scholarly journals HEALTH PROBLEMS IN ADOLESCENT PREGNANCY AND ADOLESCENT MOTHERS AND NURSING

2019 ◽  
Vol 0 (17) ◽  
pp. 0-0
Author(s):  
Hacer KOBYA BULUT ◽  
Zila Özlem KIRBAŞ
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Health Problems

scholarly journals “I have to provide for another life emotionally, physically and financially”: understanding pregnancy, motherhood and the future aspirations of adolescent mothers in KwaZulu-Natal South, Africa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Desiree Govender ◽  
Saloshni Naidoo ◽  
Myra Taylor
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Healthcare Services ◽  
Early Childbearing ◽  
Body Experience ◽  
Future Aspirations ◽  
Healthcare Needs ◽  
Kwazulu Natal

Abstract Background Adolescent pregnancy and motherhood has been a controversial and much disputed subject within the field of public health. Early childbearing is not only characterized as a physical body experience but also embodies the experiences and perceptions of the social norms, discourses, conflict and moral judgement. There is an increasing concern that the psychosocial challenges facing adolescent mothers remains in the background since research in this field has mainly focused on the medical and physical complications of early childbearing. The aim of this qualitative study was to explore adolescent pregnancy and motherhood in order to understand this phenomenon from the perspective of adolescent mothers and to gain insight into their future aspirations. Methods This descriptive qualitative study was based on data from four focus group discussions with adolescent mothers utilising healthcare services at a district hospital in Ugu district, KwaZulu Natal, South Africa. The data were audio-recorded and transcribed verbatim, then analysed using thematic analysis. Results Some adolescent mothers’ partners were in denial and rejected them and the child while others’ partners were happy and supported them during their pregnancy. Families’ reactions to the pregnancies ranged between anger and disappointment to abandonment, the silent treatment, and acceptance and forgiveness. The psychological issues experienced by some of the adolescent mothers included suicidal ideation, guilt, loneliness, anxiety, and stress. They also experienced financial constraints, difficulty in returning to school, and stigmatisation in society. The participants envisioned completing their education, focusing on their dream careers, and contributing positively to society. Conclusion Experiences of adolescent pregnancy and parenting are multifaceted and the healthcare needs of pregnant and parenting adolescents extend beyond information and knowledge. A multidisciplinary approach is required in the care of adolescent mothers. A key policy priority should encompass the collaboration of different professionals from various healthcare sectors to assist adolescent mothers in achieving better health and psychosocial and socio-economic outcomes as steps to securing a better future for them.

scholarly journals Why Are Adolescent Mothers More iikely to Have Stunted and Underweight Children Than Adult Mothers? A Path Analysis Using Data from 30,000 Bangladeshi Mothers, 1996–2014

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1463-1463
Author(s):  
Phuong Nguyen ◽  
Samuel Scott ◽  
Long Khuong ◽  
Priyanjana Pramanik ◽  
Akhter Ahmed ◽  
...  
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Structural Equation ◽  
Service Use ◽  
Structural Equation Models ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Age At First Birth ◽  
Child Feeding ◽  
Poor Growth

Abstract Objectives Adolescent pregnancy is a major global concern due to its adverse effects on maternal and child health and wellbeing. Bangladesh has one of the highest rates of adolescent pregnancy globally. We sought to examine trends in adolescent pregnancy and associated factors in Bangladesh in the last two decades, and to understand why children of adolescent mothers are at high risk of poor growth. Methods Data were from 6 rounds of Bangladesh Demographic and Health Survey (1996–2014). Women aged 15–49 years who gave birth in the 5 years preceding each survey (n = 30,331) were classified based on age at first birth: ≤19 years (adolescence), 20–24 years (young adulthood), and ≥25 years (adulthood). Trend analysis was used to assess the progress over time. Multivariable regression and structural equation models were used to understand how adolescent pregnancy is linked to child undernutrition through maternal nutritional status, education and bargaining power, health service use, child feeding and living conditions. Results Adolescent pregnancy has declined slowly, from 84% in 1996 to 73% in 2014. Children born to adolescent mothers had lower z-scores for height-for-age (mean difference: −0·64 SD), weight-for-age (−0·45 SD), and higher prevalence of stunting (18 percentage points [pp]) and underweight (12pp) than children born to adult mothers. Compared to adult mothers, adolescent mothers were shorter (−0·8 cm), lighter (−6.9 kg), more likely to be underweight (+14pp), had lower education (−4·3 years), less decision-making power (−9pp), and lived in poorer households (−0·79 SD) with poorer sanitation (−23pp) (all P < 0.05). Adolescent mothers were less likely to access ANC (−20pp), institutional delivery (−42pp), postnatal care services (−24pp) and had poorer complementary feeding practices (−15pp). In path analyses, these intermediate factors explained 66% of the association between adolescent pregnancy and child anthropometry, with the strongest links being through women's weight, education, socioeconomic status and complementary feeding practices. Conclusions Adolescent pregnancy is still the norm in Bangladesh. Policies and programs to address poverty and improve women's education can help to improve women's health, reduce early childbearing and break the intergenerational cycle of poverty and undernutrition. Funding Sources A4NH at IFPRI.

