Pregnancy complications, substance abuse, and prenatal care predict birthweight in adolescent mothers

Hacker, Miriam E.; Firk, Christine; Konrad, Kerstin; Paschke, Kerstin; Neulen, Joseph; Herpertz‐Dahlmann, Beate; Dahmen, Brigitte

doi:10.1186/s13690-021-00642-z

Cited by 4 publications

(6 citation statements)

References 35 publications

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“…In terms of associated factors, the study found that women with a history of obstetric complications were more likely to engage in risky substance use during the perinatal period (AOR = 1.722, 95%: 1.022–2.902). This is consistent with other studies conducted in Germany [ 13 ], in the United States [ 41 ], in South Africa [ 42 ], and in Ethiopia [ 10 ]. This suggests that stress and anxiety related to previous complications may lead some women to turn to substances as a coping mechanism.…”

Section: Resultssupporting

confidence: 93%

“…Substance use during the perinatal period is linked to adverse outcomes such as miscarriage, intrauterine growth restriction, early labor, and intrauterine fetal demise [ 16 ]. It is strongly associated with reduced birth weight [ 13 , 17 ], inadequate parenting [ 14 ], stillbirth, spontaneous abortion, premature birth, and intrauterine growth retardation [ 1 , 10 , 17 , 18 ]. Cigarette smoking and prenatal alcohol exposure are the leading preventable causes of pregnancy-related morbidity, mortality, and developmental problems [ 16 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

“…Studies in Europe have reported varying prevalence rates of substance use among women during the perinatal period, ranging from 2% to 27% [5]. The adverse health consequences of substance use affect not only the mother but also the developing fetus and the newborn child [7][8][9][10][11][12][13]. Maternal substance use poses a significant risk to child care and disrupts the stability of family life [4,14].…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with perinatal substance use among Ethiopian women: an institutional-based cross-sectional study

Seid,

Mohammed,

Muktar

2023

Adv. Drug Alcohol Res.

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Introduction: Substance use during the perinatal period is a significant public health concern, as it can have potential adverse effects on maternal and neonatal health outcomes. Unexpectedly, no previous studies have been conducted to assess the prevalence of substance use during the perinatal period among Ethiopian women. Therefore, this study aimed to determine the magnitude of substance use and its determinant factors during the perinatal period.Method: We conducted a hospital-based descriptive cross-sectional study among a systematically selected sample of 418 women who attended perinatal care between May and July 2022. Data were collected using an interviewer-administered structured questionnaire. Multivariate logistic regression analysis, with a 95% confidence interval and p-values less than 0.05, was employed to identify factors associated with substance use behavior.Result: The prevalence of perinatal substance use was found to be 38.3% (95% CI: 33.5–43.5). Of the women who used substances, 109 (26.1%) reported using chat, 46 (11.0%) reported alcohol consumption, and 5 (1.20%) reported using shisha. Factors significantly associated with substance use behavior during the perinatal period included a history of obstetric complications (AOR = 1.722, 95% CI: 1.022–2.902), the presence of chronic medical conditions (AOR = 3.784, 95% CI: 2.164–6.615), experiencing physical abuse (AOR = 5.323, 95% CI: 2.171–13.050), depression (AOR = 1.963, 95% CI: 1.028–3.749), and experiencing sleep disturbances (AOR = 2.016, 95% CI: 0.975–4.168). Conversely, giving birth to a live baby was found to be a protective factor against substance use behavior (AOR = 0.389, 95% CI: 0.187–0.810).Discussion: This study highlights a high prevalence of substance abuse among women during the perinatal period. In light of these findings, a comprehensive approach is recommended to address perinatal substance use among Ethiopian women. This should include the integration of preventive educational programs into perinatal care.

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Section: Resultssupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors associated with perinatal substance use among Ethiopian women: an institutional-based cross-sectional study

Seid,

Mohammed,

Muktar

2023

Adv. Drug Alcohol Res.

