Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea

Daniel Tikue Asrat; Eden Hagos Below; Hana Andeberhan Teklay; Luwam Solomon Tesfamaryam; Ruth Zeragabir Weldemaryam; Samuel Sibhat Teweldebrhan; Frezghi Hidray Gebreweldi; Nahom Kiros Gebregziabher; Samson Mehari Giliu

doi:doi:10.11648/j.ajnhs.20200101.13

Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea

Daniel Tikue Asrat, Eden Hagos Below, Hana Andeberhan Teklay, Luwam Solomon Tesfamaryam, Ruth Zeragabir Weldemaryam, Samuel Sibhat Teweldebrhan, Frezghi Hidray Gebreweldi, Nahom Kiros Gebregziabher, Samson Mehari Giliu

Published in American Journal of Nursing and Health Sciences (Volume 1, Issue 1)

Received: 20 August 2020 Accepted: 1 September 2020 Published: 25 December 2020

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Abstract

Background: The highest rate of teenage pregnancy in the world is found in Sub Saharan Africa. Thus, out of the twenty countries with the highest rate of teen marriage, Eritrea ranked fourteenth. The aim of this study was to assess adverse outcomes associated with teenage pregnancy. Methods: A retrospective cohort study was followed for 424 nulliparous pregnant women between the age of 14 and 24 years. The maternity clinical record was used to review data on maternal spontaneous abortions, preterm birth, method of delivery, postpartum hemorrhage, perineal laceration, baby weight, Apgar score at 5 minute and congenital anomalies were taken as our variables of interest. Moreover, face-to-face interview was conducted to enlighten the socio demographic characteristics, circumcision status of the mother and antenatal care visits during their last pregnancy. Descriptive and inferential data was analyzed using SPSS version 20. Chi-square test and bivariate logistic regression were also used. Results: The socio demographic characteristic of the study shows that the educational status of teenage mother was low compared to adult mothers; in-addition unmarried teenage mothers were high compared to adult mothers. In this study teenage mothers had significantly higher anemia, preterm delivery, Post-partum hemorrhage and low birth weight babies as compared to the adult mothers. Also, the study revealed that compared to adult mothers, teenage mothers had significantly higher abnormal delivery mode with low Apgar score among teenage mothers. Conclusions: In this study adolescent pregnancy was found to be associated with increased outcomes of anemia, preterm birth, low birth weight, abnormal delivery and post-partum hemorrhage. Even though preeclampsia and Apgar score were not significantly different between adolescents and adult mothers this should not be ignored and just bypass it not as adverse outcomes of teenage.

Published in	American Journal of Nursing and Health Sciences (Volume 1, Issue 1)
DOI	10.11648/j.ajnhs.20200101.13
Page(s)	15-21
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Pregnancy, Teenage, Adverse Effect Preterm, Low Birth Weight

References

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[3]	World Health Organization: Department of Reproductive Health and Research. Adolescent Pregnancy. Avenue Appia 20, CH-1211 Geneva 27, Switzerland, 2014. www.who.int/reproductivehealth.
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[5]	Medline Plus: Trusted Health Information for You. Teenage Pregnancy. US. National Library of Medicine, 2017s.
[6]	National Statistics Office (NSO) [Eritrea] and Fafo AIS. 2013. Eritrea Population and Health Survey 2010. Asmara, Eritrea: National Statistics Office and Fafo Institute for Appled International Studies.
[7]	Anwar N. Al-Bassam. Maternal risk in teenage pregnancies in Baghdad teaching hospital: Medical city complex, 2014. QMJ VOL. 10 No. 17.
[8]	Ayuba, Ibrahim Isa, and Owoeye Gani. “Outcome of teenage pregnancy in the Niger delta of Nigeria.” Ethiopian journal of health sciences vol. 22, 1 (2012): 45-50.
[9]	Aparna J. Late teenage pregnancy and reproductive outcomes. Department of Obstetrics and Gynecology, The Shadan Institute Of Medical Sciences, Himayatsagar Road, Hyderabad, Andhra Pradesh, India, 2013, 4 (11): 67-69. Available online at www.scholarsresearchlibrary.com.
[10]	Kumar A, Singh T, Basu S, Pandey S, Bhargava V. Outcome of teenage pregnancy. Indian J Pediatric. 2007; 74 (10): 927-931. doi: 10.1007/s12098-007-0171-2.
[11]	Siddhartha Yadav, Dilip Choudhary, K. C. Narayan, Rajesh Kumar Mandal, Achyut Sharma, Siddharth Singh Chauhan, and Pawan Agrawal. Adverse Reproductive Outcomes Associated With Teenage Pregnancy in Nepal. Mcgill J Med. 2008 Jul; 11 (2): 141-4. PMID: 19148312; PMCID.
[12]	De Vienne CM, Creveuil C, Dreyfus M. Does young maternal age increase the risk of adverse obstetric, fetal and neonatal outcomes: a cohort study? Eur J Obstet Gynecol Reprod Biol. 2009; 147 (2): 151-156. doi: 10.1016/j.ejogrb.2009.08.006.
[13]	Blomberg, Marie & Tyrberg, Rasmus & Kjölhede, Preben. (2014). Impact of maternal age on obstetric and neonatal outcome with emphasis on primiparous adolescents and older women: a Swedish Medical Birth Register Study. BMJ open. 4. E005840. 10.1136/bmjopen-2014-005840.
[14]	Dr Rajal V Thaker, Dr Mian V Panchal, Dr Rupa C Vyas, Dr Sapana R Shah, Dr Parul T Shah, Dr Kruti J Deliwala. Study of Feto-Maternal outcome of Teenage Pregnancy at Tertiary Care Hospital in India. GUJARAT MEDICAL JOURNAL / DECEMBER - 2013 Vol. 68 No. 2.
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[16]	Mombo-Ngoma G, Mackanga JR, González R, et al. Young adolescent girls are at high risk for adverse pregnancy outcomes in sub-Saharan Africa: an observational multicountry study. BMJ Open. 2016; 6 (6): e011783. Published 2016 Jun 29. doi: 10.1136/bmjopen-2016-011783.

