Observational studyBMC pregnancy and childbirth2020
The burden of adolescent motherhood and health consequences in Nepal.
Observational study in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Adolescent Pregnancy in South Asia: A Systematic Review of Observational Studies.International journal of environmental research and public health · 2022Pooled it
- Pathways to empowerment of adolescent mothers: a policy-oriented approach for improving postpartum self-efficacy and health service access within Iran's health system.BMC public health · 2026Article
- Future Adaptations of Psychosocial Program for Indonesian Pregnant Adolescents: A Research Synthesis.International journal of women's health · 2026Review
- Adverse obstetrical outcomes among adolescents in North Wollo Zone Governmental hospitals, Northern Ethiopia.Scientific reports · 2025Article
- Article
- Prevalence and Factors Associated With Adolescent Pregnancy Among an Indigenous Ethnic Group in Rural Nepal: A Community-based Cross-sectional Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- "My friends said they should no longer be with a b*tch like me…": A qualitative study to explore the consequences of adolescent childbearing among teen mothers in Gatsibo district, Rwanda.PLOS global public health · 2024Article
- Adolescent mothers, self-care and childcare: content validation of an Event History Calendar.Revista da Escola de Enfermagem da U S P · 2023Article
- Article
- "Can't live willingly": A thematic synthesis of qualitative evidence exploring how early marriage and early pregnancy affect experiences of pregnancy in South Asia.PLOS global public health · 2023Article
- Association of geographic distribution and birth weight with sociodemographic factors of the maternal and newborn child of hilly and mountain regions of eastern Nepal: a cross-sectional study.BMJ paediatrics open · 2022Article
- Associations between early marriage and preterm delivery: Evidence from lowland Nepal.American journal of human biology : the official journal of the Human Biology Council · 2022Article
- Socio-economic factors associated with adolescent pregnancy and motherhood: Analysis of the 2017 Ghana maternal health survey.PloS one · 2022Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 5 countries.
Funding
Abstract
backgroundAnnually, 18 million babies are born to mothers 18 years or less. Two thirds of these births take place in South Asia and Sub-Saharan Africa. Due to social and biological factors, adolescent mothers have a higher risk of adverse birth outcomes. We conducted this study to assess the incidence, risk factors, maternal and neonatal health consequences among adolescent mothers.
methodsWe conducted an observational study in 12 hospitals of Nepal for a period of 12 months. Patient medical record and semi-structured interviews were used to collect demographic information of mothers, intrapartum care and outcomes. The risks of adverse birth outcomes among adolescent compared to adult mothers were assessed using multivariate logistic regression.
resultsDuring the study period, among the total 60,742 deliveries, 7.8% were adolescent mothers. Two third of the adolescent mothers were from disadvantaged ethnic groups, compared to half of adult mothers (66.1% vs 47.8%, p-value< 0.001). One third of the adolescent mothers did not have formal education, while one in nine adult mothers did not have formal education (32.6% vs 14.2%, p-value< 0.001). Compared to adult mothers, adolescent mothers had higher odds of experiencing prolonged labour (aOR-1.56, 95% CI, 1.17-2.10, p-0.003), preterm birth (aOR-1.40, 95% CI, 1.26-1.55, p < 0.001) and of having a baby being small for gestational age (aOR-1.38, 95% CI 1.25-1.52, p < 0.001). The odds of major malformation increased by more than two-fold in adolescent mothers compared to adult mothers (aOR-2.66, 95% CI 1.12-6.33, p-0.027).
conclusionWomen from disadvantaged ethnic group have higher risk of being pregnant during adolescent age. Adolescent mothers were more likely to have prolonged labour, a preterm birth, small for gestational age baby and major congenital malformation. Special attention to this high-risk group during pregnancy, labour and delivery is critical.
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