Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana
Adolescent pregnancy is associated with adverse birth outcomes. However, the determinants of these outcomes are understudied. The present study sought to identify the predictors of adverse birth outcomes among pregnant adolescents in Ghana. In this prospective health centre-based study, 416 pregnant...
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| Format: | Article |
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Cambridge University Press
2021-01-01
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| Series: | Journal of Nutritional Science |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2048679021000586/type/journal_article |
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| author | Reginald Adjetey Annan Linda Afriyie Gyimah Charles Apprey Odeafo Asamoah-Boakye Linda Nana Esi Aduku Wisdom Azanu Herman E. Luterodt Anthony K. Edusei |
| author_facet | Reginald Adjetey Annan Linda Afriyie Gyimah Charles Apprey Odeafo Asamoah-Boakye Linda Nana Esi Aduku Wisdom Azanu Herman E. Luterodt Anthony K. Edusei |
| author_sort | Reginald Adjetey Annan |
| collection | DOAJ |
| description | Adolescent pregnancy is associated with adverse birth outcomes. However, the determinants of these outcomes are understudied. The present study sought to identify the predictors of adverse birth outcomes among pregnant adolescents in Ghana. In this prospective health centre-based study, 416 pregnant adolescents, aged 13–19 years old, were followed, and 270 birth outcomes were evaluated. We collected data on socio-demographic variables, eating behaviour, household hunger scale (HHS), lived poverty index (LPI) and compliance to antenatal interventions. The prevalence of low birth weight (LBW) and preterm births (PTB) were 15⋅2 and 12⋅5 %, respectively. Pregnant adolescents with no formal education (AOR 9⋅0; P = 0⋅004; 95 % CI 2⋅1, 39⋅8), those who experienced illness (AOR 3⋅0; P = 0⋅011; 95 % CI 1⋅3, 7⋅0), those who experienced hunger (OR 2⋅9; P = 0⋅010; 95 % CI 1⋅3, 6⋅5) and those with high LPI (OR 2⋅5; P = 0⋅014; 95 % CI 1⋅2, 5⋅3) presented increased odds of delivering preterm babies compared with those who have had secondary education, did not experience any illness, were not hungry or having low LPI, respectively. Pregnant adolescents who used insecticide-treated net (ITN) (AOR 0⋅4; P = 0⋅013; 95 % CI 0⋅2, 0⋅9) presented reduced odds LBW children; while those who experienced illness (AOR 2⋅7; P = 0⋅020; 95 % CI 1⋅2, 6⋅0), poorer pregnant adolescents (OR 2⋅5; P = 0⋅014; 95 % CI 1⋅1, 4⋅8) and those who experienced hunger (AOR 3⋅0; P = 0⋅028; 95 % CI 1⋅1, 8⋅1) presented increased odds of LBW children compared with those who used ITN, were not ill, were not poor or did not experience hunger. Adverse birth outcomes were associated with ANC compliance and socioeconomic factors of the pregnant adolescents. Hence, strengthening antenatal uptake and compliance by pregnant adolescents, promoting their livelihood and socioeconomic status, and interventions to prevent teenage pregnancies are strongly recommended. |
| first_indexed | 2024-04-10T04:43:20Z |
| format | Article |
| id | doaj.art-c2ba37e45dc74b27829e41ee3dd0f002 |
| institution | Directory Open Access Journal |
| issn | 2048-6790 |
| language | English |
| last_indexed | 2024-04-10T04:43:20Z |
| publishDate | 2021-01-01 |
| publisher | Cambridge University Press |
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| series | Journal of Nutritional Science |
