Assessment of the Nutritional Status of Pregnant Adolescent Women: analysis of secondary data

Many of the teenagers who enter pregnancy would cause a decline in health and nutritional status. Delivery at an early age was associated with a greater health risk for the mother. To assess the profile of teenage pregnancy in H. Adam Malik Hospital Medan year 2011-2015. This study was conducted with descriptive study design using secondary data from medical records. There were 128 patients who became pregnant in their teens. Then the data were tabulated and presented in the form of frequency distribution table and were analyzed descriptively. Most pregnant women came to the hospital for parturition (60.1%) followed by preeclampsia / eclampsia (14.8%). The way of delivery of pregnant adolescent women was vaginal (52.3%) followed by cesarean (36.7%). There was no significant relationship between adolescent age of pregnant and newborn weight. There was no significant relationship between the age of the adolescent and method of delivery. Most teenage pregnancy occured between 17-19 years. Most pregnant teenagers delivered vaginally, and most of the newborns were normoweight

Download Full-text

Anthropometric Assessment for Adolescent Pregnancy: A Descriptive Study on Married Adolescents in Bangladesh

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v30i3.3918 ◽

1970 ◽

Vol 30 (3) ◽

pp. 154-159 ◽

Cited By ~ 1

Author(s):

MN Haque

Keyword(s):

Nutritional Status ◽

Adolescent Mothers ◽

Community Education ◽

Normal Growth ◽

Adolescent Women ◽

Pregnant Adolescent ◽

Early Motherhood ◽

Low Weight ◽

Study Results ◽

Future Pregnancy

Background: Adolescent childbearing has emerged as a major concern in Bangladesh due to its shorter term adverse effects on both the mothers and babies born to adolescent mothers. Bangladesh is one of the vulnerable countries in the world and the most vulnerable country in South Asian region regarding early motherhood risks. Most of the adolescents pelvis is not mature enough for childbirth and malnutrition may stunt normal growth of adolescent women. But a greater proportion of currently married adolescent women want a child very soon. Hence it is needed to assess adolescent women’s physical and nutritional status for making future pregnancy outcomes safer. Objectives: This study aims to evaluate the physical and nutritional status of married adolescent women for pregnancy by calculating prevalence of low weight, low height, stunting and thinness. Methodology: For assessing pre-pregnancy physical and nutritional status of married adolescent women, data extracted from Bangladesh Demographic and Health Survey (BDHS)–2004. Based on fundamental anthropometric variables (weight and height), stunting and thinness profile of study population has been prepared. Also, group mean of weight and height, prevalence of low weight (<45kg) and low height (<145 cm) have been calculated. Results: Adolescent women, on average, are at vulnerable for childbirth regarding their weight in the study results. For instance, more than 64% of married non-pregnant adolescent women’s weights are less than 45 kg and more than 15% of married non-pregnant adolescent women belong to height less than 145 cm in Bangladesh. It is also estimated that more than 16% and around 50% of married non-pregnant adolescent women were thin and stunted respectively in Bangladesh. Conclusion: Since early childbearing is a social norm in Bangladesh and many of married adolescent women are not physically fit for pregnancy, so it is necessary to encourage married adolescent women to delay childbearing through community education and by encouraging them to use family planning services. It should be necessary to pay special emphasizes for improving adolescent women’s nutritional status through the country’s Health, Nutrition and Population Sector Program or through National Nutrition Program (NNP). Keywords: Adolescent; Bangladesh; Pregnancy; Stunting; Thinness DOI: 10.3126/jnps.v30i3.3918J Nep Paedtr Soc 2010;30(3):154-159

Download Full-text

Key Informants’ Perceptions on the Implementation of a National Program for Improving Nutritional Status of Children in Iran

Food and Nutrition Bulletin ◽

10.1177/0379572116682870 ◽

2016 ◽

Vol 38 (1) ◽

pp. 78-91 ◽

Cited By ~ 3

Author(s):

Delaram Ghodsi ◽

Nasrin Omidvar ◽

Arash Rashidian ◽

Hossein Raghfar ◽

Hassan Eini-Zinab ◽

...