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Daniel Tikue Asrat, Eden Hagos Below, Hana Andeberhan Teklay, Luwam Solomon Tesfamaryam, Ruth Zeragabir Weldemaryam, et al. (2020). Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea. American Journal of Nursing and Health Sciences, 1(1), 15-21. https://doi.org/10.11648/j.ajnhs.20200101.13

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Daniel Tikue Asrat; Eden Hagos Below; Hana Andeberhan Teklay; Luwam Solomon Tesfamaryam; Ruth Zeragabir Weldemaryam, et al. Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea. Am. J. Nurs. Health Sci. 2020, 1(1), 15-21. doi: 10.11648/j.ajnhs.20200101.13

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Daniel Tikue Asrat, Eden Hagos Below, Hana Andeberhan Teklay, Luwam Solomon Tesfamaryam, Ruth Zeragabir Weldemaryam, et al. Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea. Am J Nurs Health Sci. 2020;1(1):15-21. doi: 10.11648/j.ajnhs.20200101.13

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@article{10.11648/j.ajnhs.20200101.13,
  author = {Daniel Tikue Asrat and Eden Hagos Below and Hana Andeberhan Teklay and Luwam Solomon Tesfamaryam and Ruth Zeragabir Weldemaryam and Samuel Sibhat Teweldebrhan and Frezghi Hidray Gebreweldi and Nahom Kiros Gebregziabher and Samson Mehari Giliu},
  title = {Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea},
  journal = {American Journal of Nursing and Health Sciences},
  volume = {1},
  number = {1},
  pages = {15-21},
  doi = {10.11648/j.ajnhs.20200101.13},
  url = {https://doi.org/10.11648/j.ajnhs.20200101.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20200101.13},
  abstract = {Background: The highest rate of teenage pregnancy in the world is found in Sub Saharan Africa. Thus, out of the twenty countries with the highest rate of teen marriage, Eritrea ranked fourteenth. The aim of this study was to assess adverse outcomes associated with teenage pregnancy. Methods: A retrospective cohort study was followed for 424 nulliparous pregnant women between the age of 14 and 24 years. The maternity clinical record was used to review data on maternal spontaneous abortions, preterm birth, method of delivery, postpartum hemorrhage, perineal laceration, baby weight, Apgar score at 5 minute and congenital anomalies were taken as our variables of interest. Moreover, face-to-face interview was conducted to enlighten the socio demographic characteristics, circumcision status of the mother and antenatal care visits during their last pregnancy. Descriptive and inferential data was analyzed using SPSS version 20. Chi-square test and bivariate logistic regression were also used. Results: The socio demographic characteristic of the study shows that the educational status of teenage mother was low compared to adult mothers; in-addition unmarried teenage mothers were high compared to adult mothers. In this study teenage mothers had significantly higher anemia, preterm delivery, Post-partum hemorrhage and low birth weight babies as compared to the adult mothers. Also, the study revealed that compared to adult mothers, teenage mothers had significantly higher abnormal delivery mode with low Apgar score among teenage mothers. Conclusions: In this study adolescent pregnancy was found to be associated with increased outcomes of anemia, preterm birth, low birth weight, abnormal delivery and post-partum hemorrhage. Even though preeclampsia and Apgar score were not significantly different between adolescents and adult mothers this should not be ignored and just bypass it not as adverse outcomes of teenage.},
 year = {2020}
}