scholarly journals Child Growth and Adolescent Pregnancy: A Longitudinal Sibling Comparison in Peru

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1009-1009
Author(s):  
Daniel Antiporta ◽  
Laura Caulfield ◽  
Alvaro Munoz ◽  
David Celentano
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Early Adolescence ◽  
Child Growth ◽  
Young Cohort ◽  
Funding Sources ◽  
Biological Parents ◽  
Growth Differences ◽  
Predicted Values ◽  
One Year

Abstract Objectives We aim to quantify the longitudinal growth differences during childhood and early adolescence between siblings born at different maternal ages at delivery (adult vs. adolescent/young). Methods We analyzed data from siblings of the same biological parents of the young cohort from the Young Lives Study in Peru, over 14 of follow-up. Elder siblings were enrolled at one year of age (2002), while younger siblings were enrolled in the third cohort visit (2009). We include elder siblings who were firstborn only and younger siblings who were second-born children. We performed three-level hierarchical models using Gaussian and Poisson families for height for age Z-score (HAZ) and stunting prevalence, respectively, to estimate predicted values at age 2, 5, 8, and 12. We report absolute marginal average contrasts (Φ) between a younger sibling and elder sibling born to adult (25–34 years) and adolescent/young mothers (15–24 years), respectively. Moreover, we adjust the estimate of interest with expected differences between siblings born to mothers in the same maternal age at delivery group. Results The total eligible sample included 310 pairs of siblings, where 85% of index children and 65% of younger siblings were born to adolescent/young women. Contrasts between a sibling from an adult mother and a firstborn index were positive up to age 12 for HAZ (Φ: 0.20 95% CI 0.01, 0.39) and negative for stunting (Φ: −5.09% 95% CI −12.28, 2.10). Expected differences between siblings born to adult mothers in the same delivery age group did not substantially change the findings for HAZ (ΦA: 0.29 95% CI 0.04, 0.53) but increase the magnitude of stunting differences (ΦA: −9.70% 95% CI −15.40, −4.01). Expected differences between siblings born to adolescent mothers decrease the magnitude of both estimates but remain their direction. Conclusions Younger siblings born to adult mothers outperformed older siblings born to adolescent mothers in growth throughout childhood and early adolescence. The long-lasting effects of adolescent pregnancy on their offspring's nutrition ought to be addressed with social policies focused on preventing adolescent pregnancy. Funding Sources None.

scholarly journals Stigma and utilization of treatment for perinatal depression among adolescents in Nigeria

2019 ◽  
Author(s):  
Lola Kola ◽  
Ian M Bennett ◽  
Amritha Bhat ◽  
Olatunde O. Ayinde ◽  
Bibilola D. Oladeji ◽  
...  
Keyword(s):  
Adolescent Pregnancy ◽  
Service Utilization ◽  
Adolescent Mothers ◽  
Low Income ◽  
Perinatal Depression ◽  
Structured Interview ◽  
Care Providers ◽  
Negative Stereotypes ◽  
Major Barrier ◽  
Service Engagement

