Antenatal management of teenage pregnancy

Whitworth, Melissa; Cockerill, Ruth; Lamb, Harriet M.

doi:10.1016/j.ogrm.2016.11.005

Cited by 16 publications

(9 citation statements)

References 8 publications

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“…Although adolescent motherhood is becoming more common in both developed and underdeveloped countries, it is substantially higher in low-income countries 4 , 6 , 7 . Only seven nations i.e.…”

Section: Introductionmentioning

confidence: 99%

Predictors of underage pregnancy among women aged 15–19 in highly prevalent regions of Ethiopia: a multilevel analysis based on EDHS, 2016

Bitew

Akalu

Belsti

et al. 2023

Sci Rep

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Under age (teenage) pregnancy is a pregnancy that occurs under the age of 20 years old. Its magnitude is increasing globally. It is much higher in low-income countries compared to high-income countries. Teenage pregnancy exposed teenagers to various obstetric and perinatal complications. However, its predictors are not well investigated in highly prevalent regions of Ethiopia. Therefore, this study assessed individual and community-level predictors of teenage pregnancy using a multi-level logistic regression model. An in-depth secondary data analysis was performed using the fourth Ethiopian Demographic and Health Survey (EDHS) 2016 data set. A weighted sample of 2397 teenagers was included in the final analysis. Multi co linearity and chi-square tests were checked and variables which did not fulfill the assumptions were excluded from the analysis. Four models were fitted. Variables with p value ≤ 0.2 in the bi-variable multilevel logistic regression were included in the multivariable multilevel logistic regression. The adjusted odds ratio (AOR) with a 95% confidence interval (95% CI) was computed. Variables with a p value of less than 0.05 in the multi-variable multilevel logistic regression were declared as statistically significant predictors. A total of 2397 weighted participants aged from 15 to 19 were involved. About 15% of teenagers were pregnant. Age [17 (AOR = 9.41: 95% CI 4.62, 19.13), 18 (AOR = 11.7: 95% CI 5.96, 23.16), 19 (AOR = 24.75: 95% CI 11.82, 51.82)], primary education (AOR = 2.09: 95% CI 1.16, 3.76), being illiterate (AOR = 1.80: 95% CI 1.19, 2.73), religion [being Muslims (AOR: 2.98:95% CI 1.80, 4.94), being Protestants (AOR = 2.02: 95% CI 1.20, 3.41)], contraceptive non use (AOR = 0.18: 95% CI 0.11, 0.31), a high proportion of family planning demand (AOR = 3.52: 95% CI 1.91, 6.49), and a high proportion of marriage (AOR = 4.30: 95% CI 2.25, 8.21) were predictors of teenage pregnancy. Age, educational status, religion, contraceptive non-use, literacy proportion of marriage and proportion of demand for family planning were the most significant predictors of teenage pregnancy. The ministry of education shall focus on universal access to education to improve female education. The government should work in collaboration with religious fathers to address reproductive and sexual issues to decrease early marriage and sexual initiation. Especial attention should be given to teenagers living in a community with a high proportion of marriage.

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Section: Introductionmentioning

confidence: 99%

Predictors of underage pregnancy among women aged 15–19 in highly prevalent regions of Ethiopia: a multilevel analysis based on EDHS, 2016

Bitew

Akalu

Belsti

et al. 2023

Sci Rep

View full text Add to dashboard Cite

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“…In England and Wales, the under-18 conception rate has decreased by 57% since 1998, although it remains higher than similar western European countries at 17.9 conceptions per thousand women aged 15-17 years in 2017 (Office for National Statistics, 2019;Whitworth, Cockerill, & Lamb, 2017). Teenage conception rates remain highest in the most deprived areas (Office for National Statistics, 2014) and early pregnancy and parenthood is associated with social disadvantage (Harden, Brunton, Fletcher, & Oakley, 2009).…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ views on supporting young mothers with eating and moving during and after pregnancy: An interview study using the COM‐B framework

