Adolescent motherhood in Mozambique. Consequences for pregnant women and newborns.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Adolescent Health/*statistics & numerical data ; Infant Health/*statistics & numerical data ; Maternal Health/*statistics & numerical data ; Pregnancy in Adolescence/*statistics & numerical data; Abortion, Induced/statistics & numerical data ; Adolescent ; Adolescent Health Services/organization & administration ; Cross-Sectional Studies ; Female ; Gravidity ; Health Planning/organization & administration ; Humans ; Infant ; Infant Mortality ; Infant, Newborn ; Maternal Mortality ; Mozambique/epidemiology ; Pregnancy ; Pregnancy in Adolescence/prevention & control ; Surveys and Questionnaires/statistics & numerical data ; Young Adult

Introduction: In sub-Saharan Mozambique, high adolescent fertility rates are a significant public health problem. Understanding the consequences of teenage pregnancies facilitates effective strategies for improving the quality of care of both mother and the newborn.
Aims: To identify the factors associated with adolescent motherhood in Tete (Mozambique).
Methods: This was a cross-sectional study including 821 pregnant women (255 teenagers) admitted to the general maternity ward of the Provincial Hospital between March and October 2016. The survey included clinical data of the mother and newborn.
Results: The overall prevalence of adolescent deliveries was 31.8% (95% CI 27.9% - 34.2%). Multivariate analysis showed that independent factors associated with teenage motherhood were: number of pregnancies (OR 0.066; 95% CI 0.040-0.110), pregnancy follow-up (OR 0.29; CI 0.173-0.488) and previous abortions (OR 4.419; 95% CI 1.931-10.112). When the age of the mother was analysed as a continuous variable, positively associated factors were body mass index, arterial hypertension, HIV infection, previous abortions, pregnancy follow-up, and the weight of the newborn. Negatively associated factors were episiotomy and respiratory distress in the newborn.
Conclusion: Teenage motherhood is a serious public health problem in Mozambique. Intensive sexual and reproductive health planning for adolescents is needed.
Competing Interests: The authors have declared that no competing interests exist.

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Date Created: 20200604 Date Completed: 20200821 Latest Revision: 20200821

20240104

PMC7269336

10.1371/journal.pone.0233985

32492055