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Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia
Adolescents have physical, social and psychological characteristics that are different from adults. Adolescent pregnancy results in pregnancy and childbirth complications- an area neglected in developing countries like Ethiopia. This study, therefore, was conducted to assess the adverse neonatal out...
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| Published in: | PloS one 2019-06, Vol.14 (6), p.e0218259 |
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| creator | Kassa, Getachew Mullu Arowojolu, A O Odukogbe, A A Yalew, Alemayehu Worku |
| description | Adolescents have physical, social and psychological characteristics that are different from adults. Adolescent pregnancy results in pregnancy and childbirth complications- an area neglected in developing countries like Ethiopia. This study, therefore, was conducted to assess the adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia.
Institutional-based study was conducted in East Gojjam zone, Northwest Ethiopia. A total of 374 adolescent (15-19 years) and 760 adult (20-34 years) women were included in this study. Data were collected among women who came to randomly selected health facilities in East Gojjam zone. Data were collected by trained research assistants using a structured data collection questionnaire. Descriptive statistics, chi-square test, and Student's t-tests were utilized. Bivariate and multivariable logistic regression analysis were employed to adjust for confounding factors of adverse neonatal outcomes. Statistical significance was declared when the p-value was less than 0.05.
Higher proportion of adolescent than adult women were from rural area (57.2% vs 44.7%), were not married (5.1% vs 1.7%), were pregnant for the first time (91.7% vs 34.1%), didn't attend antenatal care (ANC) follow-up (12% vs 4.5%), and had late initiation of ANC follow-up. After adjusting for known confounding factors, the odds of low birth weight (LBW) was higher among adolescents than adult women (AOR 2.14; 95% CI, 1.36, 3.36, p-value = 0.001). Similarly, the odds of preterm birth was higher among adolescents than adult women (AOR 1.65; 95% CI, 1.09, 2.49, p-value = 0.017). There was no statistically significant difference in the rate of low Apgar score at first and five minutes after birth and neonatal Intensive Care Unit (ICU) admission between babies born from adolescent and adult women.
Adolescent women were less likely to receive ANC service. Babies born from adolescent women are at higher odds of adverse neonatal outcomes like LBW and preterm birth than babies born from adult women. Use of community- and health facility-based intervention programs that can prevent adolescent pregnancy and reduce adverse neonatal outcomes among adolescent girls is recommended. |
| doi_str_mv | 10.1371/journal.pone.0218259 |
| format | article |
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Institutional-based study was conducted in East Gojjam zone, Northwest Ethiopia. A total of 374 adolescent (15-19 years) and 760 adult (20-34 years) women were included in this study. Data were collected among women who came to randomly selected health facilities in East Gojjam zone. Data were collected by trained research assistants using a structured data collection questionnaire. Descriptive statistics, chi-square test, and Student's t-tests were utilized. Bivariate and multivariable logistic regression analysis were employed to adjust for confounding factors of adverse neonatal outcomes. Statistical significance was declared when the p-value was less than 0.05.
Higher proportion of adolescent than adult women were from rural area (57.2% vs 44.7%), were not married (5.1% vs 1.7%), were pregnant for the first time (91.7% vs 34.1%), didn't attend antenatal care (ANC) follow-up (12% vs 4.5%), and had late initiation of ANC follow-up. After adjusting for known confounding factors, the odds of low birth weight (LBW) was higher among adolescents than adult women (AOR 2.14; 95% CI, 1.36, 3.36, p-value = 0.001). Similarly, the odds of preterm birth was higher among adolescents than adult women (AOR 1.65; 95% CI, 1.09, 2.49, p-value = 0.017). There was no statistically significant difference in the rate of low Apgar score at first and five minutes after birth and neonatal Intensive Care Unit (ICU) admission between babies born from adolescent and adult women.
