Adolescence as risk factor for adverse pregnancy outcome in Central Africa--a cross-sectional study.
Adolescence as risk factor for adverse pregnancy outcome in Central Africa--a cross-sectional study.
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DOI：
10.1371/journal.pone.0014367
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发表时间：
2010-12-20
期刊：
影响因子：
3.7
通讯作者：
Ramharter M
中科院分区：
文献类型：
--
作者：
Kurth F;Bélard S;Mombo-Ngoma G;Schuster K;Adegnika AA;Bouyou-Akotet MK;Kremsner PG;Ramharter M
Sub-Saharan Africa has the highest rates of maternal and neonatal mortality worldwide. Young maternal age at delivery has been proposed as risk factor for adverse pregnancy outcome, yet there is insufficient data from Sub-Saharan Africa. The present study aimed to investigate the influence of maternal adolescence on pregnancy outcomes in the Central African country Gabon. Data on maternal age, parity, birth weight, gestational age, maternal Plasmodium falciparum infection, use of bednets, and intake of intermittent preventive treatment of malaria in pregnancy were collected in a cross-sectional survey in 775 women giving birth in three mother-child health centers in Gabon. Adolescent women (≤16 years of age) had a significantly increased risk to deliver a baby with low birth weight in univariable analysis (22.8%, 13/57, vs. 9.3%, 67/718, OR: 2.9, 95% CI: 1.5–5.6) and young maternal age showed a statistically significant association with the risk for low birth weight in multivariable regression analysis after correction for established risk factors (OR: 2.7; 95% CI: 1.1–6.5). In further analysis adolescent women were shown to attend significantly less antenatal care visits than adult mothers (3.3±1.9 versus 4.4±1.9 mean visits, p<0.01, n = 356) and this difference accounted at least for part of the excess risk for low birth weight in adolescents. Our data demonstrate the importance of adolescent age as risk factor for adverse pregnancy outcome. Antenatal care programs specifically tailored for the needs of adolescents may be necessary to improve the frequency of antenatal care visits and pregnancy outcomes in this risk group in Central Africa.
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影响因子：
15.8
作者：
Friberg IK;Kinney MV;Lawn JE;Kerber KJ;Odubanjo MO;Bergh AM;Walker N;Weissman E;Chopra M;Black RE;Science in Action: Saving the lives of Africa's Mothers, Newborns, and Children working group;Axelson H;Cohen B;Coovadia H;Diab R;Nkrumah F
通讯作者：
Nkrumah F
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作者：
Wilcox, AJ
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DOI：
10.4269/ajtmh.2007.77.418
发表时间：
2007-09-01
影响因子：
3.3
作者：
Ramharter, Michael;Schuster, Katharina;Kremsner, Peter G.
通讯作者：
Kremsner, Peter G.
影响因子：
7.7
作者：
Chen, Xi-Kuan;Wen, Shi Wu;Walker, Mark
通讯作者：
Walker, Mark