Health Care : Current Reviews

Adolescent childbearing age and risk of adverse perinatal and health outcomes in South Asian countries: A systematic review and meta-analysis

5^th International Congress on Healthcare & Hospital Management

December 03-04, 2018 | Rome, Italy

Md Rashed Alam, Tapan Kumar Roy, Md Nuruzzaman Khan and Md Mizanur Rahman

University of Rajshahi, Bangladesh
Newcastle University, Australia
University of Tokyo, Japan

Scientific Tracks Abstracts: Health Care Current Reviews

Abstract:

Background: Adolescent childbearing is a major public health problem worldwide especially in South Asian Countries. Adolescent pregnancy especially below 17 years of age has been considered to have a higher risk than adult pregnancy because of biological immaturity of the teenager. The study is conducted for the systematic review and meta-analysis to summarize the adverse birth and health outcomes associated with adolescent pregnancy. Methods: We adopted the PRISMA consensus statement. PubMed database were searched on February 13, 2016. 24 studies were included, 10 studies go to the quantitative synthesis and others go to narrative reviews. Meta-analysis was used to pool the result of the individual studies. Results: Adolescent pregnancy found to be significantly associated with higher risk of low birth weight (LBW), (OR, 1.50; 95% CI 1.27???1.78), preterm birth (PTB) (OR, 1.49; 95% CI 1.15???1.93), small for gestational age (SGA) (OR, 1.33; 95% CI 1.13???1.56) and neonatal mortality (OR, 1.45; 95% CI 1.20??? 1.76). Lower risk of cesarean delivery (OR, 0.77; 95% CI 0.60???0.98) also reported among the adolescent mothers. Risk of perinatal mortality also found lower (OR, 0.80; 95% CI 0.42???1.51) among adolescent mothers however, the risk was not statistically significant. Conclusion: The findings concluded that adolescence pregnancy increase the risk of LBW, PTB, SGA, neonatal mortality. The risk of cesarean delivery and perinatal mortality found lower among adolescent mothers. Increased awareness about the adverse effect of adolescent pregnancy outcomes may protect rules in adolescent marriage and help to reduce such outcomes for the welfare of mother as well as children. Recent Publications 1. Md Rashed Alam, Md Nuruzzaman Khan, Mahammad Zahidul Islam, Jenny Jung, Tapan Kumar Roy and Md Mizanur Rahman (2018) Determinants of adolescent childbearing in Bangladesh: a multilevel logistic regression analysis. Journal of Child & Adolescent Behavior 6(3). 2. Md Rashed Alam, Nuruzzam Khan Md, Cherri Z, Tapan Kumar R and Mizanur Rahman Md (2018) Child bearing age and pregnancy outcomes in Bangladesh: a multilevel analysis of a nationwide population-based survey. Journal of Primary Health Care 8(2):294. 3. Md Rafiqul Islam, Md Rashed Alam and Md Rabiul Islam (2015) Factors affecting physical violence against women in Bangladesh. International Journal of Advanced and Multidisciplinary Social Science 1(1):1-6. 4. Rabiul Islam, Md Rashed Alam and Rafiqul Islam (2013) Effects of socio-demographic factors on children ever born for domestic and non-domestic violence: Application of Path model. Global Advanced Research Journal of Social Science 2(2):038-046. 5. Md Rafiqul Islam, Md Rabiul Islam, Md Rashed Alam and Md Mosharaf Hossain (2012) Affecting socio-demographic factors on children ever born for women who have experienced domestic violence and women who have not experienced domestic violence in Bangladesh. American Journal of Sociological Research 2(5):113-119.

Biography :

Md Rashed Alam is an Associate Professor in Population Science and Human Resource Development with particular expertise on adolescent reproductive health and fertility. He leads a research group on reproductive health and fertility at Rajshahi University (RU) with approximately 10 multidisciplinary researchers. Over the last 12 years he has lead a few number of research projects in Bangladesh, aiming at more effective program implementation of HIV/AIDS knowledge, awareness and attitudes; women’s working status on fertility and determinants of academic performance of the university students. He has joined various training program such as reproductive health and HIV/AIDS and initiatives in science education, research and capacity building in home and aboard. He was also awarded scholarships on the above degree. He presented at various conferences in home and aboard and published 14 research articles in various journals. He is the leader of departmental indoor and outdoor games.

E-mail: mrasps29@gmail.com