An Increased Adverse Fetal Outcome Has Been Observed Among Teen Pregnant Women in Rural Eastern Ethiopia: A Comparative Cross-Sectional Study

Overview

Journal Glob Pediatr Health

Specialty Pediatrics

Date 2021 Mar 22

PMID 33748345

Citations 2

Authors

Haymanot Mezmur

Nega Assefa

Tadesse Alemayehu

Affiliations

Soon will be listed here.

Abstract

: According to the World Health Organization, teenage pregnancies are high-risk due to increased risks of fetal and infant morbidity and mortality. This study compares adverse fetal outcomes between teen and adult pregnant women from rural Eastern Ethiopia. : Institutional-based cross-sectional study was conducted among women visiting maternity units from surrounding rural areas. A total of 481 teenagers (13-19 years old) and 481 adults (20-34 years old) women with a singleton pregnancy were included in the study. Two hospitals and 3 health centers were selected in Eastern Hararghe Zone, Eastern Ethiopia. Comparative analysis was carried out using the log-binomial regression model to identify factors associated with adverse fetal outcomes in both categories. The results are reported in adjusted prevalence ratios with 95% confidence intervals. : High proportion of adverse fetal outcome was observed among teenage women than adult (34.9% vs 21%). Statistically significant difference ( < .05) in the proportion of low birth weight (21.1% vs 9.3%), preterm birth (18.7% vs 10.6%), APGAR score at 5th minute (9.3% vs 4%) were found in teenagers compared to adult women. Antenatal care attendance (APR = 0.44; 95% CI: 0.23, 0.86); eclampsia (APR = 1.96; 95% CI: 1.26, 3.06); pre-eclampsia (APR = 1.73; 95% CI: 1.12, 2.67); and wealth index (rich) (APR = 0.55; 95% CI: 0.32, 0.94) were significantly associated with adverse fetal outcomes among the teenage women. Whereas intimate partner violence (APR = 2.22; 95% CI: 1.26, 3.90); preeclampsia (APR = 3.05; 95% CI: 1.61, 5.69); antepartum hemorrhage (APR = 2.77; 95% CI: 1.73, 4.46); and hyperemesis gravderm (APR = 1.75; 95% CI: 1.09, 2.79) were significantly associated with adverse fatal outcomes among the adult women. : teenage pregnancy is associated with a high rate of adverse fetal outcomes. Early identification and treatment of problems during antenatal follow-up should be the mainstay to avert the massive adverse fetal effects.

Citing Articles

Teenage pregnancy and its predictors in Africa: A systematic review and meta-analysis.

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Adverse obstetric and neonatal outcomes of adolescent pregnancies in Africa: a scoping review.

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References

Gilbert W, Jandial D, Field N, Bigelow P, Danielsen B . Birth outcomes in teenage pregnancies. J Matern Fetal Neonatal Med. 2004; 16(5):265-70. DOI: 10.1080/14767050400018064. View

Conde-Agudelo A, Belizan J, Lammers C . Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J Obstet Gynecol. 2005; 192(2):342-9. DOI: 10.1016/j.ajog.2004.10.593. View

Demirci O, Yilmaz E, Tosun O, Kumru P, Arinkan A, Mahmutoglu D . Effect of Young Maternal Age on Obstetric and Perinatal Outcomes: Results from the Tertiary Center in Turkey. Balkan Med J. 2016; 33(3):344-9. PMC: 4898995. DOI: 10.5152/balkanmedj.2015.150364. View

. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995; 854:1-452. View

Berhanie E, Gebregziabher D, Berihu H, Gerezgiher A, Kidane G . Intimate partner violence during pregnancy and adverse birth outcomes: a case-control study. Reprod Health. 2019; 16(1):22. PMC: 6388467. DOI: 10.1186/s12978-019-0670-4. View

Mombo-Ngoma G, Mackanga J, Gonzalez R, Ouedraogo S, Kakolwa M, Zoleko Manego R . Young adolescent girls are at high risk for adverse pregnancy outcomes in sub-Saharan Africa: an observational multicountry study. BMJ Open. 2016; 6(6):e011783. PMC: 4932321. DOI: 10.1136/bmjopen-2016-011783. View

