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Pregnancy in adolescents

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https://www.readbyqxmd.com/read/29791441/the-impact-of-young-maternal-age-at-birth-on-neonatal-mortality-evidence-from-45-low-and-middle-income-countries
#1
Sarah Neal, Andrew Amos Channon, Jesman Chintsanya
OBJECTIVES: This study explores the impact of early motherhood on neonatal mortality, and how this differs between countries and regions. It assesses whether the risk of neonatal mortality is greater for younger adolescent mothers compared with mothers in later adolescence, and explores if differences reflect confounding socio-economic and health care utilisation factors. It also examines how the risks differ for first or subsequent pregnancies. METHODS: The analysis uses 64 Demographic and Health Surveys collected between 2005 and 2015 from 45 countries to explore the relationship between adolescent motherhood (disaggregated as <16 years, 16/17 years and 18/19 years) and neonatal mortality...
2018: PloS One
https://www.readbyqxmd.com/read/29789442/ovine-prenatal-growth-restriction-impacts-glucose-metabolism-and-body-composition-throughout-life-in-both-sexes
#2
Jacqueline M Wallace, John S Milne, Raymond P Aitken, Graham W Horgan, Clare L Adam
Low birthweight is a risk factor for later adverse health. Here the impact of placentally-mediated prenatal growth-restriction followed by postnatal nutrient abundance on growth, glucose metabolism and body composition was assessed in both sexes at key stages from birth to mid-adult life. Singleton-bearing adolescent dams were fed control or high nutrient intakes to induce normal or growth-restricted pregnancies, respectively. Restricted lambs had ~40% reduced birthweight. Fractional growth rates were higher in restricted lambs of both sexes predominantly during suckling/juvenile phases...
May 22, 2018: Reproduction: the Official Journal of the Society for the Study of Fertility
https://www.readbyqxmd.com/read/29789019/adolescents-perceptions-and-experiences-of-pregnancy-in-refugee-and-migrant-communities-on-the-thailand-myanmar-border-a-qualitative-study
#3
Carine Asnong, Gracia Fellmeth, Emma Plugge, Nan San Wai, Mupawjay Pimanpanarak, Moo Kho Paw, Prakaykaew Charunwatthana, François Nosten, Rose McGready
BACKGROUND: Adolescent pregnancy remains a global health concern, contributing to 11% of all births worldwide and 23% of the overall burden of disease in girls aged 15-19 years. Premature motherhood can create a negative cycle of adverse health, economic and social outcomes for young women, their babies and families. Refugee and migrant adolescent girls might be particularly at risk due to poverty, poor education and health infrastructure, early marriage, limited access to contraception and traditional beliefs...
May 22, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29788136/an-experimental-evaluation-of-the-benefits-and-costs-of-providing-fertility-information-to-adolescents-and-emerging-adults
#4
J Boivin, E Koert, T Harris, L O'Shea, A Perryman, K Parker, C Harrison
STUDY QUESTION: Does the provision of fertility (compared to control) information affect fertility-related knowledge, perceived threat of infertility, anxiety, physical stress and fertility plans in adolescents and emerging adults? SUMMARY ANSWER: The provision of fertility information was associated with increased fertility knowledge (emerging adults) and greater infertility threat (adolescents and emerging adults). WHAT IS KNOWN ALREADY: According to fertility education research, adolescents and emerging adults know less than they should know about fertility topics...
May 17, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29783878/adolescent-fertility-rates-in-a-rural-community-in-north-western-zambia-a-retrospective-study
#5
Mwansa Jere
Adolescent fertility rate is defined as the number of births per 1000 in women aged 15-19 years. These rates are highest in sub-Saharan Africa. National data from Zambia suggest the rate has declined from 179.6 in 1960 to 87.9 in 2015. A retrospective study was performed at Chitokoloki Mission Hospital using the hospital delivery registers during January 2008 to December 2015. In this period, 945 (20.81%) births were to adolescent mothers. As morbidity is significant in this vulnerable group, strategies to reduce pregnancy rates among these young girls is much-needed...
