Birth outcomes in adolescent pregnancy in an area with intense malaria transmission in Tanzania

Wort, U. U., Warsame, M. and Brabin, Bernard (2006) 'Birth outcomes in adolescent pregnancy in an area with intense malaria transmission in Tanzania'. Acta Obstetricia Et Gynecologica Scandinavica, Vol 85, Issue 8, pp. 949-954.

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Abstract

Background. Although the effects of malaria for the mother and young baby are well described in developing countries, there is very little data on the consequences for adolescent pregnancies. This paper analyses birth outcome in adolescent pregnancy in an area of Tanzania with intense malaria transmission. Methods. A cross-sectional descriptive analysis of 528 adolescents and 1,156 adults, malaria prevalence, and birth-weight outcomes for women delivering in Kilosa Hospital between June 2001 and October 2002. Results. This area has high malaria transmissions with some seasonality. Adolescent primigravidae had higher parasite prevalence than adolescent secundigravidae (41.3% versus 28.1%, p > 0.05), and than adult primigravidae (41.3% versus 31.5%, p = 0.007). Low birth weight prevalence was highest among adolescents delivering during the malaria season (odds ratio 1.7, 95% CI 1.1-2.6, p = 0.02), and was double that of adult primigravidae (31.5% versus 15.9%, p = 0.021). The prevalence of parasitemia (p = 0.003) and low birth weight (p = 0.033) declined with increasing age amongst adolescent primigravidae. Adjusted logistic regression showed a 1.4-fold increased risk of low birth weight amongst adolescents (95% CI, 0.98-1.96). Conclusions. Failure to prioritize adolescent malaria will seriously limit the success of malaria control programs in pregnancy.

Item Type:	Article
Uncontrolled Keywords:	adolescent pregnancy malaria birth weight tanzania malawi urban care hiv
Subjects:	WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria WQ Obstetrics > Pregnancy > WQ 200 General works WQ Obstetrics > Pregnancy Complications > WQ 256 Infectious diseases WS Pediatrics > By Age Groups > WS 460 Adolescence (General)
Faculty: Department:	Groups (2002 - 2012) > Child & Reproductive Health Group
Digital Object Identifer (DOI):	https://doi.org/10.1080/00016340600756870
Depositing User:	Sarah Lewis-Newton
Date Deposited:	02 Mar 2011 16:43
Last Modified:	06 Feb 2018 13:02
URI:	https://archive.lstmed.ac.uk/id/eprint/1634

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