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Adolescence as risk factor for adverse pregnancy outcome in Central Africa--a cross-sectional study

Kurth, Florian ; Bélard, Sabine ; Mombo-Ngoma, Ghyslain ; Schuster, Katharina ; Adegnika, Ayola A ; Bouyou-Akotet, Marielle K ; Kremsner, Peter G ; Ramharter, Michael Myer, Landon

PloS one, 2010-12, Vol.5 (12), p.e14367-e14367 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Adolescence as risk factor for adverse pregnancy outcome in Central Africa--a cross-sectional study
Autor: Kurth, Florian ; Bélard, Sabine ; Mombo-Ngoma, Ghyslain ; Schuster, Katharina ; Adegnika, Ayola A ; Bouyou-Akotet, Marielle K ; Kremsner, Peter G ; Ramharter, Michael
Myer, Landon
Assuntos: Acquired immune deficiency syndrome ; Adolescent ; Adolescents ; Adult ; Africa, Central ; Age ; AIDS ; Anemia ; Bednets ; Birth weight ; Body mass index ; Child health ; Childbirth & labor ; Children ; Childrens health ; Cross-Sectional Studies ; Female ; Gabon ; Gestational age ; Health aspects ; Hospitals ; Humans ; Infant mortality ; Infant, Low Birth Weight ; Infant, Newborn ; Infants ; Infants (Newborn) ; Infectious diseases ; Infectious Diseases/Epidemiology and Control of Infectious Diseases ; Infectious Diseases/Protozoal Infections ; Insecticides ; Low birth weight ; Malaria ; Maternal Age ; Maternal mortality ; Medical research ; Medicine ; Medicine, Experimental ; Medicine, Preventive ; Middle Aged ; Mortality ; Mothers ; Neonates ; Newborn babies ; Newborn infants ; Obstetrics/Pregnancy ; Patient outcomes ; Pediatrics ; Pediatrics and Child Health/Neonatology ; Plasmodium falciparum ; Pregnancy ; Pregnancy in Adolescence ; Pregnancy Outcome ; Pregnant women ; Premature birth ; Prenatal Care - utilization ; Preventive health services ; Preventive medicine ; Public health ; Regression Analysis ; Risk analysis ; Risk Factors ; Schweitzer, Albert ; Sociodemographics ; Statistical analysis ; Stillbirth ; Studies ; Surveys ; Teenagers ; Vector-borne diseases ; Womens health
É parte de: PloS one, 2010-12, Vol.5 (12), p.e14367-e14367
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Conceived and designed the experiments: AAA PGK MR. Performed the experiments: FK SB GMN KS MKBA. Analyzed the data: FK GMN AAA MR. Contributed reagents/materials/analysis tools: FK GMN KS MKBA. Wrote the paper: FK SB AAA PGK MR.
Descrição: Sub-Saharan Africa has the highest rates of maternal and neonatal mortality worldwide. Young maternal age at delivery has been proposed as risk factor for adverse pregnancy outcome, yet there is insufficient data from Sub-Saharan Africa. The present study aimed to investigate the influence of maternal adolescence on pregnancy outcomes in the Central African country Gabon. Data on maternal age, parity, birth weight, gestational age, maternal Plasmodium falciparum infection, use of bednets, and intake of intermittent preventive treatment of malaria in pregnancy were collected in a cross-sectional survey in 775 women giving birth in three mother-child health centers in Gabon. Adolescent women (≤16 years of age) had a significantly increased risk to deliver a baby with low birth weight in univariable analysis (22.8%, 13/57, vs. 9.3%, 67/718, OR: 2.9, 95% CI: 1.5-5.6) and young maternal age showed a statistically significant association with the risk for low birth weight in multivariable regression analysis after correction for established risk factors (OR: 2.7; 95% CI: 1.1-6.5). In further analysis adolescent women were shown to attend significantly less antenatal care visits than adult mothers (3.3±1.9 versus 4.4±1.9 mean visits, p<0.01, n = 356) and this difference accounted at least for part of the excess risk for low birth weight in adolescents. Our data demonstrate the importance of adolescent age as risk factor for adverse pregnancy outcome. Antenatal care programs specifically tailored for the needs of adolescents may be necessary to improve the frequency of antenatal care visits and pregnancy outcomes in this risk group in Central Africa.
Editor: United States: Public Library of Science
Idioma: Inglês

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Adolescence as risk factor for adverse pregnancy outcome in Central Africa--a cross-sectional study

Kurth, Florian ; Bélard, Sabine ; Mombo-Ngoma, Ghyslain ; Schuster, Katharina ; Adegnika, Ayola A ; Bouyou-Akotet, Marielle K ; Kremsner, Peter G ; Ramharter, Michael Myer, Landon

United States: Public Library of Science

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