January 1, 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29777642/reaching-urban-female-adolescents-at-key-points-of-sexual-and-reproductive-health-transitions-evidence-from-a-longitudinal-study-from-kenya
#6
Ilene S Speizer, Lisa M Calhoun, David K Guilkey
Urban areas include large numbers of adolescents (ages 15-19) and young adults (ages 20-24) who may have unmet sexual and reproductive health (SRH) needs. Worldwide, adolescents contribute 11% of births, many of which are in low and middle-income countries. This study uses recently collected longitudinal data from urban Kenyan women to examine the association between targeted intervention activities and adolescents' SRH transitions. The focus was on a female adolescent (15-19) sample and their transition to first sex and first pregnancy/birth...
March 2018: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/29776353/depression-and-its-psychosocial-risk-factors-in-pregnant-kenyan-adolescents-a-cross-sectional-study-in-a-community-health-centre-of-nairobi
#7
Judith Osok, Pius Kigamwa, Ann Vander Stoep, Keng-Yen Huang, Manasi Kumar
BACKGROUND: Adolescent pregnancies within urban resource-deprived settlements predispose young girls to adverse mental health and psychosocial adversities, notably depression. Depression in sub-Saharan Africa is a leading contributor to years lived with disability (YLD). The study's objective was to determine the prevalence of depression and related psychosocial risks among pregnant adolescents reporting at a maternal and child health clinic in Nairobi, Kenya. METHODS: A convenient sample of 176 pregnant adolescents attending antenatal clinic in Kangemi primary healthcare health facility participated in the study...
May 18, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29771679/acceptability-of-contraceptive-self-injection-with-dmpa-sc-among-adolescents-in-gulu-district-uganda
#8
Jane Cover, Jeanette Lim, Allen Namagembe, Justine Tumusiime, Jennifer Kidwell Drake, Carie Muntifering Cox
CONTEXT: In Uganda, an estimated one in four adolescent women have begun childbearing. Many adolescent pregnancies are unintended because of substantial barriers to contraceptive access. The injectable contraceptive is the most commonly used method in Uganda, and a new subcutaneous version offers the possibility of reducing access barriers by offering a self-injection option. However, more information about adolescent attitudes toward and interest in self-injection is needed. METHODS: In 2015, in-depth interviews were conducted with a purposive sample of 46 adolescent women aged 15-19 from rural and urban areas of Gulu District...
December 1, 2017: International Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29771574/is-adding-maternal-vaccination-to-prevent-whooping-cough-cost-effective-in-australia
#9
Laure-Anne Van Bellinghen, Alex Dimitroff, Michael Haberl, Xiao Li, Andrew Manton, Karen Moeremans, Nadia Demarteau
Pertussis or whooping cough, a highly infectious respiratory infection, causes significant morbidity and mortality in infants. In adolescents and adults, pertussis presents with atypical symptoms often resulting in under-diagnosis and under-reporting, increasing the risk of transmission to more vulnerable groups. Maternal vaccination against pertussis protects mothers and newborns. This evaluation assessed the cost-effectiveness of adding maternal dTpa (reduced antigen diphtheria, Tetanus, acellular pertussis) vaccination to the 2016 nationally-funded pertussis program (DTPa [Diphtheria, Tetanus, acellular Pertussis] at 2, 4, 6, 18 months, 4 years and dTpa at 12-13 years) in Australia...
May 17, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29768613/helplessness-experienced-by-adolescent-mothers-and-pregnant-adolescents-sheltered-in-institutions
#10
Paula Orchiucci Miura, Leila Salomão de La Plata Cury Tardivo, Dora Mariela Salcedo Barrientos
The experience of helplessness or abandonment during pregnancy affects the emotional state of women, hindering their disposition in taking care of themselves and their baby. The aim of this study was to understand the emotional experience arising from intra-family violence experienced by institutionally sheltered adolescent mothers and pregnant adolescents. This study is exploratory, descriptive, clinical and qualitive. Semi-structured interviews were conducted with a psychologist from the institution and with six adolescents in the institution: one pregnant girl and five mothers...
