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Teenage pregnancy

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https://www.readbyqxmd.com/read/28806964/intervention-now-to-eliminate-repeat-unintended-pregnancy-in-teenagers-interupt-a-systematic-review-of-intervention-effectiveness-and-cost-effectiveness-and-qualitative-and-realist-synthesis-of-implementation-factors-and-user-engagement
#1
Rabeea'h W Aslam, Maggie Hendry, Andrew Booth, Ben Carter, Joanna M Charles, Noel Craine, Rhiannon Tudor Edwards, Jane Noyes, Lupetu Ives Ntambwe, Diana Pasterfield, Jo Rycroft-Malone, Nefyn Williams, Rhiannon Whitaker
BACKGROUND: Unintended repeat conceptions can result in emotional, psychological and educational harm to young women, often with enduring implications for their life chances. This study aimed to identify which young women are at the greatest risk of repeat unintended pregnancies; which interventions are effective and cost-effective; and what are the barriers to and facilitators for the uptake of these interventions. METHODS: We conducted a mixed-methods systematic review which included meta-analysis, framework synthesis and application of realist principles, with stakeholder input and service user feedback to address this...
August 15, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28782350/rate-of-teenage-pregnancy-in-jordan-and-its-impact-on-maternal-and-neonatal-outcomes
#2
Yousef S Khader, Anwar Batieha, Rana Kareem Al Fursan, Rami Al-Hader, Sa'ad S Hijazi
Objective Research regarding the adverse outcomes of adolescent childbearing has suffered from many limitations such as a small sample size and non-representative samples. This study was conducted to determine the rate of teenage pregnancy among Jordanian adolescents and its associated adverse maternal and neonatal outcomes. Methods The study is a part of a comprehensive national study of perinatal mortality that was conducted between 2011 and 2012 in Jordan. All women who gave birth after 20 weeks of gestation in 18 maternity hospitals in Jordan between 2011 and 2012 were invited to participate in the study...
July 26, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28776838/assessing-variations-in-developmental-outcomes-among-teenage-offspring-of-teen-mothers-maternal-life-course-correlates
#3
Jungeun Olivia Lee, Lewayne D Gilchrist, Blair A Beadnell, Mary Jane Lohr, Chaoyue Yuan, Lacey A Hartigan, Diane M Morrison
This study investigated potential heterogeneity in development among offspring (age 17) of teen mothers and maternal life course as correlates of variation. Using latent class analysis, subgroups of developmental outcomes were identified. Maternal standing in two life course realms (i.e., socioeconomic and domestic) was considered as a potential explanation for heterogeneity in offspring's development. Offspring reported on measures assessing their psychological, academic, and behavioral development. Teen mothers reported on measures of life course realms...
September 2017: Journal of Research on Adolescence: the Official Journal of the Society for Research on Adolescence
https://www.readbyqxmd.com/read/28748585/evolution-of-adolescent-fertility-after-decriminalization-of-abortion-in-montevideo-uruguay
#4
José-Ignacio Antón, Zuleika Ferre, Patricia Triunfo
OBJECTIVE: To analyze the effect on adolescent fertility in Montevideo of the Uruguayan law on the voluntary termination of pregnancy that was passed in 2012. METHODS: The change in the number of births to teenage mothers between 2010 and 2014 was analyzed, along with their characteristics before and after decriminalization of abortion. RESULTS: Descriptive analysis of abortion before and after decriminalization showed that there was no reduction, during the period analyzed, in adolescent fertility, nor any changes in the distribution of births...
August 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28747094/a-comparison-of-socioeconomic-status-and-mental-health-among-inner-city-aboriginal-and-non-aboriginal-women
#5
Kevin Hamdullahpur, Kahá Wi J Jacobs, Kathryn J Gill
Aboriginal women in urban areas have been reported to experience high rates of poverty, homelessness, interpersonal violence, and health problems. However, there are few prior ethnocultural comparisons of urban women from similar socioeconomic backgrounds. The current study explored the mental and physical health of Aboriginal and non-Aboriginal women accessing social services agencies and shelters. Half of the sample (n=172) was Aboriginal (48.3%). The lifetime rate of physical abuse was significantly higher in Aboriginal women, and they were more likely to have been victims of violence or crime in the past year (A=50...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28707101/the-use-of-acog-guidelines-perceived-contraindications-to-iud-and-implant-use-among-family-planning-providers
#6
Ash E Philliber, Heather Hirsch, Claire D Brindis, Rita Turner, Susan Philliber
Objectives The uptake and actual use of the current guidelines from the American College of Obstetrics and Gynecology (ACOG) is unknown. Methods Family planning providers across Colorado and Iowa were surveyed as part of statewide initiatives to reduce unintended pregnancy in 2010 and 2012, both before and after the release of the guidelines. These initiatives focused on the promotion of intrauterine devices (IUDs) and implants. These surveys included questions on providers' views regarding the suitability and safety of the copper T IUD, hormonal IUD, and single rod implant for various subgroups of clients...
