Beyene Fentahun Yenealem, Tesfu Azimeraw Arega, Wudineh Kihinetu Gelaye, Wassie Toyiba Hiyaru
Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Pregnancy Childbirth. 2022 Oct 29;22(1):799. doi: 10.1186/s12884-022-05130-y.
Worldwide teenage pregnancies develop many devastating complications, both the mother and the neonate like developing anemia, nutritional deficiency, pregnancy induced hypertension, preterm baby, inadequate weight gains and obstructed labor, fistula and sepsis. Reproductive health concerns of adolescents the main emphasis area which increasing international attention in recent years. Therefore, we intended to assess the magnitude and its associated factors of teenage pregnancy in Bahir Dar city administration health institutions, northwest, Ethiopia, 2017.
A health institution based a cross-sectional study was conducted among pregnant mothers from February 20-March 27, 2017 in Bahir Dar city administration. Five hundred forty-nine participants were selected by face to face interview and medical card review by using systematic random sampling technique every four intervals for each health institution. Bivariate and multivariate data analysis was performed using Statistical Package for the Social Sciences (SPSS) Windows version 21 and level of significance of association was determined at P- value < 0.05.
The study identified 12.2%with (95%CI (9.5, 14.9)) of pregnant women were teenagers. Multivariable logistic regression analysis showed that: [(AOR (95% CI)) rural residency 3.21(1.234, 9.345), age at first marriage < 18 years 9(7.823, 17.571) and not using contraception prior to this pregnancy 5.22(3.243, 11.675)] were significantly associated with teenage pregnancy.
The magnitude of teenage pregnancy was comparable to the 2016 Ethiopian demographic health survey finding. Rural residency, age at first marriage and not using of contraception prior to the current pregnant were significantly associated with teenage pregnancy. As per the findings, awareness creation to the rural population, advocating utilization of contraception, avoid early marriage and put the mindset the effect of teenage pregnancy for those are needed.
在全球范围内，青少年怀孕会引发许多严重的并发症，对母亲和新生儿都会造成影响，比如贫血、营养缺乏、妊娠高血压、早产、体重增加不足、产程梗阻、瘘管和败血症。青少年的生殖健康问题是近年来国际社会日益关注的主要重点领域。因此，我们旨在评估2017年埃塞俄比亚西北部巴赫达尔市行政医疗机构中青少年怀孕的发生率及其相关因素。
2017年2月20日至3月27日，在巴赫达尔市行政机构对怀孕母亲开展了一项基于医疗机构的横断面研究。采用系统随机抽样技术，每隔四个间隔从每个医疗机构中选取549名参与者进行面对面访谈和医疗卡审查。使用社会科学统计软件包（SPSS）Windows版21进行双变量和多变量数据分析，并将关联的显著性水平设定为P值<0.05。
该研究发现12.2%（95%置信区间（9.5, 14.9））的孕妇为青少年。多变量逻辑回归分析显示：[（比值比（95%置信区间））农村居民身份3.21（1.234, 9.345），初婚年龄<18岁9（7.823, 17.571），本次怀孕前未使用避孕措施5.22（3.243, 11.675）]与青少年怀孕显著相关。
青少年怀孕的发生率与2016年埃塞俄比亚人口与健康调查结果相当。农村居民身份、初婚年龄以及本次怀孕前未使用避孕措施与青少年怀孕显著相关。根据研究结果，需要对农村人口进行宣传教育，倡导使用避孕措施，避免早婚，并让人们认识到青少年怀孕的影响。