May 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29767781/adolescent-condom-use-and-connectivity-in-the-social-planful-brain
#11
Justin D Caouette, Karen A Hudson, Angela D Bryan, Sarah W Feldstein Ewing
Objective: To reduce rates of sexually transmitted infections (STIs) and unwanted pregnancy among adolescents, it is critical to investigate brain connectivity that may underlie adolescents' sexual health decision-making in the context of intercourse. This study explored relationships between adolescent condom use frequency and the brain's resting-state functional connectivity, to identify differential patterns of social-affective processing among sexually active youth. Methods: In this study, N = 143 sexually active adolescents (68...
May 14, 2018: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29764525/development-of-understanding-of-dohad-concepts-in-students-during-undergraduate-health-professional-programs-in-japan-and-new-zealand
#12
M Oyamada, A Lim, R Dixon, C Wall, J Bay
Evidence in support of the Developmental Origins of Health and Disease (DOHaD) hypothesis has reached the level where it can appropriately be used to inform practice. DOHaD informed interventions supporting primary noncommunicable disease risk reduction should target the pre- and periconceptional periods, pregnancy, lactation, childhood and adolescence. Such interventions are dependent on a health workforce (including dietitians, nurses, midwives, doctors, and nutrition teachers), that has a deep understanding of DOHaD concepts...
May 16, 2018: Journal of Developmental Origins of Health and Disease
https://www.readbyqxmd.com/read/29764233/the-value-of-a-registry-negative-urine-pregnancy-test-for-the-prediction-of-a-future-unintended-pregnancy-among-young-women
#13
Misgav Rottenstreich, Sorina Grisaru-Granovsky, Amihai Rottenstreich
BACKGROUND: Performance of urine pregnancy test in general adolescents' clinic reflects caregiver or woman's concern that there might be a pregnancy. We aimed to assess whether young-unmarried women in whom a negative urine pregnancy test was registered would be at increased risk of a future unintended pregnancy. METHODS: The study cohort included consecutive women drafted by the Israeli military between 2013 and 2015. The risk of unintended pregnancy was compared between women with a negative urine pregnancy test (n = 2774), the study group, and those in whom urine pregnancy test was not carried out (n = 126,659), the control group...
May 15, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29758305/maternal-smoking-during-pregnancy-and-academic-achievement-of-offspring-over-time-a-registry-data-based-cohort-study
#14
Alfgeir L Kristjansson, Sabena Thomas, Christa L Lilly, Ingibjorg E Thorisdottir, John P Allegrante, Inga Dora Sigfusdottir
Few studies have assessed the cumulative impact of maternal smoking during pregnancy (MSDP) on scholastic outcomes over time. We examined the relations between MSDP and academic achievement in the 4th, 7th and 10th grades using registry data collected at birth, during the neonatal period, and at each grade level from the 2000, LIFECOURSE study birth cohort in Reykjavik, Iceland (N = 1151, girls = 49.3%). Latent growth modeling showed that MSDP influenced Icelandic achievement scores, standardized to a range from 0 to 60, at baseline (β = -0...
May 11, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29757070/racial-ethnic-disparities-in-diabetes-diagnosis-and-glycemic-control-among-women-of-reproductive-age
#15
Laura E Britton, Jon M Hussey, Jamie L Crandell, Diane C Berry, Jada L Brooks, Amy G Bryant
BACKGROUND: Types 1 and 2 diabetes mellitus complicate pregnancies and threaten the health of women of reproductive age and their children. Among older adults, diabetes morbidity disproportionately burdens racial/ethnic minorities, but diabetes emergence among younger adults has not been as well characterized. The objective of this study was to describe the distribution of diagnosed diabetes, undiagnosed diabetes, suboptimal preconception glycemic control, and prediabetes among women of reproductive age across racial/ethnic backgrounds...