July 13, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28676084/social-and-demographic-drivers-of-trend-and-seasonality-in-elective-abortions-in-denmark
#7
Tim A Bruckner, Laust H Mortensen, Ralph A Catalano
BACKGROUND: Elective abortions show a secular decline in high income countries. That general pattern, however, may mask meaningful differences-and a potentially rising trend-among age, income, and other racial/ethnic groups. We explore these differences in Denmark, a high-income, low-fertility country with excellent data on terminations and births. METHODS: We examined monthly elective abortions (n = 225,287) from 1995 to 2009, by maternal age, parity, income level and mother's country of origin...
July 4, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28661244/mitigating-risks-to-pregnant-teens-from-zika-virus
#8
Andrew D Maynard, Diana M Bowman, James G Hodge
Zika infection in pregnant women is associated with an elevated probability of giving birth to a child with microcephaly and multiple other disabilities. Public health messaging on Zika prevention has predominantly targeted women who know they are pregnant or intend to become pregnant, but not teenage females for whom unintended pregnancy is more likely. Vulnerabilities among this population to reproductive risks associated with Zika are further amplified by restrictive abortion laws in several Zika-impacted states...
December 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/28651643/understanding-resilience-of-female-adolescents-towards-teenage-pregnancy-a-cross-sectional-survey-in-dar-es-salaam-tanzania
#9
Constanze Pfeiffer, Collins K Ahorlu, Sandra Alba, Brigit Obrist
BACKGROUND: In Tanzania, teenage pregnancy rates are still high despite the efforts being made to reduce them. Not enough is known about how adolescents experience and cope with sexuality and teenage pregnancy. Over the past few decades, most studies have focused on vulnerability and risk among youth. The concept of 'reproductive resilience' is a new way of looking at teenage pregnancy. It shifts the perspective from a deficit-based to a strength-based approach. The study presented here aimed to identify factors that could contribute to strengthening the reproductive resilience of girls in Dar es Salaam, Tanzania...
June 26, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28640332/pregnant-teenagers-group-contributions-to-prenatal-care
#10
Maria Veraci Oliveira Queiroz, Giselle Maria Duarte Menezes, Thaís Jormanna Pereira Silva, Eysler Gonçalves Maia Brasil, Raimunda Magalhães da Silva
Objective: To describe changes in nurses' care following the implementation of a group of pregnant teenagers in prenatal care based on the expectations and experiences of pregnant teenagers. Method: Qualitative and descriptive study conducted from February to November 2013 at a Primary Care Unit in Fortaleza, Ceará, Brazil, through focus groups with 16 adolescents from the group of pregnant women in the second or third trimester of pregnancy. The analysis identified central ideas and units of meanings that formed the categories...
June 5, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28639475/ecological-correlates-of-multiple-sexual-partnerships-among-adolescents-and-young-adults-in-urban-cape-town-a-cumulative-risk-factor-approach
#11
Evans Muchiri, Clifford Odimegwu, Pamela Banda, Lorreta Ntoimo, Sunday Adedini
Studies in South Africa have reported unsafe levels of risky sexual behvaiours among adolescents and young adults, with the country reporting the highest burden of HIV/AIDS globally, as well as a high rate of teenage pregnancy. While determinants of risky sexual behaviours have been investigated for factors occurring at the individual and household levels, not fully explored in the literature is the effect of community level factors. Furthermore, it is unclear whether risk factors occurring within the ecology of adolescents and young adults act cumulatively to influence their sexual practices...
June 22, 2017: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/28633549/an-update-on-zika-vaccine-developments
#12
Anna Durbin, Annelies Wilder-Smith
The devastating consequences of congenital Zika virus (ZIKV) infection led to a global response directed toward a better understanding of the epidemiology and pathogenesis of ZIKV and to efforts at vaccine development. As a result, there are currently 45 ZIKV vaccine candidates in development. Areas covered: Both traditional (purified inactivated, live attenuated, viral-vectored, recombinant sub-unit) and novel (DNA, self-replicating RNA, mRNA) vaccine platforms are being utilized. For emergency use, vaccines that are appropriate for women of child-bearing age (including pregnant women) are being developed...
August 2017: Expert Review of Vaccines
https://www.readbyqxmd.com/read/28619255/infant-nutrition-and-maternal-obesity-influence-the-risk-of-non-alcoholic-fatty-liver-disease-in-adolescents
#13
Oyekoya T Ayonrinde, Wendy H Oddy, Leon A Adams, Trevor A Mori, Lawrence J Beilin, Nicholas de Klerk, John K Olynyk
BACKGROUND & AIMS: The pathway to non-alcoholic fatty liver disease (NAFLD) in adolescents may have its origins in adiposity gains, nutrition and sedentary lifestyle established during childhood. There is inadequate knowledge regarding the associations between infant nutrition and subsequent NAFLD. We examined the association of maternal factors and infant nutrition, with the subsequent diagnosis of NAFLD in adolescents. METHODS: Adolescents aged 17years in the Western Australian Pregnancy (Raine) Cohort study had fatty liver assessment using liver ultrasound...