Adolescent women were less likely to receive ANC service. Babies born from adolescent women are at higher odds of adverse neonatal outcomes like LBW and preterm birth than babies born from adult women. Use of community- and health facility-based intervention programs that can prevent adolescent pregnancy and reduce adverse neonatal outcomes among adolescent girls is recommended.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0218259</identifier><identifier>PMID: 31194833</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adolescents ; Adult ; Adults ; Age ; Apgar score ; Babies ; Biology and Life Sciences ; Birth defects ; Birth weight ; Bivariate analysis ; Child ; Childbirth & labor ; Children & youth ; Complications ; Complications and side effects ; Data collection ; Delivery (Childbirth) ; Developing countries ; Diagnosis ; Ethiopia ; Female ; Girls ; Gynecology ; Health care facilities ; Health sciences ; Hospitals ; Humans ; Infant, Newborn ; Infants ; LDCs ; Low birth weight ; Medicine ; Medicine and Health Sciences ; Mortality ; Mothers ; Neonatal intensive care ; Neonates ; Newborn babies ; Newborn infants ; Nutrition ; Obstetrics ; People and Places ; Population ; Pregnancy ; Pregnancy complications ; Pregnancy in Adolescence ; Pregnancy Outcome ; Pregnant women ; Premature birth ; Public health ; Regression analysis ; Reproductive health ; Risk factors ; Rural areas ; Statistical analysis ; Statistical significance ; Statistical tests ; Stillbirth ; Studies ; Teenage girls ; Teenage pregnancy ; Teenagers ; Trends ; Women ; Womens health ; Young Adult ; Young adults</subject><ispartof>PloS one, 2019-06, Vol.14 (6), p.e0218259</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Kassa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Kassa et al 2019 Kassa et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-fd1c93674db8a97bd19b384aafb481a2d5b9e10bf377137cb367064ee9d0251c3</citedby><cites>FETCH-LOGICAL-c692t-fd1c93674db8a97bd19b384aafb481a2d5b9e10bf377137cb367064ee9d0251c3</cites><orcidid>0000-0002-8095-7376</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2239661946/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2239661946?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,25783,27957,27958,37047,37048,44625,53827,53829,75483</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31194833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Saaka, Mahama</contributor><creatorcontrib>Kassa, Getachew Mullu</creatorcontrib><creatorcontrib>Arowojolu, A O</creatorcontrib><creatorcontrib>Odukogbe, A A</creatorcontrib><creatorcontrib>Yalew, Alemayehu Worku</creatorcontrib><title>Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Adolescents have physical, social and psychological characteristics that are different from adults. Adolescent pregnancy results in pregnancy and childbirth complications- an area neglected in developing countries like Ethiopia. This study, therefore, was conducted to assess the adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia.
Institutional-based study was conducted in East Gojjam zone, Northwest Ethiopia. A total of 374 adolescent (15-19 years) and 760 adult (20-34 years) women were included in this study. Data were collected among women who came to randomly selected health facilities in East Gojjam zone. Data were collected by trained research assistants using a structured data collection questionnaire. Descriptive statistics, chi-square test, and Student's t-tests were utilized. Bivariate and multivariable logistic regression analysis were employed to adjust for confounding factors of adverse neonatal outcomes. Statistical significance was declared when the p-value was less than 0.05.
Higher proportion of adolescent than adult women were from rural area (57.2% vs 44.7%), were not married (5.1% vs 1.7%), were pregnant for the first time (91.7% vs 34.1%), didn't attend antenatal care (ANC) follow-up (12% vs 4.5%), and had late initiation of ANC follow-up. After adjusting for known confounding factors, the odds of low birth weight (LBW) was higher among adolescents than adult women (AOR 2.14; 95% CI, 1.36, 3.36, p-value = 0.001). Similarly, the odds of preterm birth was higher among adolescents than adult women (AOR 1.65; 95% CI, 1.09, 2.49, p-value = 0.017). There was no statistically significant difference in the rate of low Apgar score at first and five minutes after birth and neonatal Intensive Care Unit (ICU) admission between babies born from adolescent and adult women.
Adolescent women were less likely to receive ANC service. Babies born from adolescent women are at higher odds of adverse neonatal outcomes like LBW and preterm birth than babies born from adult women. Use of community- and health facility-based intervention programs that can prevent adolescent pregnancy and reduce adverse neonatal outcomes among adolescent girls is recommended.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Apgar score</subject><subject>Babies</subject><subject>Biology and Life Sciences</subject><subject>Birth defects</subject><subject>Birth weight</subject><subject>Bivariate analysis</subject><subject>Child</subject><subject>Childbirth & labor</subject><subject>Children & youth</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Data collection</subject><subject>Delivery (Childbirth)</subject><subject>Developing countries</subject><subject>Diagnosis</subject><subject>Ethiopia</subject><subject>Female</subject><subject>Girls</subject><subject>Gynecology</subject><subject>Health care facilities</subject><subject>Health sciences</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>LDCs</subject><subject>Low birth weight</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>Mothers</subject><subject>Neonatal intensive care</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Newborn infants</subject><subject>Nutrition</subject><subject>Obstetrics</subject><subject>People and Places</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnancy in Adolescence</subject><subject>Pregnancy Outcome</subject><subject>Pregnant women</subject><subject>Premature birth</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Reproductive health</subject><subject>Risk factors</subject><subject>Rural areas</subject><subject>Statistical analysis</subject><subject>Statistical significance</subject><subject>Statistical tests</subject><subject>Stillbirth</subject><subject>Studies</subject><subject>Teenage girls</subject><subject>Teenage pregnancy</subject><subject>Teenagers</subject><subject>Trends</subject><subject>Women</subject><subject>Womens health</subject><subject>Young Adult</subject><subject>Young 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neonatal outcomes of adolescent pregnancy in Northwest Ethiopia</title><author>Kassa, Getachew Mullu ; Arowojolu, A O ; Odukogbe, A A ; Yalew, Alemayehu Worku</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-fd1c93674db8a97bd19b384aafb481a2d5b9e10bf377137cb367064ee9d0251c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Adults</topic><topic>Age</topic><topic>Apgar score</topic><topic>Babies</topic><topic>Biology and Life Sciences</topic><topic>Birth defects</topic><topic>Birth weight</topic><topic>Bivariate analysis</topic><topic>Child</topic><topic>Childbirth & labor</topic><topic>Children & youth</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Data collection</topic><topic>Delivery (Childbirth)</topic><topic>Developing 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One</addtitle><date>2019-06-13</date><risdate>2019</risdate><volume>14</volume><issue>6</issue><spage>e0218259</spage><pages>e0218259-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>Competing Interests: The authors have declared that no competing interests exist.</notes><abstract>Adolescents have physical, social and psychological characteristics that are different from adults. Adolescent pregnancy results in pregnancy and childbirth complications- an area neglected in developing countries like Ethiopia. This study, therefore, was conducted to assess the adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia.
