ArticleReproductive health2017
The long-term effects of adolescent pregnancies in a community in Northern Ghana on subsequent pregnancies and births of the young mothers.
Article in Reproductive health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Predictors and prevalence of perinatal mortality in Ghana: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Pooled it
- The Effects of Pregnancy: A Systematic Review of Adolescent Pregnancy in Ghana, Liberia, and Nigeria.International journal of environmental research and public health · 2022Pooled it
- "What bothers the heart": a phenomenological study of adolescents' experiences and interpretations of school-based gender-based violence in Kinshasa, DRC.Sexual and reproductive health matters · 2025Article
- Pregnancy Outcomes of Elderly Primigravidae in a Tertiary Hospital in West Africa: A Retrospective Cohort Study.The American journal of tropical medicine and hygiene · 2025Article
- Exploring the Physical and Mental Health Challenges of Teenage Pregnancy: A Qualitative Study in the Tamale Metropolis, Ghana.Journal of family & reproductive health · 2024Article
- Article
- Pregnancy Outcomes Among Teenagers at a National Referral Hospital in Uganda.International journal of reproductive medicine · 2024Article
- Prevalence and Associated Factors of Adolescent (15-19 Years) Childbearing in Ghana.BioMed research international · 2024Article
- Mirroring Perinatal Outcomes in a Romanian Adolescent Cohort of Pregnant Women from 2015 to 2021.Diagnostics (Basel, Switzerland) · 2023Article
- Protracted armed conflict and maternal health: a scoping review of literature and a retrospective analysis of primary data from northwest Syria.BMJ global health · 2022Article
- Adverse obstetric and neonatal outcomes of adolescent pregnancies in Africa: a scoping review.BMC pregnancy and childbirth · 2022Article
- Pregnant adolescents' lived experiences and coping strategies in peri-urban district in Southern Ghana.BMC public health · 2022Article
- Socio-economic factors associated with adolescent pregnancy and motherhood: Analysis of the 2017 Ghana maternal health survey.PloS one · 2022Article
- Article
- Impact of a maternal and newborn health results-based financing intervention (RBF4MNH) on stillbirth: a cross-sectional comparison in four districts in Malawi.BMC pregnancy and childbirth · 2021Article
- Article
- Understanding the meaning of autonomy in adolescent pregnancy decision-making: lessons from Ghana.The Pan African medical journal · 2021Article
- Decision-making preferences and risk factors regarding early adolescent pregnancy in Ghana: stakeholders' and adolescents' perspectives from a vignette-based qualitative study.Reproductive health · 2020Article
- Inequality in fertility rate among adolescents: evidence from Timor-Leste demographic and health surveys 2009-2016.Archives of public health = Archives belges de sante publique · 2020Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Ghana, adolescents represent 22% of the total population. The rates of adolescent pregnancies are high. Of all births registered in the country in 2014, 30% were by adolescents, and 14% of adolescents aged between 15 and 19 years had begun childbearing. Pregnancies and deliveries of adolescents are accompanied by more risks as compared to older women. The aim of the study was to explore the long-term effects of adolescent pregnancies on subsequent pregnancies and births and on the socioeconomic status of the women.
methodA cross-sectional interviewer-performed survey of a purposive sample of 400 women in one community of Northern Ghana was conducted. Relationships between the age at first pregnancy and complications such as cesarean section, preterm or stillbirth and others were explored in 143 patients using the statistical program SPSS (Statistical Package for the Social Sciences).
resultResults show that adolescent women (<19 years at their first pregnancy) have an 80% higher risk for a cesarean section for the first and subsequent births as compared to older women (≥ 19 years). Furthermore, younger mothers have a 45% higher risk of stillbirths and a 30% increased risk of losing their baby within the first 6 weeks after birth. There was no difference in the socioeconomic status between the two age groups.
conclusionAdolescent pregnancies are risk factors for the outcome of subsequent pregnancies of these mothers. This study, for the first time, shows that not only the first pregnancy and birth of very young women are negatively influenced by the early pregnancy but also subsequent pregnancies and births. While this study is of a purposive sample of women in one community, the clinical relevance of this study should not only be interesting for healthcare practitioners in Northern Ghana and other African regions but also for prevention campaigns in these regions.
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