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“…The significant effects of a risky pregnancy on the child's growth and physical and mental health have been demonstrated (4). Pregnancy complaints during pregnancy has a significant impact on the physical and mental health of the mother and the way she communicates with her child after childbirth (5).…”

Section: Introductionmentioning

confidence: 99%

The Frequency of Pregnancy Complaints and the Effective Socio-demographic Factors Among Pregnant Women Referring to Neyshabur Health Centers in 2021

Abasi

Nasrabadi

Gero

et al. 2023

Middle East J Rehabil Health Stud

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Background: Pregnancy is one of the most sensitive stages of a woman's life, and changes at this time can have physical and psychological complications for women. Objectives: This study aimed to assess the frequency of pregnancy complaints (PC) and the effective socio-demographic factors among pregnant women referred to Neyshabur health centers. Methods: This cross-sectional study was performed on 417 pregnant women referred to Neyshabur health centers in 2021. Data collection was carried out using demographic characteristics and PC questionnaires. Descriptive statistics (mean, standard deviation), analytical statistics (multiple linear regression). The software used for data analysis was SPSS software version 22. The significance level was considered at 0.05. Results: The mean age of pregnant women was 28.36 ± 5.96. The mean PC score was 37.76 ± 8.85. Fatigue (73.38%) and hemorrhoids (4.8%) were the most common and least common PC. Multiple linear regression results showed that maternal age (P < 0.05) and sleep quality (P < 0.001) were statistically significant variables related to PC. On this basis, as maternal age increases, the mean score for PC increases by 0.94. In addition, the average score of pregnancy-related complaints for those with a good quality of sleep was 6.32 lower than for those with a bad quality of sleep. Conclusions: Maternal age and bad sleep quality factors increase the possibility of a pregnancy-related complaint. So, it is recommended that healthcare providers develop and implement educational interventions to improve sleep quality and pregnancy awareness at older ages.

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“…From the medical point of view, adolescent pregnancies have a higher risk of complications and there is evidence that maternal mortality in the 13-19 age group is two times more compared to the 20-34 age group [7]. Regarding maternal complications, higher rates of anemia, pregnancy-induced hypertension and preeclampsia have been reported [8]. There is also evidence of higher rates of fetal complications, such as fetal growth restriction (FGR), prematurity, miscarriage, and fetal death [9,10].…”

Section: Introductionmentioning

confidence: 99%

Younger Age in Adolescent Pregnancies Is Associated with Higher Risk of Adverse Outcomes

Calle

Bartha

López

et al. 2021

IJERPH

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Adolescent pregnancy remains a health issue worldwide also in developed countries, since it has been associated with adverse maternal and neonatal outcomes. Some data suggest that very young adolescents have higher risk, likely due to immaturity. Therefore, we aimed to assess the influence of maternal age on complications during gestation and labor in pregnant women between 13 and 19 years of age. In particular, we evaluated the possible association between maternal age and obstetric, fetal and labor complications. This is a retrospective, observational and exploratory study conducted at Hospital Universitario La Paz (HULP, Madrid, Spain). The clinical history of 279 women who delivered between 2013 and 2018 was analyzed. Maternal age and the presence of maternal, fetal and labor complications, as well as risk of postpartum depression and breastfeeding intention, were recorded. General regression models were used to analyze the contribution of maternal age on each complication. The percentage of adolescent pregnancies at HULP between 2013 and 2018 was 0.9%. The risk of all the maternal complications analyzed decreased significantly with every year of age of the mother (hyperemesis, lower back pain, anemia, gestational diabetes mellitus, and threat of premature labor and premature rupture of membranes). Every year of maternal age decreased 0.8-fold [0.8; 0.9] the prevalence of fetal complications and also reduced the risk of C-section, postpartum hemorrhage and obstetrical hysterectomy. Furthermore, higher maternal age increased 1.1-fold [1.0; 1.2] the breastfeeding intention. In conclusion, young adolescents are at higher risk of complications during pregnancy and labor.

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Pregnancy complications, substance abuse, and prenatal care predict birthweight in adolescent mothers

Cited by 4 publications

References 35 publications

Factors associated with perinatal substance use among Ethiopian women: an institutional-based cross-sectional study

Factors associated with perinatal substance use among Ethiopian women: an institutional-based cross-sectional study

The Frequency of Pregnancy Complaints and the Effective Socio-demographic Factors Among Pregnant Women Referring to Neyshabur Health Centers in 2021

Younger Age in Adolescent Pregnancies Is Associated with Higher Risk of Adverse Outcomes

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