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TY  - JOUR
T1  - Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea
AU  - Daniel Tikue Asrat
AU  - Eden Hagos Below
AU  - Hana Andeberhan Teklay
AU  - Luwam Solomon Tesfamaryam
AU  - Ruth Zeragabir Weldemaryam
AU  - Samuel Sibhat Teweldebrhan
AU  - Frezghi Hidray Gebreweldi
AU  - Nahom Kiros Gebregziabher
AU  - Samson Mehari Giliu
Y1  - 2020/12/25
PY  - 2020
N1  - https://doi.org/10.11648/j.ajnhs.20200101.13
DO  - 10.11648/j.ajnhs.20200101.13
T2  - American Journal of Nursing and Health Sciences
JF  - American Journal of Nursing and Health Sciences
JO  - American Journal of Nursing and Health Sciences
SP  - 15
EP  - 21
PB  - Science Publishing Group
SN  - 2994-7227
UR  - https://doi.org/10.11648/j.ajnhs.20200101.13
AB  - Background: The highest rate of teenage pregnancy in the world is found in Sub Saharan Africa. Thus, out of the twenty countries with the highest rate of teen marriage, Eritrea ranked fourteenth. The aim of this study was to assess adverse outcomes associated with teenage pregnancy. Methods: A retrospective cohort study was followed for 424 nulliparous pregnant women between the age of 14 and 24 years. The maternity clinical record was used to review data on maternal spontaneous abortions, preterm birth, method of delivery, postpartum hemorrhage, perineal laceration, baby weight, Apgar score at 5 minute and congenital anomalies were taken as our variables of interest. Moreover, face-to-face interview was conducted to enlighten the socio demographic characteristics, circumcision status of the mother and antenatal care visits during their last pregnancy. Descriptive and inferential data was analyzed using SPSS version 20. Chi-square test and bivariate logistic regression were also used. Results: The socio demographic characteristic of the study shows that the educational status of teenage mother was low compared to adult mothers; in-addition unmarried teenage mothers were high compared to adult mothers. In this study teenage mothers had significantly higher anemia, preterm delivery, Post-partum hemorrhage and low birth weight babies as compared to the adult mothers. Also, the study revealed that compared to adult mothers, teenage mothers had significantly higher abnormal delivery mode with low Apgar score among teenage mothers. Conclusions: In this study adolescent pregnancy was found to be associated with increased outcomes of anemia, preterm birth, low birth weight, abnormal delivery and post-partum hemorrhage. Even though preeclampsia and Apgar score were not significantly different between adolescents and adult mothers this should not be ignored and just bypass it not as adverse outcomes of teenage.
VL  - 1
IS  - 1
ER  -

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Author Information

Daniel Tikue Asrat

Ministry of Health of Eritrea, Asmara, Eritrea
Eden Hagos Below

Ministry of Health of Eritrea, Asmara, Eritrea
Hana Andeberhan Teklay

Ministry of Health of Eritrea, Asmara, Eritrea
Luwam Solomon Tesfamaryam

Ministry of Health of Eritrea, Asmara, Eritrea
Ruth Zeragabir Weldemaryam

Ministry of Health of Eritrea, Asmara, Eritrea
Samuel Sibhat Teweldebrhan

Ministry of Health of Eritrea, Asmara, Eritrea
Frezghi Hidray Gebreweldi

Ministry of Health of Eritrea, Asmara, Eritrea
Nahom Kiros Gebregziabher

Department of Epidemiology and Biostatistics, School of Public Health, Asmara College of Health Sciences, Asmara, Eritrea
Samson Mehari Giliu

Ministry of Health of Eritrea, Asmara, Eritrea

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Daniel Tikue Asrat, Eden Hagos Below, Hana Andeberhan Teklay, Luwam Solomon Tesfamaryam, Ruth Zeragabir Weldemaryam, et al. (2020). Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea. American Journal of Nursing and Health Sciences, 1(1), 15-21. https://doi.org/10.11648/j.ajnhs.20200101.13

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ACS Style

Daniel Tikue Asrat; Eden Hagos Below; Hana Andeberhan Teklay; Luwam Solomon Tesfamaryam; Ruth Zeragabir Weldemaryam, et al. Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea. Am. J. Nurs. Health Sci. 2020, 1(1), 15-21. doi: 10.11648/j.ajnhs.20200101.13

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AMA Style

Daniel Tikue Asrat, Eden Hagos Below, Hana Andeberhan Teklay, Luwam Solomon Tesfamaryam, Ruth Zeragabir Weldemaryam, et al. Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea. Am J Nurs Health Sci. 2020;1(1):15-21. doi: 10.11648/j.ajnhs.20200101.13

