Abstract:
BACKGROUND:Adolescent girls between 15 and 19 years give birth to around 16 million babies each year, around 11% of births worldwide. We sought to determine whether adolescent mothers are at higher risk of maternal and perinatal adverse outcomes compared with mothers aged 20-24 years in a prospective, population-based observational study of newborn outcomes in low resource settings. METHODS:We undertook a prospective, population-based multi-country research study of all pregnant women in defined geographic areas across 7 sites in six low-middle income countries (Kenya, Zambia, India, Pakistan, Guatemala and Argentina). The study population for this analysis was restricted to women aged 24 years or less, who gave birth to infants of at least 20 weeks' gestation and 500g or more. We compared adverse pregnancy maternal and perinatal outcomes among pregnant adolescents 15-19 years, <15 years, and adults 20-24 years. RESULTS:A total of 269,273 women were enrolled from January 2010 to December 2013. Of all pregnancies 11.9% (32,097/269,273) were in adolescents 15-19 years, while 0.14% (370/269,273) occurred among girls <15 years. Pregnancy among adolescents 15-19 years ranged from 2% in Pakistan to 26% in Argentina, and adolescent pregnancies <15 year were only observed in sub-Saharan Africa and Latin America. Compared to adults, adolescents did not show increased risk of maternal adverse outcomes. Risks of preterm birth and LBW were significantly higher among both early and older adolescents, with the highest risks observed in the <15 years group. Neonatal and perinatal mortality followed a similar trend in sub-Saharan Africa and Latin America, with the highest risk in early adolescents, although the differences in this age group were not significant. However, in South Asia the risks of neonatal and perinatal death were not different among adolescents 15-19 years compared to adults. CONCLUSIONS:This study suggests that pregnancy among adolescents is not associated with worse maternal outcomes, but is associated with worse perinatal outcomes, particularly in younger adolescents. However, this may not be the case in regions like South Asia where there are decreasing rates of adolescent pregnancies, concentrated among older adolescents. The increased risks observed among adolescents seems more likely to be associated with biological immaturity, than with socio-economic factors, inadequate antenatal or delivery care. TRIAL REGISTRATION NUMBER:NCT01073475.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Althabe F,Moore JL,Gibbons L,Berrueta M,Goudar SS,Chomba E,Derman RJ,Patel A,Saleem S,Pasha O,Esamai F,Garces A,Liechty EA,Hambidge K,Krebs NF,Hibberd PL,Goldenberg RL,Koso-Thomas M,Carlo WA,Cafferata ML,Buekens Pdoi
10.1186/1742-4755-12-S2-S8subject
Has Abstractpub_date
2015-01-01 00:00:00pages
S8issn
1742-4755pii
1742-4755-12-S2-S8journal_volume
12 Suppl 2pub_type
杂志文章,多中心研究abstract:BACKGROUND:Phthalates, a class of endocrine disruptors, have been demonstrated to accelerate loss of ovarian follicle pool via disrupting folliculogenesis, and lead to diminished ovarian reserve. However, human data are limited. Here, we aimed to examine whether urinary phthalate metabolites are correlated with markers...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0469-8
更新日期:2018-02-23 00:00:00
abstract:BACKGROUND:It has been proposed that the autonomy of women is one of the mechanisms of how education influences contraceptive use in developing countries. We tested this hypothesis in a national sample of women in Pakistan. METHODS:We used the 2000 Pakistan Reproductive Health and Family Planning Survey, which intervi...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-2-8
更新日期:2005-10-21 00:00:00
abstract:BACKGROUND:Postpartum haemorrhage (PPH) is the leading cause of maternal mortality in low-income countries and is a significant contributor to severe maternal morbidity and long-term disability. Carbetocin may be an underused uterotonic for prevention of PPH. A number of studies are being conducted that may challenge t...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-018-0529-0
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:Despite the vast literature examining disparities in medical care, little is known about racial/ethnic and mental health disparities in sexual health care. The objective of this study was to assess disparities in safe sex counseling and resultant behavior among a patient population at risk of negative sexual...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-35
更新日期:2012-12-31 00:00:00
abstract:BACKGROUND:Self-administered subcutaneous depot medroxyprogesterone acetate (DMPA-SC) is poised to increase access to contraception; however, governments are concerned about the waste management of used units. Self-injectors in Malawi and Uganda are currently instructed to store used units in containers and return them...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00964-1
