scholarly journals Sociodemographic and obstetric factors related to low birth weight in the context of early pregnancy

2020 ◽  
Vol 20 (1) ◽  
pp. 129-135
Author(s):  
Brenda Karoline Santos ◽  
Viviane Macedo Marinho Barreto ◽  
Vinícius Souza Santos ◽  
Neyana Maria Coelho de Souza Prado ◽  
José Rodrigo Santos Silva ◽  
...  

Abstract Objectives: to analyze sociodemographic and obstetric factors that may influence the occurrence of low birth weight in the context of early pregnancy. Methods: the sample consisted of 232 pregnant teenagers, aged 10-19 years old, were assisted at a public maternity hospital in Aracaju-SE during the period of August 2012 to July 2016. The data collection was conducted through a structured questionnaire. Results: low birth weight was observed in 41.38% of the newborns and there was a statistical association between the educational level and the marital status with the occurrence of low birth weight in newborns among teenage mothers, with p=0.0286 and p=0.0247, respectively. Conclusions: the socioeconomic factors may contribute to the occurrence of low birth weight in newborns of teenage mothers and teenage pregnancy at this age represents a serious public health problem.

Author(s):  
Anuradha Konduru ◽  
Anil Kumar Bathula ◽  
R. Nageswara Rao ◽  
N. Prabhavathi

Background: In India, teenage pregnancy is an important public-health problem, although the national policy of the Government of India advocates the minimum legal age of marriage for girls to be 18 years. Data of the National Family Health Survey (NFHS)-3 revealed that 16% of women, aged 15-19 years, have already started childbearing. Teenage pregnancies represent a high-risk group in reproductive terms because of the double burden of reproduction and growth. Complications of pregnancy and childbirth are the leading cause of mortality among girls aged 15-19 years in developing countries. Aim and objective of the study was to study the prevalence of teenage pregnancies and to study the clinic social impact of teenage pregnancies.Methods: The observational cross-sectional study was conducted in Government General Hospital, Guntur in the department of Obstetrics and Gynaecology over three Months from August to October 2018. All pregnant women coming to either OPD or directly to the labour room were included in the study group. History was taken and examination was done.Results: Among the 709 deliveries in the institute, 138 are teenage pregnancies contributing to 19.4%. Prevalence of anaemia in teenage mothers is as high as 63.7%, pregnancy induced hypertension contributing to 26.8% and abortions 9.4%. The neonatal outcome is poor in teenage mothers, low birth weight 20.2% contributing to the main morbidity.Conclusions: Teenage pregnancy is associated with an increased incidence of preeclampsia, eclampsia, preterm delivery, increased incidence of instrumental deliveries and lower segment caesarean sections due to cephalopelvic disproportion, neonatal complications, increased neonatal morbidity and mortality mainly due to low birth weight was noted in babies delivered to teenage mothers. 


2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Ayele Mamo Abebe ◽  
Girma Wogie Fitie ◽  
Desalegn Abebaw Jember ◽  
Mihretab Mehari Reda ◽  
Getu Engida Wake

Introduction. One of the major public health issues across the whole world these days is teenage pregnancy which is defined as being pregnant in the age ranging from 13–19 years. About 11% of all births which occurred worldwide accounted for girls aged 15 to 19 years. From these, 95% teenage deliveries occur in low- and middle-income countries. World health 2014 statistics show that complications during pregnancy and childbirth are the second cause of death for 15–19-year-old girls globally. The aim of this study was to determine adverse obstetrical and perinatal outcomes of teenage pregnancy among deliveries at Lemlem Karl General Hospital, Tigray, Ethiopia, 2018. Result. This study result showed that 17.5% of the teenagers and 6.8% of the adults deliver low birth weight neonates. From the total teenage mothers, about thirty-five (11.3%) of them had developed pregnancy-induced hypertension, whereas about thirteen (4.2%) of adults develop pregnancy-induced hypertension. Regarding cesarean delivery, forty (12.9%) of those teenage mothers deliver by a cesarean section while 58 (18%) of the adult mothers deliver by cesarean delivery. Teenage pregnancy was significantly associated with adverse obstetric and perinatal outcomes, a cesarean delivery (AOR: 0.57; 95% CI, 0.36–0.90), episiotomy (AOR: 2.01; 95% CI, 1.25–3.39), and low birth weight (AOR: 2.22; 95% CI, 1.13–4.36), and premature delivery were 2.87 (1.49–5.52). This study shows that adverse obstetric and perinatal outcomes were significantly associated with teenagers than adult mothers. Therefore, giving health education on focused ANC is very important to bring change to the teenager at this study area.


