Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1111/1471-0528.12391 http://repositorio.unifesp.br/handle/11600/37008 |
Resumo: | ObjectiveTo investigate the risk of adverse pregnancy outcomes and caesarean section among adolescents in low- and middle-income countries.DesignSecondary analysis using facility-based cross-sectional data from the World Health Organization (WHO) Global Survey on Maternal and Perinatal Health.SettingTwenty-three countries in Africa, Latin America, and Asia.PopulationWomen admitted for delivery in 363 health facilities during 2-3months between 2004 and 2008.MethodsWe constructed multilevel logistic regression models to estimate the effect of young maternal age on risks of adverse pregnancy outcomes.Main outcome measuresRisk of adverse pregnancy outcomes among young mothers.ResultsA total of 78646 nulliparous mothers aged 24years and their singleton infants were included in the analysis. Compared with mothers aged 20-24years, adolescents aged 16-19years had a significantly lower risk of caesarean section (adjusted OR 0.75, 95% CI 0.71-0.79). When the analysis was restricted to caesarean section indicated for presumed cephalopelvic disproportion, the risk of caesarean section was significantly higher among mothers aged 15years (aOR 1.27, 95% CI 1.07-1.49) than among those aged 20-24years. Higher risks of low birthweight and preterm birth were found among adolescents aged 16-19years (aOR 1.10, 95% CI 1.03-1.17; aOR 1.16, 95% CI 1.09-1.23, respectively) and 15years (aOR 1.33, 95% CI 1.14-1.54; aOR 1.56, 95% CI 1.35-1.80, respectively).ConclusionsAdolescent girls experiencing pregnancy at a very young age (i.e. <16years) have an increased risk of adverse pregnancy outcomes. |
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Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country studyAdolescent pregnancycaesarean sectionlow- and middle-income countrieslow birthweightperinatal mortalitypreterm birthObjectiveTo investigate the risk of adverse pregnancy outcomes and caesarean section among adolescents in low- and middle-income countries.DesignSecondary analysis using facility-based cross-sectional data from the World Health Organization (WHO) Global Survey on Maternal and Perinatal Health.SettingTwenty-three countries in Africa, Latin America, and Asia.PopulationWomen admitted for delivery in 363 health facilities during 2-3months between 2004 and 2008.MethodsWe constructed multilevel logistic regression models to estimate the effect of young maternal age on risks of adverse pregnancy outcomes.Main outcome measuresRisk of adverse pregnancy outcomes among young mothers.ResultsA total of 78646 nulliparous mothers aged 24years and their singleton infants were included in the analysis. Compared with mothers aged 20-24years, adolescents aged 16-19years had a significantly lower risk of caesarean section (adjusted OR 0.75, 95% CI 0.71-0.79). When the analysis was restricted to caesarean section indicated for presumed cephalopelvic disproportion, the risk of caesarean section was significantly higher among mothers aged 15years (aOR 1.27, 95% CI 1.07-1.49) than among those aged 20-24years. Higher risks of low birthweight and preterm birth were found among adolescents aged 16-19years (aOR 1.10, 95% CI 1.03-1.17; aOR 1.16, 95% CI 1.09-1.23, respectively) and 15years (aOR 1.33, 95% CI 1.14-1.54; aOR 1.56, 95% CI 1.35-1.80, respectively).ConclusionsAdolescent girls experiencing pregnancy at a very young age (i.e. <16years) have an increased risk of adverse pregnancy outcomes.Univ Tokyo, Grad Sch Med, Dept Global Hlth Policy, Tokyo 1130033, JapanNatl Ctr Child Hlth & Dev, Dept Hlth Policy, Tokyo, JapanUniversidade Federal de São Paulo, Dept Obstet, São Paulo, BrazilWHO, Dept Reprod Hlth & Res, CH-1211 Geneva, SwitzerlandUniv Western Australia, Sch Populat Hlth, Perth, WA 6009, AustraliaUniversidade Federal de São Paulo, Dept Obstet, São Paulo, BrazilWeb of ScienceUNDP/UNFPA/WHO/World Bank Special Program of Research, Development and Research Training in Human Reproduction (HRP)Department of Reproductive Health and Research (RHR)Ministry of Health, Labour and Welfare of JapanUnited States Agency for International Development (USAID)Ministry of Public Health, Beijing, ChinaIndian Council of Medical Research, Delhi, IndiaMinistry of Health, Labour and Welfare of Japan: 09151353Wiley-BlackwellUniv TokyoNatl Ctr Child Hlth & DevUniversidade Federal de São Paulo (UNIFESP)WHOUniv Western AustraliaGanchimeg, T.Mori, R.Ota, E.Koyanagi, A.Gilmour, S.Shibuya, K.Torloni, Maria Regina [UNIFESP]Betran, A. P.Seuc, A.Vogel, J.Souza, J. P.2016-01-24T14:34:45Z2016-01-24T14:34:45Z2013-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1622-1630http://dx.doi.org/10.1111/1471-0528.12391Bjog-an International Journal of Obstetrics and Gynaecology. Hoboken: Wiley-Blackwell, v. 120, n. 13, p. 1622-1630, 2013.10.1111/1471-0528.123911470-0328http://repositorio.unifesp.br/handle/11600/37008WOS:000326712000006engBjog-an International Journal of Obstetrics and Gynaecologyinfo:eu-repo/semantics/openAccesshttp://olabout.wiley.com/WileyCDA/Section/id-406071.htmlreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2022-11-03T10:40:48Zoai:repositorio.unifesp.br/:11600/37008Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652022-11-03T10:40:48Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study |
