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maternal mortality and teenage pregnancy

M Borah, R Agarwalla
BACKGROUND AND RATIONALE: Low birth weight (LBW) leads to high neonatal and infant deaths. There is also high prevalence of childhood morbidities and mortalities that are consequences of LBW. OBJECTIVES: To find out the prevalence of LBW babies among the study population and to find out the effect of certain maternal and socio-demographic characteristics on birth weight. MATERIALS AND METHODS: This cross-sectional study was carried out in a rural block of Assam...
July 2016: Journal of Postgraduate Medicine
Edith Y Gutiérrez Vázquez, Emilio A Parrado
In 2007 abortion was legalized in the Federal District of Mexico, making it the largest jurisdiction in Latin America, outside of Cuba, to allow women to have abortions on request during the first trimester of pregnancy. While the implications of the law for women's health and maternal mortality have been investigated, its potential association with fertility behavior has yet to be assessed. We examine metropolitan-area differences in overall and parity-specific childbearing, as well as the age pattern of childbearing between 2000 and 2010 to identify the contribution of abortion legalization to fertility in Mexico...
June 2016: Studies in Family Planning
Kim Jonas, Rik Crutzen, Bart van den Borne, Ronel Sewpaul, Priscilla Reddy
BACKGROUND: Teenage pregnancy still remains high in low and middle-income countries (LMIC), as well as in high-income countries (HIC). It is a major contributor to maternal and child morbidity and mortality rates. Furthermore, it has social consequences, such as perpetuating the cycle of poverty including early school dropout by the pregnant adolescent, especially in sub-Saharan Africa (SSA). Few studies in SSA have investigated the trends in teenage pregnancy and the associated factors, while this is critical in fully understanding teenage pregnancy and for promotion of reproductive health among adolescents at large in SSA...
May 4, 2016: Reproductive Health
Tahilin S Karver, Annik Sorhaindo, Kate S Wilson, Xipatl Contreras
The south of Mexico has traditionally faced disproportionate social, health and economic disadvantage relative to the rest of the country, due in part to lower levels of economic and human development, and barriers faced by Indigenous populations. The state of Oaxaca, in particular, has one of the highest proportions of Indigenous people and consistently displays high rates of maternal mortality, sexually transmitted infections and teenage pregnancy. This study examines how social values and norms surrounding sexuality have changed between two generations of women living in Indigenous communities in Oaxaca...
August 2016: Culture, Health & Sexuality
Swati Singh, Daniel Nnadi Chukwunyere, Joel Omembelede, Ben Onankpa
BACKGROUND: Structural or functional defects present at birth may lead to physical or mental disabilities. They contribute significantly to perinatal morbidity and mortality. AIMS AND OBJECTIVES: The study aimed to determine the prevalence of congenital anomalies among women delivering in the labour room suites of a tertiary health institution in North-Western Nigeria. Various maternal risk factors were also correlated and analysed. SUBJECTS AND METHODS: This was a 3-year hospital-based prospective study carried out in the Department of Obstetrics and Gynaecology in association with the Department of Paediatrics in a tertiary health care centre in North-Western Nigeria...
July 2015: Nigerian Postgraduate Medical Journal
A G Posthumus, E Birnie, M J van Veen, E A P Steegers, G J Bonsel
OBJECTIVES: in the Netherlands the perinatal mortality rate is high compared to other European countries. Around eighty percent of perinatal mortality cases is preceded by being small for gestational age (SGA), preterm birth and/or having a low Apgar-score at 5 minutes after birth. Current risk detection in pregnancy focusses primarily on medical risks. However, non-medical risk factors may be relevant too. Both non-medical and medical risk factors are incorporated in the Rotterdam Reproductive Risk Reduction (R4U) scorecard...
July 2016: Midwifery
J W T Elston, A J Moosa, F Moses, G Walker, N Dotta, R J Waldman, J Wright
BACKGROUND: The current Ebola outbreak has proved devastating to vulnerable populations in West Africa. Health needs assessments were conducted in two districts of Sierra Leone to identify and quantify the impact of the outbreak on population health and health systems. METHODS: Mixed qualitative and quantitative methods were employed including interviews, focus groups, and interrogation and analysis of data from health facilities, district health records and burial teams...
