scholarly journals Adverse Reproductive Outcomes Associated with Teenage Pregnancy in three Maternity Hospitals in Asmara, Jan 01 – DEC 31, 2018

2020 ◽  
Author(s):  
Daniel Tikue Asrat ◽  
Eden Hagos Beloweden ◽  
Hana Andeberhan Teklay ◽  
Luwam Solomon Tesfamaryam ◽  
Ruth Zeragaber Weldemaryam ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Apgar Score ◽  
Teenage Pregnancy ◽  
Post Partum ◽  
Teenage Mothers ◽  
Adverse Outcomes ◽  
Delivery Mode ◽  
Post Partum Hemorrhage

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.

scholarly journals Adverse Reproductive Outcomes Associated With Teenage Pregnancy

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Siddhartha Yadav ◽  
Dilip Choudhary ◽  
Narayan KC ◽  
Rajesh Kumar Mandal ◽  
Achyut Sharma ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Teenage Pregnancy ◽  
Post Partum ◽  
Preterm Births ◽  
Teenage Mothers ◽  
Reproductive Outcomes ◽  
Increased Risk ◽  
Significant Difference ◽  
Low Birth Weight Babies

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.

scholarly journals Use of Antibiotic Treatment in Pregnancy and the Risk of Several Neonatal Outcomes: A Population-Based Study

2021 ◽  
Vol 18 (23) ◽  
pp. 12621
Author(s):  
Anna Cantarutti ◽  
Federico Rea ◽  
Matteo Franchi ◽  
Benedetta Beccalli ◽  
Anna Locatelli ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Subgroup Analysis ◽  
Apgar Score ◽  
Late Pregnancy ◽  
Population Based ◽  
Neonatal Outcomes ◽  
Lombardy Region ◽  
Increased Risk

Background: Limited evidence is available on the safety and efficacy of antimicrobials during pregnancy, with even less according to the trimester of their use. Objective: This study aimed to evaluate the association between exposure to antibiotics therapy (AT) during pregnancy and short-term neonatal outcomes. Methods: We considered 773,237 deliveries that occurred between 2007–2017 in the Lombardy region of Italy. We evaluated the risk of neonatal outcomes among infants that were born to mothers who underwent AT during pregnancy. The odds ratios and the hazard ratios, with the 95% confidence intervals, were estimated respectively for early (first/second trimester) and late (third trimester) exposure. The propensity score was used to account for potential confounders. We also performed subgroup analysis for the class of AT. Results: We identified 132,024 and 76,921 singletons that were exposed to AT during early and late pregnancy, respectively. Infants born to mothers with early exposure had 17, 11, and 16% increased risk of preterm birth, low birth weight, and low Apgar score, respectively. Infants that were exposed in late pregnancy had 25, 11, and 13% increased risk of preterm birth, low birth weight, and low Apgar score, respectively. The results were consistent in the subgroup analysis. Conclusion: Our results suggested an increased risk of several neonatal outcomes in women exposed to ATs during pregnancy, albeit we were not able to assess to what extent the observed effects were due to the infection itself. To reduce the risk of neonatal outcomes, women that are prescribed AT during pregnancy should be closely monitored.

Fetal and Maternal Outcome Asymptomatic vs. Symptomatic Covid Positive Pregnant Women

2021 ◽  
Vol 15 (10) ◽  
pp. 3423-3425
Author(s):  
Amna Najam ◽  
Samreen Fakeer Muhammad ◽  
Samia Saifullah ◽  
Maryam Shoaib ◽  
Maria Anwar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Apgar Score ◽  
Adverse Outcomes ◽  
Maternal Outcomes ◽  
Group A ◽  
Nicu Admission ◽  
Group B