May 22, 2017: Journal of Hepatology
https://www.readbyqxmd.com/read/28601024/an-umbrella-review-of-meta-analyses-of-interventions-to-improve-maternal-outcomes-for-teen-mothers
#14
Lee SmithBattle, Deborah G Loman, Chutima Chantamit-O-Pas, Joanne Kraenzle Schneider
The purpose of this study was to perform an umbrella review of meta-analyses of intervention studies designed to improve outcomes of pregnant or parenting teenagers. An extensive search retrieved nine reports which provided 21 meta-analyses analyses. Data were extracted by two reviewers. Methodological quality was assessed using the AMSTAR Instrument. Most effect sizes were small but high quality studies showed significant outcomes for reduced low birth weight (RR = 0.60), repeat pregnancies/births (OR = 0...
August 2017: Journal of Adolescence
https://www.readbyqxmd.com/read/28600757/obstetric-fistula-in-niger-6-month-postoperative-follow-up-of-384-patients-from-the-danja-fistula-center
#15
Itengre Ouedraogo, Christopher Payne, Rahel Nardos, Avril J Adelman, L Lewis Wall
INTRODUCTION AND HYPOTHESIS: The impoverished West African country of Niger has high rates of obstetric fistula. We report a 6-month postoperative follow-up of 384 patients from the Danja Fistula Center and assess factors associated with operative success or failure. METHODS: The medical records of 384 women who had completed a 6-month follow-up after fistula surgery were reviewed. Cases were categorized as "easy," "of intermediate complexity," or "difficult" based on a preoperative points system...
June 9, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28578177/the-impact-of-uterine-immaturity-on-obstetrical-syndromes-during%C3%A2-adolescence
#16
Ivo Brosens, Joanne Muter, Caroline E Gargett, Patrick Puttemans, Giuseppe Benagiano, Jan J Brosens
Pregnant nulliparous adolescents are at increased risk, inversely proportional to their age, of major obstetric syndromes, including preeclampsia, fetal growth restriction, and preterm birth. Emerging evidence indicates that biological immaturity of the uterus accounts for the increased incidence of obstetrical disorders in very young mothers, possibly compounded by sociodemographic factors associated with teenage pregnancy. The endometrium in most newborns is intrinsically resistant to progesterone signaling, and the rate of transition to a fully responsive tissue likely determines pregnancy outcome during adolescence...
May 31, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28574297/postpartum-depression-in-adolescent-mothers
#17
Katharine J Dinwiddie, Tracy L Schillerstrom, Jason E Schillerstrom
BACKGROUND: Postpartum depression has been extensively studied in adults but is less understood in adolescent mothers, despite a prevalence that is double that observed in adult mothers. The purpose of this review was to describe the epidemiology, risk factors, treatment and prognosis for adolescents with postpartum depression. We also sought to identify limitations of the available literature and propose areas for future study targeting postpartum depression in this vulnerable population...
June 2, 2017: Journal of Psychosomatic Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28562274/ethical-controversy-about-hysterectomy-for-a-minor
#18
Alyssa M Burgart, Julie Strickland, Dena Davis, Arlene B Baratz, Katrina Karkazis, John D Lantos
One of the most complicated ethical issues that arises in children's hospitals today is the issue of whether it is ever permissible to perform a procedure for a minor that will result in permanent sterilization. In most cases, the answer is no. The availability of good, safe, long-acting contraception allows surgical options to be postponed when the primary goal of such surgical options is to prevent pregnancy. But what if a minor has congenital urogenital anomalies or other medical conditions for which the best treatment is a hysterectomy? In those cases, the primary goal of therapy is not to prevent pregnancy...
June 2017: Pediatrics
https://www.readbyqxmd.com/read/28558295/the-effect-of-spending-cuts-on-teen-pregnancy
#19
David Paton, Liam Wright
In recent years, English local authorities have been forced to make significant cuts to devolved expenditure. In this paper, we examine the impact of reductions in local expenditure on one particular public health target: reducing rates of teen pregnancy. Contrary to predictions made at the time of the cuts, panel data estimates provide no evidence that areas which reduced expenditure the most have experienced relative increases in teenage pregnancy rates. Rather, expenditure cuts are associated with small reductions in teen pregnancy rates, a result which is robust to a number of alternative specifications and tests for causality...
July 2017: Journal of Health Economics
https://www.readbyqxmd.com/read/28553147/inappropriate-gestational-weight-gain-among-teenage-pregnancies-prevalence-and-pregnancy-outcomes
#20
Yada Vivatkusol, Thaovalai Thavaramara, Chadakarn Phaloprakarn
OBJECTIVE: To study the prevalence and pregnancy outcomes of inappropriate gestational weight gain (GWG) among teenage pregnant women. METHODS: A retrospective descriptive study was conducted on 2,165 teenage pregnant women who attended our antenatal clinic between January 2007 and August 2015. Adverse pregnancy outcomes, including maternal and neonatal outcomes of women with inappropriate GWG, including underweight and overweight, were studied and compared with those of women with appropriate GWG...
2017: International Journal of Women's Health
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