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Maternal and perinatal outcomes among nulliparous adolescents in low‐ and middle‐income countries: a multi‐country study
Open accessAbstract
Objective: To investigate the risk of adverse pregnancy outcomes and caesarean section among adolescents in low‐ and middle‐income countries. Design: Secondary analysis using facility‐based cross‐sectional data from the World Health Organization (WHO) Global Survey on Maternal and Perinatal Health. Setting: Twenty‐three countries in Africa, Latin America, and Asia. Population: Women admitted for delivery in 363 health facilities during 2–3 months between 2004 and 2008. Methods: We constructed multilevel logistic regression models to estimate the effect of young maternal age on risks of adverse pregnancy outcomes. Main outcome measures: Risk of adverse pregnancy outcomes among young mothers. Results: A total of 78 646 nulliparous mothers aged ≤24 years and their singleton infants were included in the analysis. Compared with mothers aged 20–24 years, adolescents aged 16–19 years 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 ≤15 years (aOR 1.27, 95% CI 1.07–1.49) than among those aged 20–24 years. Higher risks of low birthweight and preterm birth were found among adolescents aged 16–19 years (aOR 1.10, 95% CI 1.03–1.17; aOR 1.16, 95% CI 1.09–1.23, respectively) and ≤15 years (aOR 1.33, 95% CI 1.14–1.54; aOR 1.56, 95% CI 1.35–1.80, respectively). Conclusions: Adolescent girls experiencing pregnancy at a very young age (i.e. <16 years) have an increased risk of adverse pregnancy outcomes.
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“teenage pregnancy is largely associated with adverse pregnancy outcomes such as preterm delivery, preeclampsia and low birth weight [23].”
From Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and national levels: a population‐based study (2021) · cites this paper as [23]
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Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J., Yamdamsuren, B., Temmerman, M., Say, L., Tunçalp, Ö., et al. (2014) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12630 · Cited by 1,014
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Metadata
- Authors
- Ganchimeg, T., Mori, R., Ota, E., Koyanagi, A., Gilmour, S., Shibuya, K., Torloni, M., Betran, A., Seuc, A., Vogel, J., & Souza, J.
- Affiliations
- The University of Tokyo (JP)
- National Center For Child Health and Development (JP)
- Universidade Federal de São Paulo (BR)
- Department of Reproductive Health and Research World Health Organization Geneva Switzerland
- World Health Organization (CH)
- The University of Western Australia (AU)
- Corresponding author
- Ganchimeg, T
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2013-08-07
- Volume
- 120
- Issue
- 13
- Pages
- 1622-1630
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2012123575
- Cited by
- 136
- References
- 33
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 6 · 2023: 9 · 2022: 12 · 2021: 24 · 2020: 19 · 2019: 10 · 2018: 11 · 2017: 10 · 2016: 15 · 2015: 5 · 2014: 3
- FWCI
- 8.58
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Americanae (AECID Library) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Institutional Repositories DataBase (IRDB) (submittedVersion, cc-by-nc-nd)
- Research Portal (King's College London) (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
- Keywords
- adolescent pregnancy, cesarean section, low birth weight, preterm birth, adverse pregnancy outcomes, maternal age, cephalopelvic disproportion, low- and middle-income countries, singleton infants
- MeSH terms
- Adolescent, Africa, Asia, Body Height, Cesarean Section, Cross-Sectional Studies, Developing Countries, Educational Status, Female, Health Surveys, Humans, Infant, Low Birth Weight, Infant, Newborn, Latin America, Maternal Age, Parity, Pregnancy, Pregnancy in Adolescence, Pregnancy Outcome, Prenatal Care, Single Person, Body Mass Index, Premature Birth, Cephalopelvic Disproportion, Young Adult
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