Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.

<h4>Background</h4>Adolescent pregnancy is considered a major contributor to maternal and child morbidity and mortality, the greatest concern of developing countries and an important public health issue globally. Adolescents are responsible for eleven percent of births worldwide and they...

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Autores principales:	Getachew Mullu Kassa, Ayodele O Arowojolu, Akin Tunde A Odukogbe, Alemayehu Worku Yalew
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/35ca40feabf146c483f4e6bbf6477668
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spelling	oai:doaj.org-article:35ca40feabf146c483f4e6bbf64776682021-12-02T20:14:18ZAdverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.1932-620310.1371/journal.pone.0257485https://doaj.org/article/35ca40feabf146c483f4e6bbf64776682021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257485https://doaj.org/toc/1932-6203<h4>Background</h4>Adolescent pregnancy is considered a major contributor to maternal and child morbidity and mortality, the greatest concern of developing countries and an important public health issue globally. Adolescents are responsible for eleven percent of births worldwide and they face several pregnancy and childbirth related complications. However, in low-income countries like Ethiopia, there are limited researches conducted to investigate outcomes of adolescent pregnancy. Therefore, this study was conducted to assess the adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia.<h4>Methods</h4>A prospective cohort study was conducted in 12 health facilities from seven districts in East Gojjam zone, Northwest Ethiopia. A total of 418 adolescents (15-19 years old) and 836 adult women (20-34 years old) who attended randomly selected health facilities in East Gojjam zone were included. Data were collected starting from admission to the maternity ward for labor and delivery, and postnatal depression was measured at six weeks' postpartum period using the Edinburgh Postnatal Depression Scale. Generalized estimating equations (GEE) was used to account for the within subject correlation and assess the effect of different known factors that could influence the outcome of this study.<h4>Results</h4>A lower percentage of adolescent (58.4%) than adult (71.2%) women had their first antenatal care booking before 16 weeks of gestation. After adjusting for different confounding factors, the adverse outcome that was significantly associated with adolescent pregnancy was postpartum depression (AOR: 2.29; 95% CI, 1.42, 3.7, p-value = 0.001). Assisted vaginal delivery (AOR: 0.44; 95% CI, 0.23, 0.86, p-value 0.016) and cesarean section (AOR: 0.43; 95% CI, 0.19, 0.97, p-value = 0.042) were significantly lower among adolescent women.<h4>Conclusions</h4>Adolescent pregnancy is associated with higher odds of postpartum depression, and lower odds to undergo cesarean section and assisted vaginal delivery than adult women. Perinatal care services should be more adolescent-friendly to ensure early diagnosis and treatment of postpartum depression. School and community-based awareness programs regarding use of contraception to prevent unwanted adolescent pregnancy, early antenatal care booking and adverse pregnancy outcomes of adolescent pregnancy and provision of psychosocial support are recommended.Getachew Mullu KassaAyodele O ArowojoluAkin Tunde A OdukogbeAlemayehu Worku YalewPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257485 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Getachew Mullu Kassa Ayodele O Arowojolu Akin Tunde A Odukogbe Alemayehu Worku Yalew Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.
description	<h4>Background</h4>Adolescent pregnancy is considered a major contributor to maternal and child morbidity and mortality, the greatest concern of developing countries and an important public health issue globally. Adolescents are responsible for eleven percent of births worldwide and they face several pregnancy and childbirth related complications. However, in low-income countries like Ethiopia, there are limited researches conducted to investigate outcomes of adolescent pregnancy. Therefore, this study was conducted to assess the adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia.<h4>Methods</h4>A prospective cohort study was conducted in 12 health facilities from seven districts in East Gojjam zone, Northwest Ethiopia. A total of 418 adolescents (15-19 years old) and 836 adult women (20-34 years old) who attended randomly selected health facilities in East Gojjam zone were included. Data were collected starting from admission to the maternity ward for labor and delivery, and postnatal depression was measured at six weeks' postpartum period using the Edinburgh Postnatal Depression Scale. Generalized estimating equations (GEE) was used to account for the within subject correlation and assess the effect of different known factors that could influence the outcome of this study.<h4>Results</h4>A lower percentage of adolescent (58.4%) than adult (71.2%) women had their first antenatal care booking before 16 weeks of gestation. After adjusting for different confounding factors, the adverse outcome that was significantly associated with adolescent pregnancy was postpartum depression (AOR: 2.29; 95% CI, 1.42, 3.7, p-value = 0.001). Assisted vaginal delivery (AOR: 0.44; 95% CI, 0.23, 0.86, p-value 0.016) and cesarean section (AOR: 0.43; 95% CI, 0.19, 0.97, p-value = 0.042) were significantly lower among adolescent women.<h4>Conclusions</h4>Adolescent pregnancy is associated with higher odds of postpartum depression, and lower odds to undergo cesarean section and assisted vaginal delivery than adult women. Perinatal care services should be more adolescent-friendly to ensure early diagnosis and treatment of postpartum depression. School and community-based awareness programs regarding use of contraception to prevent unwanted adolescent pregnancy, early antenatal care booking and adverse pregnancy outcomes of adolescent pregnancy and provision of psychosocial support are recommended.
format	article
author	Getachew Mullu Kassa Ayodele O Arowojolu Akin Tunde A Odukogbe Alemayehu Worku Yalew
author_facet	Getachew Mullu Kassa Ayodele O Arowojolu Akin Tunde A Odukogbe Alemayehu Worku Yalew
author_sort	Getachew Mullu Kassa
title	Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.
title_short	Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.
title_full	Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.
title_fullStr	Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.
title_full_unstemmed	Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.
title_sort	adverse maternal outcomes of adolescent pregnancy in northwest ethiopia: a prospective cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/35ca40feabf146c483f4e6bbf6477668
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Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.

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