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Complications associated with adolescent childbearing in Sub-Saharan Africa: A systematic literature review and meta-analysis.

ABSTRACT: OBJECTIVE:To examine whether childbearing before age 18 in Sub-Saharan Africa is associated with increased risk of maternal and child complications through a systematic literature review and meta-analysis. METHODS:The literature on adolescent pregnancy and associated complications in Sub-Saharan Africa was reviewed. A systematic electronic database search in Medline and Embase identified relevant papers. Studies were eligible for inclusion if they had numeric data on maternal mortality, pre-eclampsia, eclampsia, preterm birth, low birth weight, small for gestational age, stillbirth, neonatal death or perinatal death. We included studies on adolescents aged 17 years or younger, and with a comparison group of adult women aged between 20 and 35 years. The quality of the articles was assessed. Meta-analyses were conducted when there were at least three included studies with minor clinical heterogeneity in population and outcome measures. RESULTS:Eighteen studies met our inclusion criteria. There were many studies from Sub-Saharan Africa with data on the age group 15-19 years old, but few studies had separate data on adolescents <18 years old. All included studies were of either moderate or low quality. Adolescents had an increased risk of low birth weight, pre-eclampsia/eclampsia, preterm birth and maternal and perinatal mortality. We found a lower, nonsignificant risk of stillbirth and for small for gestational age babies among the young mothers. CONCLUSION:In this systematic review, the findings indicate that young maternal age is associated with some unfavorable outcomes in Sub-Saharan Africa. High quality observational studies that adjust for sociodemographic factors are lacking.

SUBMITTER: Gronvik T

PROVIDER: S-EPMC6157872 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Complications associated with adolescent childbearing in Sub-Saharan Africa: A systematic literature review and meta-analysis.

Grønvik Taran T Fossgard Sandøy Ingvild I

PloS one 20180926 9

<h4>Objective</h4>To examine whether childbearing before age 18 in Sub-Saharan Africa is associated with increased risk of maternal and child complications through a systematic literature review and meta-analysis.<h4>Methods</h4>The literature on adolescent pregnancy and associated complications in Sub-Saharan Africa was reviewed. A systematic electronic database search in Medline and Embase identified relevant papers. Studies were eligible for inclusion if they had numeric data on maternal mort ...[more]

PMID: 30256821

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Complications associated with adolescent childbearing in Sub-Saharan Africa: A systematic literature review and meta-analysis.

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Complications associated with adolescent childbearing in Sub-Saharan Africa: A systematic literature review and meta-analysis.

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