ArticlePloS one2021
Adverse maternal outcomes of adolescent pregnancy in Northwest Ethiopia: A prospective cohort study.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Early motherhood, early burden: depression among teenage pregnancy and early motherhood in Africa: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Stated preferences of adolescents and young adults for sexual and reproductive health services in Africa: a systematic review.Sexual and reproductive health matters · 2025Pooled it
- Understanding the transition to motherhood among adolescent mothers in rural Pakistan: Implications for mental health.PloS one · 2026Article
- 'We truly feel limited': nurses and midwives' perspectives on multi-level factors influencing women's adherence to ANC in Rwanda: a qualitative study.BMC health services research · 2025Article
- Adverse obstetrical outcomes among adolescents in North Wollo Zone Governmental hospitals, Northern Ethiopia.Scientific reports · 2025Article
- Comparing adverse maternal outcomes among adolescent and adult women in North Wollo Zone governmental hospitals, northern Ethiopia.Frontiers in global women's health · 2025Article
- Motherhood and mental health of adolescent girls in low- and middle-income countries: A scoping review.PLOS global public health · 2025Article
- Caesarean sections among east African refugees and their host population: a 20-year retrospective study in western Tanzania.African health sciences · 2024Article
- Determinants of early antenatal care visits among women of reproductive age in Ghana: evidence from the recent Maternal Health Survey.BMC pregnancy and childbirth · 2024Article
- [Comparison of unfavorable perinatal outcomes in primiparous adolescents and adults].Revista medica del Instituto Mexicano del Seguro Social · 2023Observational
- Intimate partner violence victimization during pregnancy increases risk of postpartum depression among urban adolescent mothers in South Africa.Reproductive health · 2023Article
- Trend, determinants, and future prospect of child marriage in the Amhara region, Ethiopia: a multivariate decomposition analysis.Frontiers in public health · 2023Article
- Magnitude and Factors Associated with Teenage Pregnancy in Somaliland: Evidence from Somaliland Health and Demographic Survey, 2020.International journal of women's health · 2023Article
- Contraceptive use to delay first birth and its associated factors among married young women in rural parts of central Oromia, Ethiopia: A community-based cross-sectional study.Women's health (London, England)Article
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4 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAdolescent 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.
methodsA 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.
resultsA 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.
conclusionsAdolescent 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.
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