October 27, 2015: Journal of Public Health
Mohamed Abdel Razik, Seham El-Berry, Mahmoud Abosereah, Yehia Edris, Amrr Sharafeldeen
OBJECTIVES: Preeclampsia is associated with significant morbidity and mortality especially in high-risk groups. Impairment of endogenous nitric oxide has been shown to be associated with the disease and prophylactic therapy may ameliorate this condition and improve pregnancy outcome. This study valuated nitric oxide donors prophylactic treatment for preeclampsia in high-risk teenage primigravidae. METHODS: The study included three hundred primigravidae aged ≤ 20 years with singleton pregnancy...
2016: Journal of Maternal-fetal & Neonatal Medicine
David Musoke, Elizabeth Ekirapa-Kiracho, Rawlance Ndejjo, Asha George
Uganda continues to have poor maternal health indicators including a high maternal mortality ratio. This paper explores community level barriers affecting maternal health in rural Wakiso district, Uganda. Using photovoice, a community-based participatory research approach, over a five-month period, ten young community members aged 18-29 years took photographs and analysed them, developing an understanding of the emerging issues and engaging in community dialogue on them. From the study, known health systems problems including inadequate transport, long distance to health facilities, long waiting times at facilities and poor quality of care were confirmed, but other aspects that needed to be addressed were also established...
May 2015: Reproductive Health Matters
Berhe Weldearegawi, Yohannes Adama Melaku, Semaw Ferede Abera, Yemane Ashebir, Fisaha Haile, Afework Mulugeta, Frehiwot Eshetu, Mark Spigt
BACKGROUND: Ethiopia has made large-scale healthcare investments to improve child health and survival. However, there is insufficient population level data on the current estimates of infant mortality rate (IMR) in the country. The aim of this study was to measure infant mortality rate, investigate risk factors for infant deaths and identify causes of death in a rural population of northern Ethiopia. METHODS: Live births to a cohort of mothers under the Kilite Awlaelo Health and Demographic Surveillance System were followed up to their first birthday or death, between September 11, 2009 and September 10, 2013...
August 11, 2015: BMC Public Health
Primus Che Chi, Patience Bulage, Henrik Urdal, Johanne Sundby
BACKGROUND: Armed conflict potentially poses serious challenges to access and quality of maternal and reproductive health (MRH) services, resulting in increased maternal morbidity and mortality. The effects of armed conflict may vary from one setting to another, including the mechanisms/channels through which the conflict may lead to poor access to and quality of health services. This study aims to explore the effects of armed conflict on MRH in Burundi and Northern Uganda. METHODS: This is a descriptive qualitative study that used in-depth interviews (IDIs) and focus group discussions (FGDs) with women, health providers and staff of NGOs for data collection...
2015: BMC International Health and Human Rights
Tunny Sebastian, Bijesh Yadav, Lakshmanan Jeyaseelan, Reeta Vijayaselvi, Ruby Jose
BACKGROUND: The birth weight and gestational age at birth are two important variables that define neonatal morbidity and mortality. In developed countries, chronic maternal diseases like hypertension, diabetes mellitus, renal disease or collagen vascular disease is the most common cause of intrauterine growth restriction (IUGR). Maternal nutrition, pregnancy induced hypertension, chronic maternal infections, and other infections such as cytomegalovirus, parvovirus, rubella and malaria are the other causes of IUGR...
February 3, 2015: BMC Pregnancy and Childbirth
G Kang, J Y Lim, A S Kale, L Y Lee
INTRODUCTION: Teenage pregnancy is associated with poor neonatal outcomes, which may burden the young mothers and their families. The aim of this study was to determine the effect young maternal age and single motherhood has on neonatal outcomes. METHODS: We conducted a retrospective cohort study of 267 infants born to mothers aged ≤ 21 years in National University Hospital, Singapore, from January 2011 to December 2012. We compared the maternal demographics and neonatal outcomes of single mothers with those of married mothers...
March 2015: Singapore Medical Journal
Peter Onubiwe Nkwo, Lucky Osaheni Lawani, Euzebus Chinonye Ezugwu, Chukwuemeka Anthony Iyoke, Agozie C Ubesie, Robinson Chukwudi Onoh
BACKGROUND: Nigeria's high perinatal mortality rate (PNMR) could be most effectively reduced by targeting factors that are associated with increased newborn deaths. Low access to skilled birth attendants (SBAs) and weak health system are recognized factors associated with high PNMR but other socio-demographic and reproductive factors could have significant influences as well. Identification of the major factors associated with high PNMR would be required in designing interventions to improve perinatal outcomes...