Abstract Background. Depression is a common and serious disorder among low-income adolescent mothers in low-and middle-income countries where resources for treatment are limited. We wished to identify, among adolescents with perinatal depression and their health providers, factors influencing health service utilization for the condition in Nigeria to inform new strategies of care delivery.Methods. Focus group discussions (FGDs) were carried out among low-income adolescent women with a history of perinatal depression and separately with primary care clinicians treating this condition in Ibadan, Nigeria. Semi-structured interview guides were used to obtain views on the factors that promote or hinder help-seeking and engagement. FGDs were conducted until saturation of themes was achieved. Transcripts were analyzed using content analysis framed by the Behavioral Model for Vulnerable PopulationsModel and triangulation between patients and providers. Results. A total of 17 women and 25 care providers participated in 6 FGDs. Perceived benefits of treatment received for perinatal depression were strong motivation for service utilization. Significant stigma regarding adolescent pregnancy and perinatal depression created obstacles to care. Providers expressed negative stereotypes associated with adolescent pregnancy. However, individual patient resilience was a major enabling factor facilitating service engagement. Older and more experienced care providers were perceived to deliver more tolerant and supportive care that adolescent mothers valued. Conclusions. Participants identified an unsupportive and stigmatizing clinic environment as a major barrier to accessing available care. Interventions to reduce stigma among healthcare providers may improve services for this vulnerable population.

scholarly journals The obstetric factors and outcome of adolescent pregnancy having IUGR babies

2021 ◽  
Vol 10 (6) ◽  
pp. 2157
Author(s):  
Eshrat Jahan ◽  
Rafiul Alam
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Birth Asphyxia ◽  
Health Concern ◽  
Severe Anemia ◽  
Maternal Complications ◽  
College Hospital ◽  
Cross Sectional ◽  
Neonatal Complications ◽  
Obstetric Factors

Introduction: Adolescent childbearing is still a common social and health concern in Bangladesh. Adolescent maternity is causally associated with many poor obstetric complications. Low birth weight is one of the most common problems in adolescent pregnancy and majority of these LBW babies is due to intrauterine growth retardation (IUGR). The aim of the study was to evaluate the obstetric factors and outcomes of adolescent pregnancy having IUGR babies.Methods: This cross-sectional descriptive type of study was conducted at the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital from the period of January 2012 to June 2012. In this present study, 150 adolescent mothers selected. Sample technique was purposive sampling. Detailed medical, obstetric and neonatal information recorded on a designed data sheet. Data were analyzed using statistical program SPSS.Results: The mean age of all adolescent mothers was 18.14±0.85, while mean age at marriage found 16.24. All the adolescent respondents were married and 9 out of 10 were living with husband (91%). Higher proportion (70%) of Hindu respondents delivered IUGR babies. 60% pregnancies were unplanned, of them, 36% developed IUGR. High proportion of maternal and neonatal complications found among the mothers having IUGR babies. More common maternal complication were severe anemia (65%), fetal distress (56.2%), oligohydramnios (43.8%), pre-¬eclampsia (35.4%), eclampsia (33.3%), PPH (23%), puerperal sepsis (14.6%) and more common neonatal complications were birth asphyxia (96%), hypoglycemia (83%), hyperbilirubinemia (8.3%) and sepsis (8.3%).Conclusions: Adolescent pregnancy complicated with IUGR demonstrated higher proportion of maternal complications like severe anemia, pre-¬eclampsia, eclampsia, oligohydramnios, PPH, and adverse perinatal outcome.

Perinatal Experiences of Adolescent Mothers

2014 ◽  
Author(s):  
M. Cynthia Logsdon ◽  
Catherine Monk ◽  
Alison E. Hipwell
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Teen Pregnancy ◽  
Psychosocial Stress ◽  
The United States ◽  
Biological Factors ◽  
Factors Associated ◽  
Future Child ◽  
Developed World ◽  
Perinatal Psychopathology

The United States has one of the highest rates of teen pregnancy in the developed world. Pregnancy and parenting prior to age 20 are associated with compromised biopsychosocial outcomes for the mother, the fetus, and the future child—though the strong coupling of poverty and early pregnancy indicate that these outcomes may not be uniquely attributable to maternal age. This chapter reviews psychological as well as biological factors associated with risk for adolescent pregnancy, such as the potential correlation between conduct disorder and pregnancy, as well as data suggesting that environmental factors as varied as exposure to endocrine disrupters and psychosocial stress may contribute to the earlier onset of puberty, sexual activity, and, ultimately, conception. Pregnancy outcomes for both the mother and the child are reviewed, as well as what is known about mental health status in pregnant and parenting teenagers. This chapter covers the importance of social support for this population and the treatment of perinatal psychopathology in childbearing adolescents.

scholarly journals Is adolescent pregnancy a risk factor for low birth weight?

