Maternal and perinatal outcomes among nulliparous adolescents in low- and middle-income countries: a multi-country study

Detalhes bibliográficos
Autor(a) principal: Ganchimeg, T.
Data de Publicação: 2013
Outros Autores: Mori, R., Ota, E., Koyanagi, A., Gilmour, S., Shibuya, K., Torloni, Maria Regina [UNIFESP], Betran, A. P., Seuc, A., Vogel, J., Souza, J. P.
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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spelling 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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