2014: BMC Pregnancy and Childbirth
Marian F MacDorman, Sharon E Kirmeyer, Elizabeth C Wilson
OBJECTIVES: This report presents 2006 fetal and perinatal mortality data by maternal age, marital status, race, Hispanic origin, and state of residence, as well as by fetal birthweight, gestational age, plurality, and sex. Trends in fetal and perinatal mortality are also examined. METHODS: Descriptive tabulations of data are presented and interpreted. RESULTS: There were 25,972 reported fetal deaths at 20 weeks of gestation or more in the United States in 2006...
August 28, 2012: National Vital Statistics Reports
Xiaoli Liu, Weiyuan Zhang
BACKGROUND: In the last few decades, there has been a delay in first-time pregnancies, and the average age of women at the time of delivery has increased in many countries. Advanced maternal age is associated with adverse pregnancy outcomes. This study aimed to determine the present trends and pregnancy outcomes related to maternal age in China. METHODS: Data were collected from 39 hospitals in mainland of China. All deliveries were performed after 28 completed weeks of gestation and between January 1 and December 31, 2011...
2014: Chinese Medical Journal
L Lama, S Shrestha, A Sharma, S Upadhyay, M R Pathak
Pregnancy in teenage period of life is often associated with maternal complications as well as preterm delivery, low birth weight babies and small for date babies. The purpose of this study was to know the immediate outcome of neonates delivered by adolescent pregnant mother at Nepal Medical College Teaching Hospital (NMCTH), Attarkhel, Kathmandu. A retrospective comparative study was carried out in 350 adolescent pregnant mother who had delivered newborn at NMCTH from April 2005 to February 2009. Data were obtained from the case record register from Archive...
June 2013: Nepal Medical College Journal: NMCJ
Florent Ymele Fouelifack, Theodore Yangsi Tameh, Eta Ngole Mbong, Philip Njotang Nana, Jeanne Hortence Fouedjio, Jovanny Tsuala Fouogue, Robinson Enow Mbu
BACKGROUND: Adolescent pregnancies are a growing public health problem in Cameroon. We sought to study the outcome of such pregnancies, in order to inform public health action. METHODS: A cross-sectional analysis of 5997 deliveries which compared the outcome of deliveries in adolescent (10-19 years old) pregnant women registered at the Yaoundé Central Hospital between 2008 and 2010 to that of their non-adolescent adult (≥ 20 years old) counterparts. Variables used for comparison included socio-demographic and obstetric characteristics of parturients, referral status, and maternal and fetal outcomes...
2014: BMC Pregnancy and Childbirth
L Lama, P Rijal, S Budathoki, A D Shrestha
Pregnancy in adolescence is often associated with maternal complications as well as preterm delivery, low birth weight babies and small for date babies. A retrospective study was carried out in 350 adolescent women who delivered child at Nepal Medical College Teaching Hospital (NMCTH), Attarkhel, Kathmandu from April 2005 to February 2009. Data were obtained from the case record register. Prevalence of pregnancy in adolescence was 11.1%. Majority of adolescent mother were aged between 17-19 years, belonging to Mongolian ethnicity, Hindu by belief and residing within Kathmandu Valley...
December 2012: Nepal Medical College Journal: NMCJ
Emiliana Cristina Melo, Ana Beatriz Guedes Ribeiro, Rosana Rosseto de Oliveira, Robsmeire Calvo Melo Zurita, Thais Aidar de Freitas Mathias
The aim of this study was to analyze maternal and child health indicators and infant mortality rate (IMR) at the cities located at the 18th Health Division (HD) in Parana State, Brazil. In this ecological study we analyzed all live births and infant deaths which occurred from 2000 to 2009 at the 18th HD, collecting data from the Mortality Information Database and the Live Births Information Database. The variables assessed were grouped into maternal, pregnancy and delivery, and neonatal variables. The analysis was conducted using the mean percentage of each variable and the IMR calculated for both periods: from 2000 to 2004 and from 2005 to 2009...
2013: Nursing Research and Practice
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