Keyword(s):

Nutritional Status ◽

Health Workers ◽

Qualitative Content Analysis ◽

Secondary Data ◽

Public Health Issue ◽

Key Informants ◽

Tailored Implementation ◽

Nutritional Status Of Children ◽

Access To Food ◽

Study Participants

Introduction: Childhood malnutrition is a major public health issue. Multidisciplinary approach for Improvement of Nutritional Status of Children in Iran was implemented in order to reduce malnutrition among children. Objective: This study aimed to evaluate the implementation aspect of the program and to explore key informants’ perceptions and experience regarding the factors affected its implementation. Methods: Data were collected through the review of secondary data and semistructured interviews at national, province, and local levels. Four layers of key informants were selected purposefully for interviewing, including policymakers, senior nutrition officers, head of Hygiene, Remedy and Insurance Affairs in Imam Khomeini Relief Foundation, and community health workers. Qualitative content analysis was carried out based on Supporting the Use of Research Evidence framework and Tailored Implementation for Chronic Diseases’ checklist to interpret the viewpoints of the study participants. Results: Results showed that the program had successes in improving mother’s knowledge on health, nutrition, and child care through health system and increased families’ access to food, but there were some aspects that affected program’s implementation. Some of these factors are the lack of clarity in the program’s protocol and indicators, human shortage and inadequate financial resources, poor facilities, inattention to staff motivation, insufficient commitment among different sections, poor communication and supervision among different executive sections, and program protocols designing regardless of practical condition. Conclusion: Based on the results, top-down approach in policymaking and inadequate financial and human resources were responsible for most of the challenges encountered in the implementation.

Download Full-text

Detrimental effects of intimate partner violence on the nutritional status of children: insights from PDHS 2012-2013

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181680 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1742 ◽

Cited By ~ 1

Author(s):

Natasha Shaukat ◽

Meesha Iqbal ◽

Muhammad Arslan Khan

Keyword(s):

Intimate Partner Violence ◽

Data Analysis ◽

Nutritional Status ◽

Partner Violence ◽

Physical Violence ◽

Secondary Data ◽

Intimate Partner ◽

Secondary Data Analysis ◽

Policy Implications ◽

Nutritional Status Of Children

Background: Endemicity of intimate partner violence (IPV) against women is established globally. Children are directly dependent on mothers for care and nourishment. Literature has shown inconsistent association between IPV and nutritional status of children, and no nationwide study has been conducted in Pakistan to test this association. Thus, we aimed to do a secondary data analysis on Pakistan Demographic Health Survey (PDHS 2012-13) to explore the association of IPV and the nutritional status of children.Methods: This secondary data analysis was conducted on nationally representative data of PDHS 2012-13. All four provinces, including Islamabad Capital Territory and Gilgit Baltistan districts were taken, and two stage stratified random sampling was performed. The conflict tactics scale (CTS) was used to quantify Intimate Partner Violence (IPV), and its emotional and physical dimensions.Results: This study included mother-child dyads (n=1851) who completed the domestic violence module in PDHS. The lifetime prevalence of intimate partner violence was almost 40% among married women of reproductive age group. About 20% of women reported emotional violence and 2.5% women reported physical violence only. However, 16% of the women reported having suffered from both emotional and physical violence. Women who suffered from emotional violence had children with significantly higher odds of being underweight (OR, 95% CI: 1.57, 1.04-2.36) and stunted (OR, 95% CI: 1.54, 1.05-2.24) respectively. IPV was not found to be significantly associated with occurrence of wasting in children.Conclusions: Policy implications towards this issue call for establishing programmes and laws to protect women and children from the detrimental effects of violence. Provision of initiatives which focus on women autonomy and empowerment via increased access to education and economic opportunities.