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@article{10.11648/j.ajnhs.20200101.13,
  author = {Daniel Tikue Asrat and Eden Hagos Below and Hana Andeberhan Teklay and Luwam Solomon Tesfamaryam and Ruth Zeragabir Weldemaryam and Samuel Sibhat Teweldebrhan and Frezghi Hidray Gebreweldi and Nahom Kiros Gebregziabher and Samson Mehari Giliu},
  title = {Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea},
  journal = {American Journal of Nursing and Health Sciences},
  volume = {1},
  number = {1},
  pages = {15-21},
  doi = {10.11648/j.ajnhs.20200101.13},
  url = {https://doi.org/10.11648/j.ajnhs.20200101.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20200101.13},
  abstract = {Background: The highest rate of teenage pregnancy in the world is found in Sub Saharan Africa. Thus, out of the twenty countries with the highest rate of teen marriage, Eritrea ranked fourteenth. The aim of this study was to assess adverse outcomes associated with teenage pregnancy. Methods: A retrospective cohort study was followed for 424 nulliparous pregnant women between the age of 14 and 24 years. The maternity clinical record was used to review data on maternal spontaneous abortions, preterm birth, method of delivery, postpartum hemorrhage, perineal laceration, baby weight, Apgar score at 5 minute and congenital anomalies were taken as our variables of interest. Moreover, face-to-face interview was conducted to enlighten the socio demographic characteristics, circumcision status of the mother and antenatal care visits during their last pregnancy. Descriptive and inferential data was analyzed using SPSS version 20. Chi-square test and bivariate logistic regression were also used. Results: The socio demographic characteristic of the study shows that the educational status of teenage mother was low compared to adult mothers; in-addition unmarried teenage mothers were high compared to adult mothers. In this study teenage mothers had significantly higher anemia, preterm delivery, Post-partum hemorrhage and low birth weight babies as compared to the adult mothers. Also, the study revealed that compared to adult mothers, teenage mothers had significantly higher abnormal delivery mode with low Apgar score among teenage mothers. Conclusions: In this study adolescent pregnancy was found to be associated with increased outcomes of anemia, preterm birth, low birth weight, abnormal delivery and post-partum hemorrhage. Even though preeclampsia and Apgar score were not significantly different between adolescents and adult mothers this should not be ignored and just bypass it not as adverse outcomes of teenage.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Adverse Reproductive Outcomes Associated with Teenage Pregnancy in Three Maternity Hospitals in Asmara, Eritrea
AU  - Daniel Tikue Asrat
AU  - Eden Hagos Below
AU  - Hana Andeberhan Teklay
AU  - Luwam Solomon Tesfamaryam
AU  - Ruth Zeragabir Weldemaryam
AU  - Samuel Sibhat Teweldebrhan
AU  - Frezghi Hidray Gebreweldi
AU  - Nahom Kiros Gebregziabher
AU  - Samson Mehari Giliu
Y1  - 2020/12/25
PY  - 2020
N1  - https://doi.org/10.11648/j.ajnhs.20200101.13
DO  - 10.11648/j.ajnhs.20200101.13
T2  - American Journal of Nursing and Health Sciences
JF  - American Journal of Nursing and Health Sciences
JO  - American Journal of Nursing and Health Sciences
SP  - 15
EP  - 21
PB  - Science Publishing Group
SN  - 2994-7227
UR  - https://doi.org/10.11648/j.ajnhs.20200101.13
AB  - Background: The highest rate of teenage pregnancy in the world is found in Sub Saharan Africa. Thus, out of the twenty countries with the highest rate of teen marriage, Eritrea ranked fourteenth. The aim of this study was to assess adverse outcomes associated with teenage pregnancy. Methods: A retrospective cohort study was followed for 424 nulliparous pregnant women between the age of 14 and 24 years. The maternity clinical record was used to review data on maternal spontaneous abortions, preterm birth, method of delivery, postpartum hemorrhage, perineal laceration, baby weight, Apgar score at 5 minute and congenital anomalies were taken as our variables of interest. Moreover, face-to-face interview was conducted to enlighten the socio demographic characteristics, circumcision status of the mother and antenatal care visits during their last pregnancy. Descriptive and inferential data was analyzed using SPSS version 20. Chi-square test and bivariate logistic regression were also used. Results: The socio demographic characteristic of the study shows that the educational status of teenage mother was low compared to adult mothers; in-addition unmarried teenage mothers were high compared to adult mothers. In this study teenage mothers had significantly higher anemia, preterm delivery, Post-partum hemorrhage and low birth weight babies as compared to the adult mothers. Also, the study revealed that compared to adult mothers, teenage mothers had significantly higher abnormal delivery mode with low Apgar score among teenage mothers. Conclusions: In this study adolescent pregnancy was found to be associated with increased outcomes of anemia, preterm birth, low birth weight, abnormal delivery and post-partum hemorrhage. Even though preeclampsia and Apgar score were not significantly different between adolescents and adult mothers this should not be ignored and just bypass it not as adverse outcomes of teenage.
VL  - 1
IS  - 1
ER  -

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