May 14, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29751095/psychosocial-correlates-of-marijuana-use-among-pregnant-and-non-pregnant-adolescent-girls
#16
Golfo Tzilos Wernette, Erin E Bonar, Frederic C Blow, Maureen A Walton
STUDY OBJECTIVE: Pregnant and non-pregnant populations in the US report marijuana as the most commonly used illicit drug. Patterns of marijuana use and psychosocial correlates are unclear among non-treatment seeking teenage girls. DESIGN, SETTING AND PARTICIPANTS: The objective of this study was to use cross-sectional data to examine the psychosocial correlates of recent marijuana use among a sample of 646 pregnant and non-pregnant adolescent girls presenting to urban primary care clinics (mean age = 15...
May 8, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29750675/maternal-pre-pregnancy-weight-status-and-adolescent-eating-disorder-behaviors-a-longitudinal-study-of-risk-pathways
#17
Nadia Micali, Rhian M Daniel, George B Ploubidis, Bianca L De Stavola
BACKGROUND: Maternal characteristics and childhood growth have been identified as risk factors for eating disorders. Most studies to date have been unable to investigate these factors prospectively while accounting for their interdependencies. We address this by investigating whether the association of maternal pre-pregnancy body mass index (ppBMI) with adolescent eating disorder behaviors can be explained by childhood growth and/or a concurrent environmental pathway captured by maternal eating habits...
May 10, 2018: Epidemiology
https://www.readbyqxmd.com/read/29749666/adverse-adult-consequences-of-different-alcohol-use-patterns-in-adolescence-an-integrative-analysis-of-data-to-age-30-years-from-four-australasian-cohorts
#18
Edmund Silins, L John Horwood, Jake M Najman, George C Patton, John W Toumbourou, Craig A Olsson, Delyse M Hutchinson, Louisa Degenhardt, David Fergusson, Denise Becker, Joseph M Boden, Rohan Borschmann, Maria Plotnikova, George J Youssef, Robert J Tait, Philip Clare, Wayne D Hall, Richard P Mattick
BACKGROUND AND AIMS: Studies have linked adolescent alcohol use with adverse consequences in adulthood; yet it is unclear how strong the associations are and to what extent they may be due to confounding. Our aim was to estimate the strength of association between different patterns of adolescent drinking and longer-term psychosocial harms taking into account individual, family, and peer factors. DESIGN: Participant-level data were integrated from four long running longitudinal studies: Australian Temperament Project; Christchurch Health and Development Study; Mater Hospital and University of Queensland Study of Pregnancy; Victorian Adolescent Health Cohort Study...
May 10, 2018: Addiction
https://www.readbyqxmd.com/read/29748304/tobacco-smoke-exposure-in-early-life-and-adolescence-in-relation-to-lung-function
#19
Jesse D Thacher, Erica S Schultz, Jenny Hallberg, Ulrika Hellberg, Inger Kull, Per Thunqvist, Göran Pershagen, Per M Gustafsson, Erik Melén, Anna Bergström
Maternal smoking during pregnancy is associated with impaired lung function among young children, but less is known about long-term effects and the impact of adolescents' own smoking. We investigated the influence of maternal smoking during pregnancy, secondhand smoke exposure, and adolescent smoking on lung function at age 16 years.The BAMSE birth cohort collected information on participant's tobacco smoke exposure through repeated questionnaires, and measured saliva cotinine concentrations at age 16. Participants performed spirometry and impulse oscillometry (IOS) at age 16 (n=2295)...
May 10, 2018: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/29744286/adolescent-pregnancy-and-challenges-in-kenyan-context-perspectives-from-multiple-community-stakeholders
#20
Manasi Kumar, Keng-Yen Huang, Caleb Othieno, Dalton Wamalwa, Beatrice Madeghe, Judith Osok, Simon Njuguna Kahonge, Joyce Nato, Mary McKernon McKay
Objective: The key objective of this paper is to provide a phenomenological account of the mental health challenges and experiences of adolescent new mothers. We explore the role of social support and the absence of empathy plays in depression among pregnant adolescents. The project also collected data on the adolescents' caregiving environment which includes the adolescents' mothers, their partners, the community, and health care workers, as well as feedback from staff nurses at the maternal and child health centers...
March 2018: Global Social Welfare: Research, Policy & Practice
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