Pregnancy and childbirth outcomes among adolescent mothers: a W orld H ealth O rganization multicountry study
Open accessAbstract
Objective: To investigate the risk of adverse pregnancy outcomes among adolescents in 29 countries. Design: Secondary analysis using facility‐based cross‐sectional data of the W orld H ealth O rganization Multicountry S urvey on M aternal and N ewborn H ealth. Setting: Twenty‐nine countries in A frica, L atin A merica, A sia and the M iddle E ast. Population: Women admitted for delivery in 359 health facilities during 2–4 months between 2010 and 2011. Methods: Multilevel logistic regression models were used to estimate the association between young maternal age and adverse pregnancy outcomes. Main outcome measures: Risk of adverse pregnancy outcomes among adolescent mothers. Results: A total of 124 446 mothers aged ≤24 years and their infants were analysed. Compared with mothers aged 20–24 years, adolescent mothers aged 10–19 years had higher risks of eclampsia, puerperal endometritis, systemic infections, low birthweight, preterm delivery and severe neonatal conditions. The increased risk of intra‐hospital early neonatal death among infants born to adolescent mothers was reduced and statistically insignificant after adjustment for gestational age and birthweight, in addition to maternal characteristics, mode of delivery and congenital malformation. The coverage of prophylactic uterotonics, prophylactic antibiotics for caesarean section and antenatal corticosteroids for preterm delivery at 26–34 weeks was significantly lower among adolescent mothers. Conclusions: Adolescent pregnancy was associated with higher risks of adverse pregnancy outcomes. Pregnancy prevention strategies and the improvement of healthcare interventions are crucial to reduce adverse pregnancy outcomes among adolescent women in low‐ and middle‐income countries.
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Pregnancy and childbirth in adolescence have been associated with negative health outcomes, such as low birth weight (LBW), small for gestational age (SGA), preterm birth (PTB), low Apgar scores, and neonatal and maternal mortality.
“Pregnancy and childbirth in adolescence have been associated with negative health outcomes, such as low birth weight (LBW), small for gestational age (SGA), preterm birth (PTB), low Apgar scores, and neonatal and maternal mortality 5– 8.”
From Trends and birth outcomes in adolescent refugees and migrants on the Thailand-Myanmar border, 1986-2016: an observational study (2018) · cites this paper as [5]
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- Authors
- Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J., Yamdamsuren, B., Temmerman, M., Say, L., Tunçalp, Ö., Vogel, J., Souza, J., Mori, R., & on behalf of the WHO Multicountry Survey on Maternal Newborn Health Research Network
- Affiliations
- National Center For Child Health and Development (JP)
- Khon Kaen University (TH)
- Shanghai Jiao Tong University (CN)
- Ministry of Health (MN)
- World Health Organization (CH)
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research Development and Research Training in Human Reproduction (HRP) Department of Reproductive Health and Research World Health Organization Geneva Switzerland
- Corresponding author
- Ganchimeg, T
- ORCID
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2014-03
- Volume
- 121
- Issue
- s1
- Pages
- 40-48
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2012400934
- Cited by
- 1,014
- References
- 34
- Citations by year
- 2026: 55 · 2025: 94 · 2024: 100 · 2023: 106 · 2022: 138 · 2021: 140 · 2020: 98 · 2019: 86 · 2018: 73 · 2017: 52 · 2016: 32 · 2015: 33 · 2014: 6
- FWCI
- 43.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- eCommons - AKU (Aga Khan University) (submittedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- United States Agency for International Development
- World Health Organization
- UNICEF
- 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 › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- adolescent pregnancy, adolescent mothers, adverse pregnancy outcomes, eclampsia, postpartum endometritis, low birth weight, preterm birth, neonatal death, antibiotic prophylaxis, antenatal corticosteroids, maternal and newborn health, low- and middle-income countries
- MeSH terms
- Adolescent, Africa, Asia, Cesarean Section, Child, Cross-Sectional Studies, Developing Countries, Eclampsia, Female, Health Services Accessibility, Humans, Infant, Low Birth Weight, Infant, Newborn, Latin America, Maternal Age, Maternal-Child Health Centers, Middle East, Pregnancy, Pregnancy in Adolescence, Pregnancy Outcome, Puerperal Infection, Risk Factors, World Health Organization, Adolescent Health Services, Health Care Surveys, Reproductive Health Services, Delivery, Obstetric, Pregnancy, Unplanned, Young Adult
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