Author(s):  
Monjurul Hoque ◽  
Shahnaz Hoque

Background: Teenage pregnancy is a known risk factor for a negative pregnancy outcome and poses a health risk to teenagers; it is thus considered a public health problem. It is also an indicator of problems with the sexual and reproductive health of a country’s young population. In South Africa, most of the adolescent pregnancies are to be found within the context of unstable relationships with the father of the baby and are unplanned or unwanted.Objectives: This study estimates and compares the incidence of adverse obstetric and perinatal outcomes of teenage women with older women, to identify specific health needs of teenage mothers during pregnancy and delivery.Methods:A retrospective cohort study targeted pregnant women who delivered at Empangeni Hospital from April to December 2005, whilst comparing the obstetric and perinatal outcomes of all teenage (ages < 19 years) pregnant women with those of older pregnant women (ages ≥ 19 years) for this study period. Data were collected from the labour ward delivery registry. Pearson’s chi-square test was performed to measure the level of significance (alpha = 0.05) for association amongst variables. The student t-test was used to find the significance difference between two proportions and the binary logistic regression method was employed to find the significant predictor for outcome variables.Results:There were 7836 deliveries over the study period, of which 1236 (16%) were teenage mothers.The rate of gestational age at delivery (e.g. pre-term delivery of 12%), vaginal and forceps deliveries,foetal presentation at birth, multiple pregnancies, low birth-weight and live births deliveries and mean Apgar scores were similar for both groups. The caesarean delivery rate (20%) and macerated stillbirth rate (1.1%) were significantly lower (p < 0.05) for teenagers than for older women.Conclusion: Although there was a higher rate of teenage pregnancy, it did not appear that it was associated with extra perinatal negative outcome such as preterm delivery, low birth-weight delivery and stillbirth. However, strategies are urgently needed to delay conception and improve the socio-economic development of teenage girls.


2020 ◽  
Vol 3 (2) ◽  
pp. 143-156
Author(s):  
Kochar Abdullah ◽  
◽  
Pary Azize ◽  

Background and Objectives: Teenage first pregnancy is a significant public health problem as it often occurs in the context of poor social support and maternal wellbeing. It is consid-ered high risk for both the mother and infant. This study aimed to find out the effect of teenage pregnancy on neonatal health outcomes. Methods: A descriptive, cross-sectional, prospective study was conducted in Sulaymaniyah in the Kurdistan Region of Iraq and involved all pregnant teenage mothers admitted to Sulaymaniyah Maternity Teaching Hospital from January 1, 2019, to June 30, 2019. Results: 332 of mothers aged ≤19 years and their newborns were studied. A higher pro-portion of teenage mothers were from rural areas than the urban areas (59.3% vs 40.7%). The percentage of teenage mothers who did not attend antenatal care was 11.14%, and irregular attendees represented 9.94 %. Compared with teenage mothers aged 14–16 years, teenage mothers aged 17–19 years had higher risks of anaemia, systemic infections, coincidental condition, low birth weight, preterm delivery and low Apgar score. The risk of aspiration of meconium and stillbirth among infants born to teenage mothers was statisti-cally not significant after adjustment for gestational age and birth weight, in addition to maternal characteristics and mode of delivery. Teenage pregnancy was associated with higher risks of adverse pregnancy outcomes. Conclusion: Prevention strategies and the improvement of healthcare are essential to re-duce the consequences of teenage pregnancy on maternal and neonatal health outcomes. Teenage women were less likely to receive antenatal care services. Use of community- and health facility-based education programs are necessary to prevent teenage pregnancy and thus reduce adverse maternal and neonatal outcomes.


2020 ◽  
Author(s):  
Daniel Tikue Asrat ◽  
Eden Hagos Beloweden ◽  
Hana Andeberhan Teklay ◽  
Luwam Solomon Tesfamaryam ◽  
Ruth Zeragaber Weldemaryam ◽  
...  

Abstract Background: The highest rate of teenage pregnancy in the world is in sub Saharan Africa. Thus, out of the twenty countries with the highest rate of teen marriage, Eritrea ranked fourteenth. This aim of this study was to assess adverse outcomes associated with teenage pregnancy. Methods: A retrospective cohort study was followed for 424 nulliparous pregnant women between the age of 14 and 24 years. The maternity clinical record was used to review data on maternal spontaneous abortions, preterm birth, method of delivery, postpartum hemorrhage, perineal laceration, baby weight, Apgar score at 5 minute and congenital anomalies were taken as our variables of interest. Moreover, face-to-face interview was conducted to enlighten the socio demographic characteristics, circumcision status of the mother and antenatal care visits during their last pregnancy. Descriptive and inferential data was analyzed using SPSS version 20. Chi-square test and bivariate logistic regression were also used.Results: The socio demographic characteristic of the study shows that the educational status of teenage mother was low compared to adult mothers; in addition unmarried teenage mothers were high compared to adult mothers. In this study teenage mothers had significantly higher anemia, preterm delivery, Post partum hemorrhage and low birth weight babies as compared to the adult mothers. Also the study revealed that compared to adult mothers, teenage mothers had significantly higher abnormal delivery mode with low Apgar score among teenage mothers.Conclusions: In this study adolescent pregnancy was found to be associated with increased outcomes of anemia, preterm birth, low birth weight, abnormal delivery and post-partum hemorrhage. Even though preeclampsia and Apgar score were not significantly different between adolescents and adult mothers this should not be ignored and just bypass it not as adverse outcomes of teenage.


