The Effects of Pregnancy: A Systematic Review of Adolescent Pregnancy in Ghana, Liberia, and Nigeria

Lambonmung, Augustine; Acheampong, Charity Asantewaa; Langkulsen, Uma

doi:10.3390/ijerph20010605

Cited by 11 publications

(9 citation statements)

References 54 publications

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“…17 A systematic review conducted to identify the adolescent maternal health impacts of pregnancy in Ghana, Nigeria and Liberia shows a high prevalence of anaemia, postpartum haemorrhage, cephalopelvic disproportion, hypertensive disorders and unsafe abortion in addition to psychological effects which adversely affect pregnancy outcome in this age group. 18 The burden of maternal mortality among adolescents is much higher in developing countries of sub-Saharan Africa and Asia. 15 The weak health systems in most developing countries further increase their risk of dying from pregnancy complications when it occurs.…”

Section: Discussionmentioning

confidence: 99%

Causes and trends in maternal mortality in a tertiary health facility in North Central Nigeria

Kahansim,

Da’ap,

Nyango

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Nigeria remains one of the top three countries with the highest maternal mortality worldwide. Due to poor vital registration in the country, hospital-based maternal mortality statistics still remain an important source for tracking trends and causes of maternal mortality. The aim of the study was to determine the causes and trends of maternal mortality in a tertiary health facility in North Central Nigeria. Methods: This was a retrospective review of cases of maternal deaths at the Jos University Teaching Hospital from 1st January 2016 to 31st December 2022. Case records of patients that died from pregnancy-related complications were retrieved from the medical records department and other service points of the hospital. The information extracted was maternal socio-demographic characteristics, clinical diagnosis on admission, and duration of hospital stay before demise. The maternal mortality ratio was calculated per 100,000 live births. Results: There were 80 maternal deaths during the period, and 10,348 live births during the same period, giving a maternal mortality ratio of 773/100,000 live births. The mean age of the women was 27.0±8.1 years, 12.5% were teenage mothers, 6.4% were women ≥40 years. About 27.5% were nulliparous, 16.5% para 5 or more. For women where information on educational level were available 68(85.0%), 48.5% had only primary education or no formal education, 42.5% had no antenatal care. About 72.5% of the maternal deaths were due to direct causes-pre-eclampsia/eclampsia (30.0%), maternal sepsis (17.5%), complications of unsafe abortion (12.5%), obstetric haemorrhage and uterine rupture 6.3%. The main causes of indirect maternal deaths were sickle cell disease, cardiac disease, diabetes mellitus and liver disease in pregnancy. Most (41.3%) of the maternal deaths occurred within the 24 hours of admission. There was no consistent trend noted in maternal mortality between 2016 and 2019; however, a remarkable increase was observed during the Covid-19 period from 2020-2021. Conclusions: The maternal mortality ratio in Jos, North Central Nigeria remains high, with major causes related to pre-eclampsia/eclampsia, maternal sepsis, unsafe abortion and obstetric haemorrhage. The global Covid-19 pandemic led to an increased maternal mortality in the health facility.

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Section: Discussionmentioning

confidence: 99%

Causes and trends in maternal mortality in a tertiary health facility in North Central Nigeria

Kahansim,

Da’ap,

Nyango

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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“…It attempts to build a deep understanding of the topic, get an overview of what is already known in the topic field and discover the gap to be covered by the research. Different consulted documents revealed that teen mothers constitute a major challenge at individual, family and national development (Bah, 2016;Adebola, 2018;Morgan et al 2022;Lambonmung et al, 2022). After being impregnated, a high percentage of teen mothers drop schools and a few of them resume school after delivering.…”

Section: Literature Reviewmentioning

confidence: 99%

Complexity of teen mothers and its implications on family wellbeing in Rwanda

Umumararungu

Bazubagira

2023

IJRBS

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In an attempt to understand the complexity of teen parents and associated consequences, the present study was conducted. It examines the connection between teen parents and family well-being in five selected Districts of Rwanda. Data were collected from 226 respondents randomly selected. Respondents included 176 teen mothers, 30 parents of teen mothers and 20 local leaders. Data were collected through questionnaires and interviews. Quantitative data were presented in percentages while content analysis was used for qualitative data. The results revealed that teen mothers are exposed to various social and economic problems. Rejected and depressed, 61.4% of pregnant teens thought about abortion and were restricted by lack of financial means while 9% thought about suicide which affects the physical and mental health of both teens and their children. Furthermore, 80.4% of teen mothers were not given the opportunity to resume their studies after delivering which amplifies their poverty exposure and their children as well. Parents/guardians need to be supportive through good communication so as to know what their children are going through and advise them accordingly. Moreover, they should bear with them in case a pregnancy occurs so that they may not feel depressed and think of abortion or suicide. They should not chase them from home since it increases their exposure to repeated pregnancies. There is a need of sensitizing the community about strategies that can reduce teen mothers’ rates as well as appropriate action in case teens get impregnated.

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“…Furthermore, the study by provides a systematic review of the effects of adolescent pregnancy in West African countries, including Nigeria (Lambonmung et al, 2022). This study highlights the adverse health impacts of adolescent pregnancy, such as anemia, complications of pregnancy, unsafe abortions, and psychological effects.…”

Section: Significance Of Laboratory Science In Women's Healthmentioning

confidence: 99%

“…This study highlights the adverse health impacts of adolescent pregnancy, such as anemia, complications of pregnancy, unsafe abortions, and psychological effects. The insights from this study are crucial for developing targeted interventions to prevent pregnancy in young women and mitigate the adverse effects, emphasizing the role of laboratory science in understanding and addressing women's reproductive health issues (Lambonmung et al, 2022).…”

Section: Significance Of Laboratory Science In Women's Healthmentioning

confidence: 99%

Advancing Women's Health in Nigeria: A Review of Laboratory Science Contributions Description

Maduka,

Adegoke,

Okongwu

et al. 2023

Malays. Mtl. Hlth.

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This review delineates the profound contributions of laboratory science to women’s health in Nigeria, aiming to elucidate the advancements and innovations that have been instrumental in addressing the myriad of health challenges faced by women. The method involved a meticulous examination of the existing literature, focusing on historical contexts, modern developments, diagnostic advancements, and reproductive health interventions, emphasising the practical implications of laboratory science initiatives in Nigeria. The results revealed significant insights into the efficacy of laboratory science contributions, highlighting the obstacles encountered in implementing initiatives and the repercussions for women’s health in Nigeria. The review identified discernible gaps in the literature and offered suggestions for amplified impact on women’s health, outlining potential directions for subsequent research. The conclusion underscored the indispensable role of laboratory science in deciphering the complexities of women’s health, offering a beacon of hope in the quest for enhanced women’s health in Nigeria. The recommendations emphasize the importance of addressing structural sexism in medicine, enhancing food safety, strengthening local capacity, fostering collaboration, and developing holistic and sustainable approaches to improving women’s health. This review provides a foundation upon which future endeavors can be built to elevate the health outcomes of women in Nigeria.

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The Effects of Pregnancy: A Systematic Review of Adolescent Pregnancy in Ghana, Liberia, and Nigeria

Cited by 11 publications

References 54 publications

Causes and trends in maternal mortality in a tertiary health facility in North Central Nigeria

Causes and trends in maternal mortality in a tertiary health facility in North Central Nigeria

Complexity of teen mothers and its implications on family wellbeing in Rwanda

Advancing Women's Health in Nigeria: A Review of Laboratory Science Contributions Description

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