Download Full-text

Determinants of Injury Incidents in the Productive Aged Groups in Central Sulawesi

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.04.30 ◽

2020 ◽

Author(s):

Sea Septiana ◽

◽

Ira Marti Ayu ◽

Keyword(s):

Nutritional Status ◽

Employment Status ◽

Secondary Data ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Level Of Education ◽

Cross Sectional Design ◽

Central Sulawesi ◽

Keywords Injury

ABSTRACT Background: Based on RISKESDAS data from 2007, 2013, and 2018, the prevalence of injuries in Indonesia had increased from 7.5%, 8.2%, and 9.2% respectively. In 2018, the proportion of injuries ranked 12th place in morbidity in Indonesia with the highest cases in Central Sulawesi Province (13.8%). This study aimed to determine of injury incidents in the productive aged groups in Central Sulawesi. Subjects and Method: This was a cross-sectional design conducted in Central Sulawesi from October 2019 to January 2020. A total of 1,323 reproductive-aged household members was selected by random sampling method. The dependent variable was the incident of injury. The independent variables were age, gender, level of education, employment status, and nutritional status. The data were collected from secondary data of basic health research data in 2018 with household dan individual questionnaires. Bivariate analysis was performed by chi-square method. Results: The bivariate analysis showed that the incidence of injury among the productive aged groups increased with age (OR= 1.50; 95% CI= 1.10 to 2.05; p= 0.021), gender (OR= 1.29; 95% CI= 1.03 to 1.62; p=0.030), level of education (OR= 2.01; 95% CI= 1.14 to 3.56; p= 0.010), employment status (OR= 1.86; 95% CI= 1.19 to 2.90; p= 0.005), and nutritional status (OR= 0.77; 95% CI= 0.55 to 1.07; p= 0.033). Conclusion: The incidence of injury among the productive aged groups increases with age, gender, level of education, employment status, and nutritional status. Keywords: injury, incidents, determinants, productive age Correspondence: Sea Septiana. Universitas Esa Unggul. Jl. Arjuna Utara No. 9, Kebon Jeruk, West Jakarta, 11510. Email: [email protected]. Mobile: +628978233316 DOI: https://doi.org/10.26911/the7thicph.04.30

Download Full-text

Profil Primigravida Muda dan Luaran Persalinan di Rumah Sakit Dr.Oen Surakarta

Jurnal Kesehatan Reproduksi ◽

10.22146/jkr.37993 ◽

2018 ◽

Vol 5 (1) ◽

pp. 39

Author(s):

Supanji Raharja ◽

Ova Emilia ◽

Poedji Rochjati

Keyword(s):

Secondary Data ◽

Cross Sectional Study ◽

Young Age ◽

Reproductive Age ◽

Perinatal Morbidity ◽

Sectional Study ◽

Cross Sectional ◽

Level Of Education ◽

Adolescent Women ◽

Important Health

Background: Pregnancy at a young age has become an important health problem both in developed and developing countries. Pregnancy at a young age increases the risk of maternal and perinatal morbidity and mortality. This is because adolescent women who are not ready both physically and psychologically to get pregnant.Obsjective: This study aims to identify and analyze labor in young primigravida (<20 years) with pathological labor in hospital Dr.Oen Surakarta.Method: This was an observational analytic study without intervention in the form of comparative cross sectional study conducted in young primigravida group age <20 years and primigravida group age 20 to 34 years old, who underwent labor in hospital delivery room. Dr.Oen Surakarta. This study used secondary data from the medical record of pregnant women who gave birth at RS.Dr.Oen Surakarta from January 1, 2011 to December 31, 201. A comparison between young primigravids (<20 years) in which pathologic pathways were performed with primigravida of reproductive age (20-34 years) experienced pathological labor were conducted.Result and Discussion: The number of deliveries in young primigravida (<20 years) was 61 people (6.65%) whereas in primigravida (21-35 years) there were 856 people (93.34%). Younger primigravids have lower levels of education than the primigravida age of reproductive age (p 0.00, CI 3.557 - 11.227). The younger primigravida has a tendency to give birth outside its residence area compared to primigravida of reproductive age (p 0.00; CI 0.050,178). Unmarried status in the young primigravida is greater than that of primigravida of reproductive age (p 0.00, CI 0.011 - 0,229) .An Antenatal Care on Primigravida reproductive age is more regular than young primigravida (p 0.03; CI 0.255 - 0.97) . Young primigravida tended to have anemia (p = 0.00, OR 8.4 CI 3.22 - 21.93) The risk of prematurity was higher in young primigravids than in the reproductive age primigravida (p 0.01, OR 2.9 CI 1, 16 - 7.25). Younger primigravids have a higher risk for pathologic delivery compared to primigravida of reproductive age (p 0.05 OR 0.56 CI 0.315 - 1.01).Conclusions: There are differences in terms, level of education, marital status, residence, regularity of ANC between young primigravida and prmigravida of reproductive age. The study found that young primigravids have a higher risk of occurrence of anemia, prematurity and pathologic delivery compared with healthy reproductive age primigravids.Keywords: young primigravida, primigravida healthy reproductive age, risk factors

