Varmaghani Mehdi, Pourtaheri Asma, Ahangari Hamideh, Tehrani Hadi
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Health Management and Economy Sciences, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Reprod Health. 2024 Jul 31;21(1):113. doi: 10.1186/s12978-024-01856-4.
Adolescent pregnancy is one of the public health problems that both mother and baby suffer from its consequences. This study was conducted to estimate the prevalence and consequences of adolescent pregnancy in the Eastern Mediterranean region.
In this systematic review and meta-analysis, four databases (PubMed, ProQuest, Web of Science and Scopus) were systematically searched for relevant articles published from 1990 to 2022. The screening process for articles was conducted in accordance with the PRISMA guidelines. Joanna Briggs checklists were used to assess the quality of included studies. A random effects model was performed for the meta-analysis. Narrative synthesis of adolescent pregnancy prevalence, as well as a meta-analysis of adolescent pregnancy prevalence was performed using STATA 14.
The review included 12 studies and 94,189 study participants. The prevalence of adolescent pregnancy was [9% (95% CI 6.9, 11.2, p < 0.001)]. Pregnancy outcomes included preeclampsia [12.9%(95% CI 7.3,18.5, p < 0.001)], low birth weight [16.1%(95% CI 7.4-24.8, p < 0.001)], anemia [33%(95% CI 14.4, 51.7, p < 0.001)], and cesarean delivery [15.9%(95% CI 11.1-20.7, p < 0.001)].The results showed that 16.9% of deliveries were cesarean sections.
The study's findings indicate that adolescent pregnancy is prevalent in the Middle East region and is associated with negative outcomes for teenagers. Therefore, it is necessary to carry out effective interventions to reduce adolescent pregnancy.
青少年怀孕是一个公共卫生问题，母婴双方都会受到其后果的影响。本研究旨在估计东地中海地区青少年怀孕的患病率及其后果。
在这项系统评价和荟萃分析中，系统检索了四个数据库（PubMed、ProQuest、科学网和Scopus）中1990年至2022年发表的相关文章。文章筛选过程按照PRISMA指南进行。使用乔安娜·布里格斯检查表评估纳入研究的质量。采用随机效应模型进行荟萃分析。使用STATA 14对青少年怀孕患病率进行叙述性综合分析以及荟萃分析。
该评价纳入了12项研究，共94189名研究参与者。青少年怀孕的患病率为[9%（95%置信区间6.9，11.2，p<0.001）]。妊娠结局包括子痫前期[12.9%（95%置信区间7.3，18.5，p<0.001）]、低出生体重[16.1%（95%置信区间7.4 - 24.8，p<0.001）]、贫血[33%（95%置信区间14.4，51.7，p<0.001）]以及剖宫产[15.9%（95%置信区间11.1 - 20.7，p<0.001）]。结果显示16.9%的分娩为剖宫产。
该研究结果表明青少年怀孕在中东地区普遍存在，且与青少年的不良结局相关。因此，有必要开展有效干预措施以减少青少年怀孕。
