Evidence map›Paper›PMID 39258103›Full record

ArticleCureus2024

Adverse Perinatal Outcomes Among Teenage Mothers Delivering at a Tertiary Referral Hospital in Southwestern Uganda: Prevalence and Associated Factors.

Joseph Ngonzi, Onesmus Byamukama, Wilson Birungi, Arnold Kamugisha, Moses Ntaro, Grace Nambozi, Leevan Tibaijuka, Lisa Bebell, Charles Tushabomwe-Kazooba, Kristien Roelens

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Joseph NgonziObstetrics and Gynecology, Mbarara University of Science and Technology, Mbarara, UGA.
Onesmus ByamukamaObstetrics and Gynecology, Mbarara University of Science and Technology, Mbarara, UGA.
Wilson BirungiObstetrics and Gynecology, Mbarara University of Science and Technology, Mbarara, UGA.
Arnold KamugishaObstetrics and Gynecology, Mbarara University of Science and Technology, Mbarara, UGA.
Moses NtaroCommunity Health, Mbarara University of Science and Technology, Mbarara, UGA.
Grace NamboziNursing, Mbarara University of Science and Technology, Mbarara, UGA.
Leevan TibaijukaObstetrics and Gynecology, Mbarara University of Science and Technology, Mbarara, UGA.
Lisa BebellMedicine, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Charles Tushabomwe-KazoobaCentral Administration, Mbarara University of Science and Technology, Mbarara, UGA.
Kristien RoelensObstetrics and Gynecology, Women's Clinic, Ghent University Hospital, Ghent, BEL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEach year, millions of teenagers in low-resource areas experience unintended pregnancies, many of which result in childbirth. These pregnancies often carry an increased risk of negative perinatal outcomes.

objectivesThe study determined the prevalence and factors associated with adverse perinatal outcomes among teenagers delivering at a tertiary referral hospital in southwestern Uganda.

methodsThis cross-sectional study was carried out in the Department of Obstetrics and Gynecology. We consecutively included all teenagers (13-19 years) in the postnatal ward who delivered. Descriptive statistics were used to summarize demographic and outcome data, and multivariable logistic regression analysis was used to identify factors associated with adverse perinatal outcomes.

resultsOverall, 327 participants were enrolled. The mean age was 18.4 (SD 1.1) years, while the mean number of antenatal care (ANC) visits attended was 4.6 (SD 1.9). Less than half delivered by cesarean 136 (41.6%) and 16 (4.9%) were HIV seropositive. Approximately 140 (42.8%) participants had adverse perinatal outcomes, including neonatal death (7, 2.1%), APGAR score at five minutes <7 (44, 13.5%), or low birth weight <2.5 kg (52, 15.9%). ANC attendance was mildly protective against adverse perinatal outcomes (aOR 0.91 (95% CI 1.14, 3.01), p=0.03). Feeling indifferent toward the pregnancy was associated with increased odds of one or more adverse perinatal outcomes compared to feeling happy about the pregnancy (aOR 3.39 (95% CI 1.11, 10.37), p=0.02). Participants with a history of prior miscarriage had increased odds of adverse perinatal outcomes (aOR 9.03 (95% CI 2.45, 25.53), p=0.04).

conclusionsNearly half of teenagers experienced adverse perinatal outcomes, and a history of prior miscarriage was a significant risk factor for adverse perinatal outcomes, while ANC was protective. Prospective cohort studies to explore the newborn and child developmental outcomes among children born to teenage mothers are also recommended.

Indexed as

adverse perinatal outcomesmaternal-childneonatalrisk factorsstillbirthteenage pregnancy

Identifiers

PMID39258103
PMCPMC11386187

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.