2013 ◽  
Vol 47 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Alzira Maria D'avila Nery Guimarães ◽  
Heloísa Bettiol ◽  
Luiz De Souza ◽  
Ricardo Q Gurgel ◽  
Maria Luiza Dória Almeida ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Birth Weight ◽  
Prenatal Care ◽  
Low Birth Weight ◽  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Northeastern Brazil ◽  
Smoking During Pregnancy ◽  
The Impact

OBJECTIVE: The objective of this study was to evaluate whether adolescent pregnancy is a risk factor for low birth weight (LBW) babies. METHODS: This was a cross-sectional study of mothers and their newborns from a birth cohort in Aracaju, Northeastern Brazil. Data were collected consecutively from March to July 2005. Information collected included socioeconomic, biological and reproductive aspects of the mothers, using a standardized questionnaire. The impact of early pregnancy on birth weight was evaluated by multiple logistic regression. RESULTS: We studied 4,746 pairs of mothers and their babies. Of these, 20.6% were adolescents (< 20 years of age). Adolescent mothers had worse socioeconomic and reproductive conditions and perinatal outcomes when compared to other age groups. Having no prenatal care and smoking during pregnancy were the risk factors associated with low birth weight. Adolescent pregnancy, when linked to marital status "without partner", was associated with an increased proportion of low birth weight babies. CONCLUSIONS: Adolescence was a risk factor for LBW only for mothers without partners. Smoking during pregnancy and lack of prenatal care were considered to be independent risk factors for LBW.

scholarly journals Adolescent motherhood in rural Nepal: passive sensing data illuminates daily experiences in maternal lives

2020 ◽  
Author(s):  
Ashley Hagaman ◽  
Damaris Lopez Mercado ◽  
Anubhuti Poudyal ◽  
Dorte Bemme ◽  
Clare Boone ◽  
...  
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Low Income ◽  
Time Window ◽  
Well Being ◽  
Comparative Approach ◽  
Behavioral Patterns ◽  
Young Infants ◽  
Passive Sensing ◽  
Passive Data

Abstract Background: Adolescent pregnancy, particularly in low-income settings, is associated with adverse health and social outcomes for both mother and child. Nepal has the second highest rate of adolescent pregnancy in South Asia alongside high rates of maternal depression and suicide. While the maternal morbidity risks of adolescent pregnancy are well researched, impacts on everyday lives, including behaviors and predictable patterns are less well-known. Passive sensing (geographic movement, physical activity, and proximity to infants using Bluetooth technology) is an emerging technology that can enhance the detection of behavior patterns. Given the risk of the postpartum period in LMIC settings, we sought to characterize normal behavioral patterns via passive sensing technology. Methods: We collected passive data over a two-week period with 22 mothers using phone-based GPS, accelerometry, and Bluetooth technologies. Passive data was aggregated for each mother, collapsed into hourly readings, and descriptively summarized. We triangulated this information in a constant comparative approach with a range of qualitative data including multiple in-depth interviews, a daily diary, and systematic fieldnotes. Results: Passive data illuminated a range of behaviors that varied across our participants. Women, during the average time window of 4am and 8pm, spent more than 80% of the day with their infants, were detected as ‘active’ 10-20% of the time in any given hour with peaks in the morning and mid-afternoon, and traveled fewer than 1675 meters from their homes. Household work, instrumental childcare, and household support, paired with the infant’s age, appeared to drive activity patterns. Women with higher amounts of activity and GPS movement had more household support for chores and childcare. Women with young infants had smaller amounts of activity and GPS movement. Women that had nearly no time away from their infant expressed overwhelming responsibilities and increased stress, but also role fulfillment in that time with their infant was an indicator of good mothering. Conclusion: We reveal typical behavioral patterns of rural adolescent mothers and highlight opportunities for integrating this information to improve health and well-being.

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