Abstract
Objectives
To compare the risk of severe adverse maternal outcomes (SMO) and neonatal outcomes (SNO) and analyse their maternal correlates in adolescent mother-newborn and young mother-newborn dyads in secondary and tertiary care users in Latin America.
Methods
We performed a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health database in 83 secondary and tertiary hospitals in seven countries in Latin America. We constructed a composite indicator of both SMO and SNO and estimated odds ratios (OR) comparing adolescent mothers (aged 12–19) with young mothers (aged 20–24). Our unit of analysis was the mother-newborn dyad.
Results
We found that the combination of SMO and SNO was three times more likely in adolescent mother as compared to young mother dyads (OR 3.56; 95% CI 1.67–7.59). SNO either alone or in combination with SMO were more likely in adolescents aged 12 to 16 than in young women (OR 1.27 and 4.87, respectively).
Conclusions for Practice
Adolescent mothers and their newborns are at an increased risk of severe adverse outcomes during child birth and in the first week postpartum compared to young mother dyads, especially young adolescents. Focusing on the dyad as a whole may facilitate a step towards integrated care which maximizes the health benefits of both mother and newborn. Continued efforts are needed to improve health care and prevention initiatives directed towards adolescent women and their newborns in Latin America.
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Data Availability
Analytical dataset available upon request.
Code Availability
Available upon request.
References
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Acknowledgements
We would like to thank the WHO for making available the Latin American data of the WHO Multicountry Survey on Maternal and Newborn Health database. We are grateful to all members of the WHO Multicountry Survey on Maternal and Newborn Health Research Network, particularly to the country coordinators, data collection coordinators, facility coordinators, data collectors, and all staff of the participating facilities in Latin America. We thank Dr Juan Carlos Aranda-Neri for his advice to interpret results from a clinical point of view and Dr Franz Castro for his editorial assistance.
Funding
This study was partially funded by the National Institute of Public Health of Mexico through the National Strategy to Prevent Adolescent Pregnancy Fund (Anexo-13-E022-630).
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LS-L and EO-P conceptualised and performed the analysis. LS-L, EV-S, DG-H and LC wrote the first draft. GC revised the manuscript for important intellectual content. All authors contributed to the interpretation of the results and development of the article. All authors read and approved the final version of the article. LS-L and EO-P are the guarantors of the article.
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The Special Programme of Research, Development and Research Training in Human Reproduction (HRP) Specialist Panel on Epidemiological Research reviewed and approved the study protocol for technical content. The World Health Organization Multicountry Survey on Maternal and Newborn Health study protocol was approved by the World Health Organization Ethical Review Committee and the relevant ethical clearance mechanisms in all participant countries (ID: A65661; date: 27 October 2009).
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Suárez-López, L., González-Hernández, D., de la Vara-Salazar, E. et al. Severe Adverse Maternal and Neonatal Outcomes in Adolescent Mother-Newborn Dyads: A Multicentre Study in Latin America. Matern Child Health J 26, 2079–2089 (2022). https://doi.org/10.1007/s10995-022-03474-7
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DOI: https://doi.org/10.1007/s10995-022-03474-7