更新日期:2020-08-03 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness and safety of polyunsaturated fatty acids for the treatment of the premenstrual syndrome (PMS) using a graded symptom scale and to assess the effect of this treatment on basal plasma levels of prolactin and total cholesterol. METHODS:A randomized, double-blind, placebo-controlle...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-8-2
更新日期:2011-01-17 00:00:00
abstract:BACKGROUND:Although vasectomy is effective and less expensive contraceptive method, only few men are using it in Africa. The main reason for low level use may be low knowledge about vasectomy among men. Only few studies tried to investigate level of knowledge of vasectomy among married men in Ethiopia. But these studie...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0314-5
更新日期:2017-04-18 00:00:00
abstract:BACKGROUND:Globally, an estimated 287 000 maternal deaths occurred in 2010 annually as a result of complications of pregnancy and childbirth. Sub-Saharan Africa and Southern Asia were accounted for 85% of the global burden (245 000 maternal deaths) including Ethiopia. Obstetric related complications cannot be reliably ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-55
更新日期:2014-07-20 00:00:00
abstract:BACKGROUND:Worldwide, about 50% of all new cases of HIV occur in youth between age 15 and 24 years. Studies in various sub-Saharan African countries show that both out of school and in school adolescents and youth are engaged in risky sexual behaviors. School-based health education has been a cornerstone of youth-focus...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-015-0077-9
更新日期:2015-09-07 00:00:00
abstract:BACKGROUND:In Senegal, unintended pregnancy has become a growing concern in public health circles. It has often been described through the press as a sensational subject with emphasis on the multiple infanticide cases as a main consequence, especially among young unmarried girls. Less scientific evidence is known on th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-59
更新日期:2013-11-19 00:00:00
abstract:BACKGROUND:Adolescents in the Latin American and Caribbean region continue to experience poor reproductive health outcomes, including high rates of first birth before the age of 20 years. Aggregate national level data fails to identify groups where progress is particularly poor. This paper explores how trends in adoles...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0578-4
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Residential accommodation for expectant mothers adjacent to health facilities, known as maternity waiting homes (MWH), is an intervention designed to improve access to skilled deliveries in low-income countries like Zambia where the maternal mortality ratio is estimated at 398 deaths per 100,000 live births....
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0328-z
更新日期:2017-05-30 00:00:00
abstract:BACKGROUND:Many patients use websites, blogs, or online social communities to gain health knowledge, information about disease symptoms, and disease diagnosis opinions. The purpose of this study is to use the online platform of blogs to explore whether the framing effect of information content, situated learning of inf...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-93
更新日期:2014-12-26 00:00:00
abstract:BACKGROUND:Despite improved health facility access relative to rural areas, distance and transportation remain barriers in some urban areas. Using household and facility data linked to residential and transportation geographic information we describe availability of health facilities offering long-acting reversible con...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0828-0
更新日期:2019-11-08 00:00:00
abstract:BACKGROUND:Menstruation is a natural physiological process that requires proper management. Unlike other normal bodily processes, menstruation is linked with religious and cultural meanings that can affect the perceptions of young girls as well as the ways in which the adults in the communities around them respond to t...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-017-0293-6
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Sierra Leone has one of the highest maternal mortality rates in the world. Encouraging the use of skilled birth attendance in health facilities is an important step in the endeavor to increase the number of safe deliveries. However, public trust in health facilities has been greatly damaged during the Ebola ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0601-9
更新日期:2018-09-15 00:00:00
abstract:BACKGROUND:To identify all the records within the Brazilian Hospital Information System (HIS) that contained information suggestive of severe maternal morbidity (near miss); to describe the diagnoses and procedures used; to identify variables associated with maternal death. METHODS:A descriptive population study with ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-6