title |
Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study |
spellingShingle |
Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study Ganchimeg, T. Adolescent pregnancy caesarean section low- and middle-income countries low birthweight perinatal mortality preterm birth |
title_short |
Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study |
title_full |
Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study |
title_fullStr |
Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study |
title_full_unstemmed |
Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study |
title_sort |
Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study |
author |
Ganchimeg, T. |
author_facet |
Ganchimeg, T. Mori, R. Ota, E. Koyanagi, A. Gilmour, S. Shibuya, K. Torloni, Maria Regina [UNIFESP] Betran, A. P. Seuc, A. Vogel, J. Souza, J. P. |
author_role |
author |
author2 |
Mori, R. Ota, E. Koyanagi, A. Gilmour, S. Shibuya, K. Torloni, Maria Regina [UNIFESP] Betran, A. P. Seuc, A. Vogel, J. Souza, J. P. |
author2_role |
author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Univ Tokyo Natl Ctr Child Hlth & Dev Universidade Federal de São Paulo (UNIFESP) WHO Univ Western Australia |
dc.contributor.author.fl_str_mv |
Ganchimeg, T. Mori, R. Ota, E. Koyanagi, A. Gilmour, S. Shibuya, K. Torloni, Maria Regina [UNIFESP] Betran, A. P. Seuc, A. Vogel, J. Souza, J. P. |
dc.subject.por.fl_str_mv |
Adolescent pregnancy caesarean section low- and middle-income countries low birthweight perinatal mortality preterm birth |
topic |
Adolescent pregnancy caesarean section low- and middle-income countries low birthweight perinatal mortality preterm birth |
description |
ObjectiveTo investigate the risk of adverse pregnancy outcomes and caesarean section among adolescents in low- and middle-income countries.DesignSecondary analysis using facility-based cross-sectional data from the World Health Organization (WHO) Global Survey on Maternal and Perinatal Health.SettingTwenty-three countries in Africa, Latin America, and Asia.PopulationWomen admitted for delivery in 363 health facilities during 2-3months between 2004 and 2008.MethodsWe constructed multilevel logistic regression models to estimate the effect of young maternal age on risks of adverse pregnancy outcomes.Main outcome measuresRisk of adverse pregnancy outcomes among young mothers.ResultsA total of 78646 nulliparous mothers aged 24years and their singleton infants were included in the analysis. Compared with mothers aged 20-24years, adolescents aged 16-19years had a significantly lower risk of caesarean section (adjusted OR 0.75, 95% CI 0.71-0.79). When the analysis was restricted to caesarean section indicated for presumed cephalopelvic disproportion, the risk of caesarean section was significantly higher among mothers aged 15years (aOR 1.27, 95% CI 1.07-1.49) than among those aged 20-24years. Higher risks of low birthweight and preterm birth were found among adolescents aged 16-19years (aOR 1.10, 95% CI 1.03-1.17; aOR 1.16, 95% CI 1.09-1.23, respectively) and 15years (aOR 1.33, 95% CI 1.14-1.54; aOR 1.56, 95% CI 1.35-1.80, respectively).ConclusionsAdolescent girls experiencing pregnancy at a very young age (i.e. <16years) have an increased risk of adverse pregnancy outcomes. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-12-01 2016-01-24T14:34:45Z 2016-01-24T14:34:45Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1111/1471-0528.12391 Bjog-an International Journal of Obstetrics and Gynaecology. Hoboken: Wiley-Blackwell, v. 120, n. 13, p. 1622-1630, 2013. 10.1111/1471-0528.12391 1470-0328 http://repositorio.unifesp.br/handle/11600/37008 WOS:000326712000006 |
url |
http://dx.doi.org/10.1111/1471-0528.12391 http://repositorio.unifesp.br/handle/11600/37008 |
identifier_str_mv |
Bjog-an International Journal of Obstetrics and Gynaecology. Hoboken: Wiley-Blackwell, v. 120, n. 13, p. 1622-1630, 2013. 10.1111/1471-0528.12391 1470-0328 WOS:000326712000006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Bjog-an International Journal of Obstetrics and Gynaecology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess http://olabout.wiley.com/WileyCDA/Section/id-406071.html |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
http://olabout.wiley.com/WileyCDA/Section/id-406071.html |
dc.format.none.fl_str_mv |
1622-1630 |
dc.publisher.none.fl_str_mv |
Wiley-Blackwell |
publisher.none.fl_str_mv |
Wiley-Blackwell |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268314639138816 |