Objective: The aim of this study is to compare the fetal and maternal outcomes in between asymptomatic and symptomatic COVID positive pregnant women. Study Design: Retrospective cohort study Place and Duration: The study was conducted at Gynae and Obs department of Sandeman Provincial Hospital, Quetta for duration of six months from November 2020 to April 2021. Methods: One hundred and ten pregnant women with ages 18-45 years had corona virus disease were presented. Informed written consent was taken from all patients for detailed demographics. COVID -19 was diagnosed by PCR. 55 patients had symptoms of coronavirus were included in group A and 55 patients did not show symptoms were included in group B. Frequency of pre-eclampsia, gestational diabetes mellitus and post-partum haemorrhage were calculated. Maternal adverse outcomes (cesarean section, instrumental delivery, induction of labor and prolong labor, hypertensive disorder) were calculated among both groups. Fetal outcomes perinatal mortality, Low birth weight, Low Apgar score and NICU admission were observed. SPSS 20.0 version was used to analyze all data. Results: Mean age of the patients in group A was 28.47±3.18 years with mean BMI 24.03±5.24 Kg/m2 and in group B mean age was 27.99±4.17 years with mean BMI 24.44±6.41 Kg/m2. Maternal outcomes (cesarean section, instrumental delivery, induction of labor and prolong labor,) in symptomatic group were significantly higher than that of asymptomatic group. Fetal outcomes, perinatal mortality in group A 9 (16.4%) and in group B was 5 (9.1%), low birth weight in group A was among 21 (38.2%) and in group B was 10 (18.2%), low apgar score in group A was 11 (20%) and in group B was 8 (14.4%), 15 (27.3%) in group A went to NICU admission and 3 (5.5%) patient in group II admitted to NICU. Conclusion: In this study we concluded that adverse outcomes among symptomatic COVID pregnant women were higher than that of asymptomatic coronavirus pregnant women in terms maternal and perinatal outcomes. Keywords: Pregnant women, Coronavirus, Symptomatic, Asymptomatic, Adverse Outcomes

IMPACT OF MATERNAL AGE ON BIRTH OUTCOMES: A POPULATION-BASED STUDY OF PRIMIPAROUS BRAZILIAN WOMEN IN THE CITY OF SÃO PAULO

2005 ◽  
Vol 38 (4) ◽  
pp. 523-535 ◽  
Author(s):  
CARLA JORGE MACHADO
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Maternal Age ◽  
Sao Paulo ◽  
Outcome Variable ◽  
Delivery Mode ◽  
São Paulo ◽  
Apgar Scores ◽  
The City

The aim of this study is to analyse the impact of maternal age at first birth on low birth weight, preterm birth and low Apgar scores at one minute and at five minutes among live births delivered to primiparous Brazilian women in the city of São Paulo. Analyses were based on 73,820 birth records from the 1998 birth cohort. Logistic regression was used to assess the association between maternal age and each outcome variable, controlling for the following risk factors: delivery mode, plurality, sex, maternal education, number of prior losses, prenatal care, race, parity and community development. Maternal ages below 20 and above 30 years were significantly associated with the risks of low birth weight and preterm birth, but no association was found between maternal ages and Apgar score, with the exception that ages 15–19 reduced the odds of a low one-minute score. Even though this result seems to be inconsistent, low birth weight, preterm birth and low Apgar scores measure different dimensions of newborn well-being, and the association of each measure with maternal age is expected to diverge.

Efficacy of additional psychosocial intervention in reducing low birth weight and preterm birth in teenage pregnancy: A systematic review and meta-analysis

2015 ◽  
Vol 44 ◽  
pp. 106-116 ◽  
Author(s):  
Kanokporn Sukhato ◽  
Chathaya Wongrathanandha ◽  
Ammarin Thakkinstian ◽  
Alan Dellow ◽  
Pornpot Horsuwansak ◽  
...  
Keyword(s):  
Systematic Review ◽  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Psychosocial Intervention ◽  
Teenage Pregnancy ◽  
Meta Analysis

scholarly journals Chlamydia trachomatis Screening and Treatment in Pregnancy to Reduce Adverse Pregnancy and Neonatal Outcomes: A Review