2014 ◽  
Vol 2 (2) ◽  
pp. 11-14 ◽  
Author(s):  
M Tripathi ◽  
A Sherchand

INTRODUCTION: Teenage pregnancy is coming up as one of the most important social and public health problem all over the world. Teenage pregnancy is a common social phenomenon with public health and medical consequences worldwide. The study was done to compare obstetric and perinatal outcome in teenage and non-teenage pregnancies. METHODS: This is a comparative study. The study duration was from 10th January 2010 to 9th January 2012. All teenage mothers (aged 13-19 completed years at delivery) delivering in the Gandaki Medical College (GMC) hospital, Pokhara were taken as cases (study group). Next 2 consecutive deliveries in the age group of 20-30 year were selected as control for each case. RESULTS: The incidence of complications in teenage primigravida (study group) compared with non-teenage (control group) deliveries were anemia (20% vs 6%), preterm labour (20 % vs 7%), Urinary tract infection(UTI) (8 % vs 4%), pre-eclampsia (4 % vs 2%) and Prelabour Rupture of Membrane(PROM) (10% vs 4%). Similarly, abnormal presentation (6% vs 2%), placenta praevia (4% vs 1%), Fetal distress(FD) (8% vs 3%), Cephalo Pelvic Disproportion(CPD) (6 % vs 2%) and Low Birth Weight(LBW) (24 % vs 9 %)were recorded respectively. In study group, 58% of the patients were delivered vaginally & 24% were delivered by caesarean section, 6% delivered by breech and 12% of patients had instrumental delivery. In non-teenage group, 74% of the patients delivered vaginally & 14% were delivered by caesarean section, 4% delivered by breech and 8% of patient had instrumental delivery.CONCLUSION: Teenage pregnant mothers had high rate of inadequate prenatal care, suffered more from anemia, UTI, & were more likely to deliver preterm and had low birth weight babies. They had high rates of operative and instrumental delivery. DOI: http://dx.doi.org/10.3126/jucms.v2i2.11168 Journal of Universal College of Medical Sciences (2014) Vol.2(2): 11-14


2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Siddhartha Yadav ◽  
Dilip Choudhary ◽  
Narayan KC ◽  
Rajesh Kumar Mandal ◽  
Achyut Sharma ◽  
...  

Introduction– It is debated whether teenage pregnancy is associated with an adverse reproductive outcome. This study assessed the reproductive outcomes in teenage pregnancy in Nepal, a developing setting. Methods – Ahospital based retrospective cohort study of 4,101 deliveries to compare the outcomes between teenage and non-teenage pregnancies. Results – Pregnancy in teenagers was associated with significantly increased risk (P<0.05) of delivery of very and moderately preterm births and Low Birth Weight babies. There was no significant difference in risk of having small for gestational age babies, low APGAR score at birth at 1 min and 5min, stillbirth, neonatal death, and post partum hemorrhage. However, the risk of having delivery by episiotomy, vacuum or forceps and Caesarean section was significantly lower (P<0.05) among teenage mothers. Conclusion – Teenage women were more likely to have preterm births and low birth weight babies. However, they were less likely to have delivery by episiotomy, forceps or vacuum and Caesarean sections. In other respects, there were no significant differences between teenage and non-teenage mothers.


2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.


2013 ◽  
Vol 29 (6) ◽  
pp. 1101-1108 ◽  
Author(s):  
Rodrigo Romão ◽  
Luiz Alberto Amador Pereira ◽  
Paulo Hilário Nascimento Saldiva ◽  
Patricia Matias Pinheiro ◽  
Alfésio Luiz Ferreira Braga ◽  
...  

Atmospheric pollution is a global public health problem. The adverse effects of air pollution are strongly associated with respiratory and cardiovascular diseases and, to a lesser extent, with adverse pregnancy outcomes. This study analyzes the relationship between exposure to PM10 and low birth weight in the city of Santo André, São Paulo State, Brazil. We included babies born to mothers resident in Santo André between 2000 and 2006. Data on daily PM10 levels was obtained from the São Paulo State Environmental Agency. We performed descriptive analysis and logistic regressions. The prevalence rate of low birth weight was 5.9%. There was a dose-response relationship between PM10 concentrations and low birth weight. Exposure to the highest quartile of PM10 (37,50µg/m³) in the third trimester of pregnancy increased the risk of low birth weight by 26% (OR: 1.26; 95%CI: 1.14-1.40) when compared to the first quartile. The same effect was observed in the remaining trimesters. This effect was observed for ambient particle concentrations that met the current air quality standards.


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