Download Full-text

Perfil social e obstétrico de gestantes adolescentes/Social and obstetric profile of pregnant adolescent women

Ciência Cuidado e Saúde ◽

10.4025/cienccuidsaude.v16i2.28455 ◽

2017 ◽

Vol 16 (2) ◽

Author(s):

Graziela Tainara Okuda ◽

Fernanda Bigio Cavalhieri ◽

Ana Carolina Simões Pereira ◽

Camila Hidemi Danno ◽

Elisabete Takeda ◽

...

Keyword(s):

Sao Paulo ◽

São Paulo ◽

Adolescent Women ◽

Pregnant Adolescent

A adolescência é a etapa da vida compreendida entre a infância e a fase adulta, marcada por complexos processos de crescimento e desenvolvimento biopsicossocial. Nesse período, o início precoce da sexarca, associado à falta de conhecimento sobre métodos contraceptivos e baixa escolaridade, resulta no aumento de doenças sexualmente transmissíveis e gravidez indesejada. O objetivo do estudo foi identificar as características sociais e obstétricas de gestantes adolescentes. Trata-se de estudo descritivo, retrospectivo, transversal e quantitativo, desenvolvido com dados de 2011, 2012 e primeiro semestre de 2013, de 309 adolescentes de 10 a 19 anos, gestantes, coletados mediante formulário, no Sistema de Monitoramento e Avaliação da Atenção ao Pré-Natal e Puerpério e Sistema de Informação Ambulatorial Local, além de prontuários físicos e eletrônicos de 32 unidades de saúde da família de um município do centro-oeste do estado de São Paulo. Para análise dos dados, utilizou-se a estatística descritiva e testes de associação. Identificou-se que 36% das gestantes frequentaram seis ou mais consultas do pré-natal. A faixa etária prevalente foi a de 16 a 19 anos. Constatou-se que a educação em saúde das adolescentes é primordial como tentativa para a diminuição da gestação na adolescência, a fim de melhorar a qualidade de vida do binômio mãe-bebê.

Download Full-text

Risk awareness among pregnant adolescent women in Zimbabwe

African Journal of Midwifery and Women s Health ◽

10.12968/ajmw.2011.5.1.15 ◽

2011 ◽

Vol 5 (1) ◽

pp. 15-19 ◽

Cited By ~ 1

Author(s):

Helen Vupenyu Gundani ◽

Rowesai Gandanga

Keyword(s):

Risk Awareness ◽

Adolescent Women ◽

Pregnant Adolescent

Download Full-text

Perinatal outcomes in adolescent pregnancy

Journal of Chitwan Medical College ◽

10.3126/jcmc.v8i2.23734 ◽

2018 ◽

Vol 8 (2) ◽

pp. 27-31

Author(s):

Yam Prasad Dwa ◽

Sunita Bhandari ◽

Devendra Shrestha ◽

Ajaya Kumar Dhakal

Keyword(s):