| spelling | doaj.art-c2ba37e45dc74b27829e41ee3dd0f0022023-03-09T12:38:45ZengCambridge University PressJournal of Nutritional Science2048-67902021-01-011010.1017/jns.2021.58Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, GhanaReginald Adjetey Annan0Linda Afriyie Gyimah1https://orcid.org/0000-0001-6507-3524Charles Apprey2Odeafo Asamoah-Boakye3Linda Nana Esi Aduku4Wisdom Azanu5Herman E. Luterodt6Anthony K. Edusei7Human Nutrition and Dietetics Unit, Department of Biochemistry and Biotechnology, Faculty of Biosciences, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaHuman Nutrition and Dietetics Unit, Department of Biochemistry and Biotechnology, Faculty of Biosciences, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaHuman Nutrition and Dietetics Unit, Department of Biochemistry and Biotechnology, Faculty of Biosciences, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaHuman Nutrition and Dietetics Unit, Department of Biochemistry and Biotechnology, Faculty of Biosciences, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaHuman Nutrition and Dietetics Unit, Department of Biochemistry and Biotechnology, Faculty of Biosciences, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Obstetrics and Gynecology, University of Allied Health Sciences, Ho, GhanaDepartment of Food Science and Technology, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Community Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaAdolescent pregnancy is associated with adverse birth outcomes. However, the determinants of these outcomes are understudied. The present study sought to identify the predictors of adverse birth outcomes among pregnant adolescents in Ghana. In this prospective health centre-based study, 416 pregnant adolescents, aged 13–19 years old, were followed, and 270 birth outcomes were evaluated. We collected data on socio-demographic variables, eating behaviour, household hunger scale (HHS), lived poverty index (LPI) and compliance to antenatal interventions. The prevalence of low birth weight (LBW) and preterm births (PTB) were 15⋅2 and 12⋅5 %, respectively. Pregnant adolescents with no formal education (AOR 9⋅0; P = 0⋅004; 95 % CI 2⋅1, 39⋅8), those who experienced illness (AOR 3⋅0; P = 0⋅011; 95 % CI 1⋅3, 7⋅0), those who experienced hunger (OR 2⋅9; P = 0⋅010; 95 % CI 1⋅3, 6⋅5) and those with high LPI (OR 2⋅5; P = 0⋅014; 95 % CI 1⋅2, 5⋅3) presented increased odds of delivering preterm babies compared with those who have had secondary education, did not experience any illness, were not hungry or having low LPI, respectively. Pregnant adolescents who used insecticide-treated net (ITN) (AOR 0⋅4; P = 0⋅013; 95 % CI 0⋅2, 0⋅9) presented reduced odds LBW children; while those who experienced illness (AOR 2⋅7; P = 0⋅020; 95 % CI 1⋅2, 6⋅0), poorer pregnant adolescents (OR 2⋅5; P = 0⋅014; 95 % CI 1⋅1, 4⋅8) and those who experienced hunger (AOR 3⋅0; P = 0⋅028; 95 % CI 1⋅1, 8⋅1) presented increased odds of LBW children compared with those who used ITN, were not ill, were not poor or did not experience hunger. Adverse birth outcomes were associated with ANC compliance and socioeconomic factors of the pregnant adolescents. Hence, strengthening antenatal uptake and compliance by pregnant adolescents, promoting their livelihood and socioeconomic status, and interventions to prevent teenage pregnancies are strongly recommended.https://www.cambridge.org/core/product/identifier/S2048679021000586/type/journal_articleAdolescent pregnancyBirth outcomesHousehold hunger scaleLived poverty indexLow birth weightPreterm |
| spellingShingle | Reginald Adjetey Annan Linda Afriyie Gyimah Charles Apprey Odeafo Asamoah-Boakye Linda Nana Esi Aduku Wisdom Azanu Herman E. Luterodt Anthony K. Edusei Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana Journal of Nutritional Science Adolescent pregnancy Birth outcomes Household hunger scale Lived poverty index Low birth weight Preterm |
| title | Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana |
| title_full | Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana |
| title_fullStr | Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana |
| title_full_unstemmed | Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana |
| title_short | Predictors of adverse birth outcomes among pregnant adolescents in Ashanti Region, Ghana |
| title_sort | predictors of adverse birth outcomes among pregnant adolescents in ashanti region ghana |
| topic | Adolescent pregnancy Birth outcomes Household hunger scale Lived poverty index Low birth weight Preterm |
| url | https://www.cambridge.org/core/product/identifier/S2048679021000586/type/journal_article |
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