PDF(Pubmed)
Abstract：
Introduction: Teenage pregnancy is a global public health challenge, and it is a major contributor to the high maternal and neonatal morbidity and mortality rates reported in sub-Saharan Africa and Uganda. However, there is a paucity of data regarding pregnancy outcomes and their associated factors among teenagers in Uganda. The purpose of this study was to determine the prevalence and factors associated with pregnancy outcomes among teenagers who delivered at a National Referral Hospital in Kampala, Uganda. Materials and Methods: This cross-sectional study was conducted among teenage mothers who delivered at a National Referral Hospital in Kampala, Uganda. Consecutive participant recruitment was done for those who fulfilled the eligibility criteria. The outcomes of interest included adverse maternal outcome with obstructed labor being used as a proxy and adverse fetal outcomes with birth asphyxia used as a proxy. Logistic regression analysis was used to determine the association between independent and dependent variables with a 5% level of statistical significance (α = 0.05). Results: Teenage pregnancy was associated with adverse maternal outcomes which included obstructed labor (18%) and preterm labor (5.5%). There were no maternal deaths during the study period. Adverse fetal outcomes observed in this study population included low birth weight (83%), birth asphyxia (18%), and stillbirth (4%). The only factor associated with adverse maternal outcome was gestational age where teenage mothers had 4 times likelihood of delivering before 37 weeks. Relatedly, teenage mothers had an 81% chance of having a preterm birth. Conclusion: Teenage pregnancy was generally not associated with adverse maternal or fetal outcomes except for preterm birth. The reasons for adverse pregnancy outcomes may reflect a combination of gynecological and biological immaturity, as well as adverse socioeconomic pressures.
摘要：
简介：少女怀孕是全球公共卫生挑战，它是撒哈拉以南非洲和乌干达报告的高孕产妇和新生儿发病率和死亡率的主要原因。然而,乌干达青少年中关于妊娠结局及其相关因素的数据很少.这项研究的目的是确定在坎帕拉国家转诊医院分娩的青少年的患病率和与妊娠结局相关的因素。乌干达。材料和方法：这项横断面研究是在坎帕拉国家转诊医院分娩的少女母亲中进行的，乌干达。对于那些符合资格标准的人，连续招募参与者。感兴趣的结局包括不良的产妇结局，难产被用作替代，不良的胎儿结局，出生窒息被用作替代。Logistic回归分析用于确定自变量和因变量之间的关联，具有5％的统计学意义（α=0.05）。结果：少女妊娠与不良产妇结局相关，包括难产（18％）和早产（5.5％）。在研究期间没有产妇死亡。在本研究人群中观察到的不良胎儿结局包括低出生体重（83％），出生窒息（18%），和死产(4%)。与不良产妇结局相关的唯一因素是胎龄，其中少女母亲在37周前分娩的可能性是其4倍。相关地，十几岁的母亲有81%的机会早产。结论：除早产外，少女妊娠通常与不良母婴结局无关。不良妊娠结局的原因可能是妇科和生物不成熟的结合，以及不利的社会经济压力。