Adolescent Pregnancy ◽

Perinatal Asphyxia ◽

Mode Of Delivery ◽

Perinatal Outcomes ◽

Breech Presentation ◽

Fetal Distress ◽

Neonatal Deaths ◽

Medical College ◽

Adolescent Women ◽

Pregnant Adolescent

Introduction: Adolescent pregnancy is prevalent in Nepal and bears significant consequences to both mother and newborn. Methods: All pregnant women aged 19 years or less who were admitted for delivery at KIST Medical College during 14th April 2017 to 15th July 2018 were included in this study. Maternal and immediate neonatal outcomes were analyzed retrospectively from their medical records. Results: There were 135 pregnant adolescent women out of 1300 deliveries. Preeclampsia was observed in 2 pregnancies. Vaginal delivery (99; 73.3%) was the predominant mode of delivery. Emergency LS CS was performed in 35 (25.9%) deliveries and most frequent indications for LS CS were nonprogress of labor (8/35), breech presentation (8/35) and fetal distress (6/35). 10 (7.4%) babies were born preterm. 23 (17%) babies were born low birth weight. 37 (27.4%) neonates were symptomatic and required neonatal admission. Respiratory distress was the most frequent neonatal problem (29; 21.5%), followed by neonatal sepsis (18; 13.3%) and perinatal asphyxia (9; 6.7%). There were 3 (2.2%) still birth and 2 (1.5%) early neonatal deaths. Conclusion: Adolescent pregnancy was common and associated with increased early neonatal problems.

Download Full-text

Pregnancy during Adolescence and Associated Risks: An 8-Year Hospital-Based Cohort Study (2007–2014) in Romania, the Country with the Highest Rate of Teenage Pregnancy in Europe

BioMed Research International ◽

10.1155/2017/9205016 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 8

Author(s):

Demetra-Gabriela Socolov ◽

Magdalena Iorga ◽

Alexandru Carauleanu ◽

Ciprian Ilea ◽

Iolanda Blidaru ◽

...

Keyword(s):

Cohort Study ◽

Young Adult ◽

Teenage Pregnancy ◽

University Hospital ◽

Adult Group ◽

Singleton Pregnancy ◽

Pregnancy Risk ◽

Adolescent Women ◽

Pregnant Adolescent ◽

Pregnancy And Delivery

Aim. To determine pregnancy and delivery outcomes among teenagers.Materials and Methods. An 8-year retrospective comparative hospital-based cohort study is analysing singleton pregnancy comorbidities and delivery parameters of a teenage group under the age of 20 compared with a young adult group 20–24 years of age in a university hospital.Results. Teenage is a risk factor for preterm birth <37 weeks (1.21 [1.08–1.35]), foetal growth restriction (1.34 [1.21–1.48]), episiotomy (1.27 [1.21–1.34]), uterine revision (1.15 [1.06–1.25]), APGAR <7 at 1 min (2.42 [1.21–1.67]), cephalopelvic disproportion (1.26 [1.07–1.48]), and postpartum haemorrhage (1.42 [1.25–1.62]); however, caesarean delivery occurs less frequently in teenagers than in adults (0.75 [0.70–0.80]). The following comorbidities are risk factors for teenage pregnancy (risk ratio [CI 95%]): anaemia (1.13 [1.10–1.17]), low urinary tract infection (1.10 [1.03–1.18]), pediculosis (2.42 [1.90–3.00]), anogenital condyloma (1.50 [1.04–2.17]), and trichomoniasis (1.74 [1.12–2.68]). The risks for hepatitis B and hepatitis C, premature rupture of membranes, and placenta praevia were lower compared with those in the young adult group, respectively, 0.43 (0.26–0.71), 0.90 (0.85–0.96), and 0.29 (0.20–0.41), while the risk for gestational diabetes and preeclampsia were the same in both groups.Conclusion. Considering the high risks for teenage pregnancy, this information should be provided to pregnant adolescent women and their caregivers.

Download Full-text