Sao Tome and Principe (STP). Adolescent pregnancy and childbirth can carry a risk of morbidity associated with the physiological and sociological characteristics of teenage girls. This study aims to identify the main adverse obstetric and perinatal outcomes for adolescent pregnancies in the Hospital Dr. Ayres de Menezes (HAM), the only hospital in STP. Methods: An institution-based cross-sectional study. Pregnant women ≤ 19 years of age (n = 104) were compared to non-adolescent women (n = 414). The obstetric and perinatal outcomes were compared between groups using the t test. Odds ratio (OR) were calculated through Cochran’s and Mantel–Haenszel statistics test for odds ratio equal to 1, 95% confidence intervals (CI) and p values (p < 0.05) were considered significant. Results: The adverse perinatal outcomes imputable to adolescent births were foetal distress with low first minute Apgar score < 7 (OR 1.94, 95% CI 1.18–3.18, p = 0.009) and performance of neonatal resuscitation manoeuvres (OR 2.4, 95% CI 1.07–5.38, p = 0.032). Compared to older mothers, teenage girls were likely to have a non-statistically significant threefold higher risk of having an obstructed labour (OR 3.40, 95% CI 0.89–12.94, p = 0.07). Other perinatal outcomes as neonatal asphyxia, risk for cerebral palsy, premature birth, early neonatal infection, and neonatal death were identical between groups as well as maternal anaemia, mode of delivery or other obstetrical outcomes. Conclusion: Adolescent pregnancies were associated with worse perinatal outcomes as foetal distress and higher need for neonatal resuscitation manoeuvres. This study may support STP health authorities in their efforts to make Sustainable Development Goals 3 (good health and wellbeing), 4 (quality education) and 5 (gender equality) a reality by 2030, since it identifies specific problems that need to be addressed to improve maternal adolescent health.Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)Universidade NOVA de LisboaRUNVasconcelos, AlexandraBandeira, NelsonSousa, SwasilanneMachado, Maria CéuPereira, Filomena2023-02-10T22:22:12Z2022-122022-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article11application/pdfhttp://hdl.handle.net/10362/149030eng1471-2393PURE: 49716005https://doi.org/10.1186/s12884-022-04779-9info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:30:48Zoai:run.unl.pt:10362/149030Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:35.936115Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Adolescent pregnancy in Sao Tome and Principe
are there different obstetric and perinatal outcomes?
title Adolescent pregnancy in Sao Tome and Principe
spellingShingle Adolescent pregnancy in Sao Tome and Principe
Vasconcelos, Alexandra
Adolescent pregnancy
Adverse pregnancy outcomes
Antenatal care
Sao Tome and Principe
RG Gynecology and obstetrics
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
SDG 5 - Gender Equality
title_short Adolescent pregnancy in Sao Tome and Principe
title_full Adolescent pregnancy in Sao Tome and Principe
title_fullStr Adolescent pregnancy in Sao Tome and Principe
title_full_unstemmed Adolescent pregnancy in Sao Tome and Principe
title_sort Adolescent pregnancy in Sao Tome and Principe
author Vasconcelos, Alexandra
author_facet Vasconcelos, Alexandra
Bandeira, Nelson
Sousa, Swasilanne
Machado, Maria Céu
Pereira, Filomena
author_role author
author2 Bandeira, Nelson
Sousa, Swasilanne
Machado, Maria Céu
Pereira, Filomena
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Global Health and Tropical Medicine (GHTM)
Instituto de Higiene e Medicina Tropical (IHMT)
Population health, policies and services (PPS)
Universidade NOVA de Lisboa
RUN
dc.contributor.author.fl_str_mv Vasconcelos, Alexandra
Bandeira, Nelson
Sousa, Swasilanne
Machado, Maria Céu
Pereira, Filomena
dc.subject.por.fl_str_mv Adolescent pregnancy
Adverse pregnancy outcomes
Antenatal care
Sao Tome and Principe
RG Gynecology and obstetrics
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
SDG 5 - Gender Equality
topic Adolescent pregnancy
Adverse pregnancy outcomes
Antenatal care
Sao Tome and Principe
RG Gynecology and obstetrics
Obstetrics and Gynaecology
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
SDG 4 - Quality Education
SDG 5 - Gender Equality
description Funding Information: AV was supported by the Fundação para a Ciência e Tecnologia (FCT) ( https://www.fct.pt/index.phtml.pt/ ), grant number SFRH/BD/117037/2016. The funder had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. Publisher Copyright: © 2022, The Author(s).
publishDate 2022
dc.date.none.fl_str_mv 2022-12
2022-12-01T00:00:00Z
2023-02-10T22:22:12Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/149030
url http://hdl.handle.net/10362/149030
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1471-2393
PURE: 49716005
https://doi.org/10.1186/s12884-022-04779-9
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 11
application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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