Lucas

Olander

Salmon

2019

Health Soc Care Community

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Young mothers under the age of 20 often have poor nutrition and low levels of physical activity, adversely affecting outcomes for themselves and their babies. The aim of this qualitative study was to explore the experiences of healthcare professionals in supporting young women around eating and moving during and after pregnancy. Seventeen semi‐structured interviews were conducted with midwives, family nurse practitioners and health visitors involved in the care of pregnant and post‐natal mothers under the age of 20 in England and Wales. Data were analysed using thematic analysis and coded within the theoretical framework of the COM‐B model to three areas of capability, motivation and opportunity. For capability, participants were broadly divided between those who had specialist knowledge and training in communication skills to support health behaviours in this population and professionals reliant on tacit knowledge. For opportunity, having enough time was seen as critical because young women's difficult social contexts meant supporting improved health behaviours required relationships of trust to be built. For motivation, participants reported that supporting young women with eating and moving was part of their role. However, the decision to prioritise this support sometimes related to perceived need based on BMI and this was complicated as young women were still growing. Motivation was additionally connected to professionals’ own body experiences and health behaviours. Moving habits were less frequently discussed than eating as professionals described how young women tended to walk a lot in their daily lives or found that young women were not interested. Results suggest that to support eating and moving behaviours with young women, professionals need to be trained in communication techniques, enabled with the time to hold space for young women and be able to reflect on their own attitudes and beliefs to support a rounded model of health and wellbeing.

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“…2 Pregnancies at extremes of reproductive age may increase gestational risk due to a high correlation with adverse perinatal outcomes in this period, such as prematurity, low birth weight, anemia, acute fetal distress, hemorrhage-parturition, preeclampsia, gestational diabetes, premature rupture of membranes, among other problems. 3,4 In addition, reducing maternal and neonatal mortality rate is one of the goals of the global sustainable development goals for 2030, in which Brazil needs to advance in these indicators, continuing the achievements within the Millennium Development Goals by 2015 and reach those unfinished. 5 In this context, considering the repercussions that pregnancy at extremes of reproductive age provides, it is necessary to develop further studies on this subject in order to foment mechanisms that contribute to the planning of public health policies that guide this population in the perspective of reducing maternal and fetal risk.…”

Section: Introductionmentioning

confidence: 99%

Adverse perinatal outcomes of pregnancies among adolescents vs women of advanced age in the Brazilian public health system

Veiga

Tenório

Ferreira

et al. 2019

Rev. Bras. Saude Mater. Infant.

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Objectives: to compare the adverse perinatal outcomes in pregnancies of adolescents and elderly women of public health network. Methods: a cross-sectional study carried out with pregnant women at the extremes of reproductive age according to the classification of the Brazilian Ministry of Health (adolescents those aged ≤19 years and those who were older than 35 years) and their newborns. Socioeconomic data (income, schooling, occupation and marital status), as well as clinical (diseases), anthropometric (maternal BMI) and perinatal (gender, weight, length, Apgar and gestational age) data were collected, and Poisson regression in hierarchical model was performed, with the results in Ratio of Prevalence (PR) and its respective Confidence Interval at 95% (95% CI). Results: when comparing adolescent and elderly women, 38.7% vs 54.6% (PR=0.71, CI=0.54-0.94, p=0.002) were observed, respectively, cesarean deliveries; 37.8% vs 25.2% (PR=0.83, CI=0.58-1.19, p=0.332) preterm births; 16.6% vs 20.5% (RP=1.07, CI=0.78-1.46, p=0.666) births of small infants for gestational age (SGA); 18.0% vs 15.3% (RP=1.01, CI=0.69-1.47, p=0.948) births of large-for-gestational-age newborns (LGA); 32.2% vs 34.7% (RP=1.08, CI=0.82-1.42, p=0.578), low birth weight infants and 28.5% vs 42.9% (RP=1.18, CI=0.91-1.54, p=0.201) with high birth length. Conclusions: When compared with adolescent women, pregnant women of advanced age presented a higher frequency of cesarean deliveries.

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Antenatal management of teenage pregnancy

Cited by 16 publications

References 8 publications

Predictors of underage pregnancy among women aged 15–19 in highly prevalent regions of Ethiopia: a multilevel analysis based on EDHS, 2016

Predictors of underage pregnancy among women aged 15–19 in highly prevalent regions of Ethiopia: a multilevel analysis based on EDHS, 2016

Healthcare professionals’ views on supporting young mothers with eating and moving during and after pregnancy: An interview study using the COM‐B framework

Adverse perinatal outcomes of pregnancies among adolescents vs women of advanced age in the Brazilian public health system

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