Institutional-based study was conducted in East Gojjam zone, Northwest Ethiopia. A total of 374 adolescent (15-19 years) and 760 adult (20-34 years) women were included in this study. Data were collected among women who came to randomly selected health facilities in East Gojjam zone. Data were collected by trained research assistants using a structured data collection questionnaire. Descriptive statistics, chi-square test, and Student's t-tests were utilized. Bivariate and multivariable logistic regression analysis were employed to adjust for confounding factors of adverse neonatal outcomes. Statistical significance was declared when the p-value was less than 0.05.
Higher proportion of adolescent than adult women were from rural area (57.2% vs 44.7%), were not married (5.1% vs 1.7%), were pregnant for the first time (91.7% vs 34.1%), didn't attend antenatal care (ANC) follow-up (12% vs 4.5%), and had late initiation of ANC follow-up. After adjusting for known confounding factors, the odds of low birth weight (LBW) was higher among adolescents than adult women (AOR 2.14; 95% CI, 1.36, 3.36, p-value = 0.001). Similarly, the odds of preterm birth was higher among adolescents than adult women (AOR 1.65; 95% CI, 1.09, 2.49, p-value = 0.017). There was no statistically significant difference in the rate of low Apgar score at first and five minutes after birth and neonatal Intensive Care Unit (ICU) admission between babies born from adolescent and adult women.
Adolescent women were less likely to receive ANC service. Babies born from adolescent women are at higher odds of adverse neonatal outcomes like LBW and preterm birth than babies born from adult women. Use of community- and health facility-based intervention programs that can prevent adolescent pregnancy and reduce adverse neonatal outcomes among adolescent girls is recommended.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31194833</pmid><doi>10.1371/journal.pone.0218259</doi><tpages>e0218259</tpages><orcidid>https://orcid.org/0000-0002-8095-7376</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-06, Vol.14 (6), p.e0218259 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2239661946 |
| source | Open Access: PubMed Central; ProQuest - Publicly Available Content Database |
| subjects | Adolescent Adolescents Adult Adults Age Apgar score Babies Biology and Life Sciences Birth defects Birth weight Bivariate analysis Child Childbirth & labor Children & youth Complications Complications and side effects Data collection Delivery (Childbirth) Developing countries Diagnosis Ethiopia Female Girls Gynecology Health care facilities Health sciences Hospitals Humans Infant, Newborn Infants LDCs Low birth weight Medicine Medicine and Health Sciences Mortality Mothers Neonatal intensive care Neonates Newborn babies Newborn infants Nutrition Obstetrics People and Places Population Pregnancy Pregnancy complications Pregnancy in Adolescence Pregnancy Outcome Pregnant women Premature birth Public health Regression analysis Reproductive health Risk factors Rural areas Statistical analysis Statistical significance Statistical tests Stillbirth Studies Teenage girls Teenage pregnancy Teenagers Trends Women Womens health Young Adult Young adults |
| title | Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T08%3A32%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Adverse%20neonatal%20outcomes%20of%20adolescent%20pregnancy%20in%20Northwest%20Ethiopia&rft.jtitle=PloS%20one&rft.au=Kassa,%20Getachew%20Mullu&rft.date=2019-06-13&rft.volume=14&rft.issue=6&rft.spage=e0218259&rft.pages=e0218259-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0218259&rft_dat=%3Cgale_plos_%3EA588924212%3C/gale_plos_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c692t-fd1c93674db8a97bd19b384aafb481a2d5b9e10bf377137cb367064ee9d0251c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2239661946&rft_id=info:pmid/31194833&rft_galeid=A588924212&rfr_iscdi=true |