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Adolescent pregnancy in Sao Tome and Principe: are there different obstetric and perinatal outcomes?
| dc.contributor.author | Vasconcelos, Alexandra | |
| dc.contributor.author | Bandeira, Nelson | |
| dc.contributor.author | Sousa, Swasilanne | |
| dc.contributor.author | Machado, Maria Céu | |
| dc.contributor.author | Pereira, Filomena | |
| dc.date.accessioned | 2022-06-06T15:32:06Z | |
| dc.date.available | 2022-06-06T15:32:06Z | |
| dc.date.issued | 2022 | |
| dc.description | © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | pt_PT |
| dc.description.abstract | Background: Adolescent childbirth is a major public health problem in Sao Tome and Principe (STP). Adolescent pregnancy and childbirth can carry a risk of morbidity associated with the physiological and sociological characteristics of teenage girls. This study aims to identify the main adverse obstetric and perinatal outcomes for adolescent pregnancies in the Hospital Dr. Ayres de Menezes (HAM), the only hospital in STP. Methods: An institution-based cross-sectional study. Pregnant women ≤ 19 years of age (n = 104) were compared to non-adolescent women (n = 414). The obstetric and perinatal outcomes were compared between groups using the t test. Odds ratio (OR) were calculated through Cochran's and Mantel-Haenszel statistics test for odds ratio equal to 1, 95% confidence intervals (CI) and p values (p < 0.05) were considered significant. Results: The adverse perinatal outcomes imputable to adolescent births were foetal distress with low first minute Apgar score < 7 (OR 1.94, 95% CI 1.18-3.18, p = 0.009) and performance of neonatal resuscitation manoeuvres (OR 2.4, 95% CI 1.07-5.38, p = 0.032). Compared to older mothers, teenage girls were likely to have a non-statistically significant threefold higher risk of having an obstructed labour (OR 3.40, 95% CI 0.89-12.94, p = 0.07). Other perinatal outcomes as neonatal asphyxia, risk for cerebral palsy, premature birth, early neonatal infection, and neonatal death were identical between groups as well as maternal anaemia, mode of delivery or other obstetrical outcomes. Conclusion: Adolescent pregnancies were associated with worse perinatal outcomes as foetal distress and higher need for neonatal resuscitation manoeuvres. This study may support STP health authorities in their efforts to make Sustainable Development Goals 3 (good health and wellbeing), 4 (quality education) and 5 (gender equality) a reality by 2030, since it identifies specific problems that need to be addressed to improve maternal adolescent health. | pt_PT |
| dc.description.sponsorship | AV was supported by the Fundação para a Ciência e Tecnologia (FCT) (https://www.fct.pt/index.phtml.pt/), grant number SFRH/BD/117037/2016. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | BMC Pregnancy Childbirth. 2022 May 31;22(1):453 | pt_PT |
| dc.identifier.doi | 10.1186/s12884-022-04779-9 | pt_PT |
| dc.identifier.eissn | 1471-2393 | |
| dc.identifier.uri | http://hdl.handle.net/10451/53295 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Springer Nature | pt_PT |
| dc.relation | Why, When and Where do newborns not only get sick but also die in São Tomé and Príncipe Analysis of causes and risk factors contributing to Perinatal and Neonatal Morbidity and Mortality in a developing country – a case-control study. | |
| dc.relation.publisherversion | https://bmcpregnancychildbirth.biomedcentral.com/ | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt_PT |
| dc.subject | Adolescent pregnancy | pt_PT |
| dc.subject | Adverse pregnancy outcomes | pt_PT |
| dc.subject | Antenatal care | pt_PT |
| dc.subject | Sao Tome and Principe | pt_PT |
| dc.title | Adolescent pregnancy in Sao Tome and Principe: are there different obstetric and perinatal outcomes? | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.awardNumber | SFRH/BD/117037/2016 | |
| oaire.awardTitle | Why, When and Where do newborns not only get sick but also die in São Tomé and Príncipe Analysis of causes and risk factors contributing to Perinatal and Neonatal Morbidity and Mortality in a developing country – a case-control study. | |
| oaire.awardURI | info:eu-repo/grantAgreement/FCT//SFRH%2FBD%2F117037%2F2016/PT | |
| oaire.citation.issue | 1 | pt_PT |
| oaire.citation.title | BMC Pregnancy and Childbirth | pt_PT |
| oaire.citation.volume | 22 | pt_PT |
| project.funder.identifier | http://doi.org/10.13039/501100001871 | |
| project.funder.name | Fundação para a Ciência e a Tecnologia | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isProjectOfPublication | 181c593a-b744-422f-8d3e-ae29477ad472 | |
| relation.isProjectOfPublication.latestForDiscovery | 181c593a-b744-422f-8d3e-ae29477ad472 |
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