2021 ◽  
Vol 9 ◽  
Author(s):  
Kristina N. Adachi ◽  
Karin Nielsen-Saines ◽  
Jeffrey D. Klausner
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Adverse Outcomes ◽  
Neonatal Outcomes ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Middle Income ◽  
Infant Outcomes ◽  
Adverse Pregnancy

Chlamydial trachomatis infection has been associated with adverse pregnancy and neonatal outcomes such as premature rupture of membranes, preterm birth, low birth weight, conjunctivitis, and pneumonia in infants. This review evaluates existing literature to determine potential benefits of antenatal screening and treatment of C. trachomatis in preventing adverse outcomes. A literature search revealed 1824 studies with 156 full-text articles reviewed. Fifteen studies were selected after fulfilling inclusion criteria. Eight studies focused on chlamydial screening and treatment to prevent adverse pregnancy outcomes such as premature rupture of membranes, preterm birth, low birth weight, growth restriction leading to small for gestational age infants, and neonatal death. Seven studies focused on the effects of chlamydial screening and treatment on adverse infant outcomes such as chlamydial infection including positive mucosal cultures, pneumonia, and conjunctivitis. Given the heterogeneity of those studies, this focused review was exclusively qualitative in nature. When viewed collectively, 13 of 15 studies provided some degree of support that antenatal chlamydial screening and treatment interventions may lead to decreased adverse pregnancy and infant outcomes. However, notable limitations of these individual studies also highlight the need for further, updated research in this area, particularly from low and middle-income settings.

scholarly journals Maternal Anemia Prevalence and Subsequent Neonatal Complications in Iraq

2020 ◽  
Vol 8 (B) ◽  
pp. 71-75
Author(s):  
Shaymaa Kadhim Jasim ◽  
Hayder Al-Momen ◽  
Farah Al-Asadi
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Apgar Score ◽  
Birth Asphyxia ◽  
Adverse Outcomes ◽  
Delivery Mode ◽  
Severe Anemia ◽  
Maternal Anemia ◽  
Tertiary Center ◽  
Anemia Group

BACKGROUND: Anemia during pregnancy is still a challenge throughout the world, and it may cause severe health consequences in the maternal and fetal sides. AIM: This study aims to find out the prevalence of maternal anemia and potential adverse outcomes in Iraq. METHODS: In Medical City Tertiary Center in Baghdad, singleton pregnant ladies came for delivery were involved over 6 months’ period. Based on hemoglobin (Hb) readings; they were divided into no anemia group (Hb>11 g/l) and anemia group which were further subdivided into mild, moderate, and severe (Hb =10–10.9, =7.1–9.9, and <7 g/l, respectively). Full history and examination were performed by attending obstetrician and pediatrician for the upcoming babies. RESULTS: Maternal anemia prevalence was 84.84% out of 4473 cases. No anemia group was 15.16%, mild 40.73%, and moderate 40.73%, while severe anemia group (24.93%). Maternal occupation, educational status, and Hb levels were significantly associated with anemia (p < 0.001), unlike parity, body mass index, and delivery mode. Neonatal preterm delivery, birth weight and length, small for gestational age (SGA), Apgar score, respiratory distress, and high death rate were strongly related to mothers’ anemia (p < 0.001), on the contrary of septicemia, birth asphyxia, and hypoglycemia, in spite of their higher frequency rates in anemia groups. Birth weight, and length, and gestational age were lowered significantly in moderate and severe anemia, while Apgar score was low throughout all anemia categories. SGA was significant in severe anemia. CONCLUSION: Maternal anemia is highly prevalent in Iraq with significant adverse neonatal events and elevated rates of mortality.

scholarly journals Warning of Immortal Time Bias When Studying Drug Safety in Pregnancy: Application to Late Use of Antibiotics and Preterm Delivery