Abebe A, Fitie G, Jember D, Reda M, Wake G . Teenage Pregnancy and Its Adverse Obstetric and Perinatal Outcomes at Lemlem Karl Hospital, Tigray, Ethiopia, 2018. Biomed Res Int. 2020; 2020:3124847. PMC: 6995314. DOI: 10.1155/2020/3124847. View

Kumbi S, Isehak A . Obstetric outcome of teenage pregnancy in northwestern Ethiopia. East Afr Med J. 1999; 76(3):138-40. View

Chen X, Wen S, Fleming N, Demissie K, Rhoads G, Walker M . Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol. 2007; 36(2):368-73. DOI: 10.1093/ije/dyl284. View

10.

Al-Ramahi M, Saleh S . Outcome of adolescent pregnancy at a university hospital in Jordan. Arch Gynecol Obstet. 2005; 273(4):207-10. DOI: 10.1007/s00404-005-0055-5. View

11.

Olausson P, Cnattingius S, Haglund B . Does the increased risk of preterm delivery in teenagers persist in pregnancies after the teenage period?. BJOG. 2001; 108(7):721-5. DOI: 10.1111/j.1471-0528.2001.00182.x. View

12.

Narukhutrpichai P, Khrutmuang D, Chattrapiban T . The Obstetrics and Neonatal Outcomes of Teenage Pregnancy in Naresuan University Hospital. J Med Assoc Thai. 2016; 99(4):361-7. View

13.

Chang Y, Tseng Y, Chen K . The epidemiologic characteristics and associated risk factors of preterm birth from 2004 to 2013 in Taiwan. BMC Pregnancy Childbirth. 2020; 20(1):201. PMC: 7137208. DOI: 10.1186/s12884-020-02903-1. View

14.

Bakwa-Kanyinga F, Valerio E, Bosa V, Alfama C, Sperb M, Capp E . Adolescent pregnancy: Maternal and fetal outcomes in patients with and without preeclampsia. Pregnancy Hypertens. 2017; 10:96-100. DOI: 10.1016/j.preghy.2017.06.009. View

15.

Chai J, Fink G, Kaaya S, Danaei G, Fawzi W, Ezzati M . Association between intimate partner violence and poor child growth: results from 42 demographic and health surveys. Bull World Health Organ. 2016; 94(5):331-9. PMC: 4850526. DOI: 10.2471/BLT.15.152462. View

16.

Haldre K, Rahu K, Karro H, Rahu M . Is a poor pregnancy outcome related to young maternal age? A study of teenagers in Estonia during the period of major socio-economic changes (from 1992 to 2002). Eur J Obstet Gynecol Reprod Biol. 2006; 131(1):45-51. DOI: 10.1016/j.ejogrb.2006.05.002. View

17.

Bramer G . International statistical classification of diseases and related health problems. Tenth revision. World Health Stat Q. 1988; 41(1):32-6. View

18.

Jolly M, Sebire N, Harris J, Robinson S, Regan L . Obstetric risks of pregnancy in women less than 18 years old. Obstet Gynecol. 2000; 96(6):962-6. DOI: 10.1016/s0029-7844(00)01075-9. View

19.

Kiondo P, Tumwesigye N, Wandabwa J, Wamuyu-Maina G, Bimenya G, Okong P . Adverse neonatal outcomes in women with pre-eclampsia in Mulago Hospital, Kampala, Uganda: a cross-sectional study. Pan Afr Med J. 2014; 17 Suppl 1:7. PMC: 3948379. DOI: 10.11694/pamj.supp.2014.17.1.3014. View

20.

Nsibu C, Manianga C, Kapanga S, Mona E, Pululu P, Aloni M . Determinants of Antenatal Care Attendance among Pregnant Women Living in Endemic Malaria Settings: Experience from the Democratic Republic of Congo. Obstet Gynecol Int. 2016; 2016:5423413. PMC: 5040812. DOI: 10.1155/2016/5423413. View