更新日期:2008-10-28 00:00:00
abstract:BACKGROUND:Sub-Saharan Africa accounts for approximately 66% of global maternal deaths. Poor person-centered maternity care, which emphasizes the quality of patient experience, contributes both directly and indirectly to these poor outcomes. Yet, few studies in low resource settings have examined what is important to w...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-017-0446-7
更新日期:2017-12-29 00:00:00
abstract:BACKGROUND:Malaria infection in pregnancy is a major risk factor for maternal and child death, and substantially increases the risk of miscarriage, stillbirth and low birthweight. The aim of this study therefore is to assess the prevalence and determinants of Intermittent preventive treatment of Malaria [IPTp] utilizat...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-12
更新日期:2012-08-13 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-020-00926-7
更新日期:2020-05-26 00:00:00
abstract:BACKGROUND:Having a health worker with midwifery skills present at delivery is one of the key interventions to reduce maternal and newborn mortality. We sought to estimate the frequencies of (a) skilled birth attendant coverage, (b) institutional delivery, and (c) the combination of place of delivery and type of attend...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0192-2
更新日期:2016-06-17 00:00:00
abstract:BACKGROUND:It is well-established that couples' fecundities vary widely. Each couple has a relatively constant monthly probability of conceiving, which can vary from zero to quite high. This underlying probability is usually expressed as the time (number of menstrual cycles) the couple requires to conceive. Couples wit...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0754-1
更新日期:2019-06-24 00:00:00
abstract:BACKGROUND:Patients with multiple sclerosis (MS) especially those with younger age experience an alteration in physiological and emotional lifestyle that can affect intimacy and sexuality. The aim of this study was to determine demographic and disease related determinants of intimacy and sexuality in young women with M...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00960-5
更新日期:2020-07-10 00:00:00
abstract:BACKGROUND:The aim of this study was to elucidate recurrent pregnancy loss (RPL)-associated psychosocial effects and sexual functions of Chinese men whose partners experience a history of RPL. METHODS:Questionnaire data from a total of 236 men whose partners experience RPL(RPL group) and another 236 non-RPL male volun...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0188-y
更新日期:2016-06-13 00:00:00
abstract::The practice and timing of routine antenatal visits for healthy pregnant women, introduced arbitrarily and without evidence of effectiveness, have become entrenched in obstetric practice over the last century. In 2001 the large, cluster randomized WHO Antenatal Care Trial concluded that a goal-orientated package of an...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-20
更新日期:2013-04-12 00:00:00
abstract:BACKGROUND:Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. METHODS:We present results from an experimental study in rural Pakistan. Village clusters were randomly as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-30
更新日期:2010-11-05 00:00:00
abstract:BACKGROUND:Ethiopia is the second most populous country in Africa with high fertility and fast population growth rate. It is also one of the countries with high maternal and child mortality rate in sub-Saharan Africa Family planning is a crucial strategy to halt the fast population growth, to reduce child mortality and...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-13
更新日期:2014-02-03 00:00:00
abstract:BACKGROUND:The physical environment profoundly affects women's well-being during childbirth in family-centered unit. A LDRP, which is an acronym for labor, delivery, recovery, and postpartum that describes a maternity unit designed for family-centered care. This study aimed to design soothing LDRP healing architecture ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01055-x
更新日期:2020-12-10 00:00:00
abstract:BACKGROUND:Recent evidence suggests that mistreatment of women during childbirth is a global challenge facing health care systems. This study seeks to explore the prevalence of mistreatment of women in public health facilities of Ethiopia, and identify associated factors. METHODS:A two-stage cross sectional sampling d...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0781-y
更新日期:2019-08-27 00:00:00
abstract:BACKGROUND:Vaginal examination (VE), is a frequent procedure during childbirth. It is the most accepted ways to assess progress during childbirth, but its repetition at short intervals has no value. Over years, VE continued to be plagued by a nature that implies negative feelings and experiences of women. The aim of th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-9-16
更新日期:2012-08-28 00:00:00