2020 ◽  
Vol 17 (18) ◽  
pp. 6465
Author(s):  
Giovanni Corrao ◽  
Federico Rea ◽  
Matteo Franchi ◽  
Benedetta Beccalli ◽  
Anna Locatelli ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Low Birth Weight ◽  
Preterm Delivery ◽  
Apgar Score ◽  
Time Varying ◽  
Immortal Time Bias ◽  
Increased Risk ◽  
In Pregnancy

This study aimed to illustrate and account for immortal time bias in pregnancy observational investigations, using the relationship between late use of antibiotics and risk of preterm birth as an example. We conducted a population-based cohort study including 549,082 deliveries between 2007 and 2017 in Lombardy, Italy. We evaluated the risk of preterm births, low birth weight, small for gestational age, and low Apgar score associated with antibiotic dispensing during the third trimester of pregnancy. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CI) of the outcomes, considering the use of antibiotics as time-fixed (with biased classification of exposure person-time) and time-varying (with proper classification of exposure person-time) exposure. There were 23,638 (4.3%) premature deliveries. There was no association between time-fixed exposure to antibiotics and preterm delivery (adjusted HR 0.96; 95% CI 0.92 to 1.01) but an increased risk of preterm birth when time-varying exposure to antibiotics was considered (1.27; 1.21 to 1.34). The same trend was found for low birth weight and low Apgar score. Immortal time bias is a common and sneaky trap in observational studies involving exposure in late pregnancy. This bias could be easily avoided with suitable design and analysis.

Adolescent Pregnancy and its Outcome in a Rural Teaching Hospital, Karnali Academy of Health Science, Jumla

2019 ◽  
Vol 2 (2) ◽  
pp. 107-111
Author(s):  
Purnima Rai ◽  
Namrata Sindan ◽  
Bishnu Dutta Acharya ◽  
Rajiv Shah ◽  
Sandeep Shrestha
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Adolescent Pregnancy ◽  
Teenage Pregnancy ◽  
Very Low Birth Weight ◽  
Adverse Outcomes ◽  
Health Science ◽  
Extremely Low Birth Weight ◽  
Intrauterine Fetal Death ◽  
Education And Awareness

   Introduction: Nepal is a low socioeconomic country and adolescent pregnancy can have deleterious effects on health as well as social wellbeing of the mother, child and the community. The aim of this study was to find the frequency of teenage pregnancy and its outcomes in Karnali Academy of Health Science. Method: This was a retrospective study conducted in Karnali Academy of Health Science, Jumla, Nepal. Data was collected from the hospital records from October 2017 to September 2018. Result: The frequency of teenage pregnancy was 22.6% among total deliveries. Most of them were primigravida (84.9%). Majority of them were 18 years of age (47.5%). Caesarean section accounted for 10.8%. In perinatal outcome, the incidence of preterm birth was 15.1%, and extremely low birth weight was 2.2%, very low birth weight was 1.4% and low birth weight was 12.2%. Maternal complication accounted for 33.09%. Conclusion: The study concluded that frequency of teenage pregnancy is considerably high and it is associated with increases risk of adverse outcome to both mother and newborn such as intrauterine fetal death, retained placenta, and malpresentations. Therefore, education and awareness can be helpful in reducing adolescent pregnancy and its adverse outcomes.

scholarly journals Teenage Pregnancy and Its Adverse Obstetric and Perinatal Outcomes at Lemlem Karl Hospital, Tigray, Ethiopia, 2018

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Ayele Mamo Abebe ◽  
Girma Wogie Fitie ◽  
Desalegn Abebaw Jember ◽  
Mihretab Mehari Reda ◽  
Getu Engida Wake
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cesarean Delivery ◽  
Teenage Pregnancy ◽  
Perinatal Outcomes ◽  
Teenage Mothers ◽  
World Health ◽  
Premature Delivery ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension

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.

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