{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T19:28:06Z","timestamp":1775244486716,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the trend in adolescent maternal deaths and deliveries over a period of 5\u2009years and 9\u2009months (July 2014\u2013March 2020) at the Ekurhuleni Health District in South Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study was a retrospective review and secondary data analysis using data from the District Health Information System and clinical oversight data from the District Clinical Specialist Team. The study population was adolescent pregnant women aged 10\u201319\u2009years who died at health facilities. Descriptive and inferential statistics were used for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a total of 12\u2009559 adolescent deliveries. Adolescent birth rate was lower than that of sub\u2010Saharan Africa. Adolescent deaths (<jats:italic>n<\/jats:italic>\u2009=\u200937) contributed to around 8% of the total maternal deaths. Deliveries (97%) and deaths (98%) were most common among women aged 15\u201319\u2009years. Six (16%) women had a repeat pregnancy. A total of 21 (57%) had booked for antenatal care. There were few antenatal visits (mean 4\u2009\u00b1\u2009SD 2.1). The main three causes of death were hypertension (35%) followed by hemorrhage (24%) and suicide (14%). Postpartum deaths (62%) were significantly (chi\u2010square test, <jats:italic>P<\/jats:italic>\u2009=\u20090.02) higher than antepartum deaths (38%). The majority (73%) of newborns were born alive which was significantly (chi\u2010square test<jats:italic>, P<\/jats:italic>\u2009=\u20090.002) higher than those which were stillborn (27%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The main challenges were the high number of adolescent deliveries, repeat pregnancies, and preventable causes of death. Multidisciplinary collaboration involving obstetricians, midwives, pediatricians, school health services, social workers and psychologists is indispensable for comprehensive management, prioritizing pregnancy prevention among this vulnerable group.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.15763","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T09:39:25Z","timestamp":1719567565000},"page":"1084-1089","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adolescent maternal mortality at a district health services over a five year period in South Africa: A retrospective study"],"prefix":"10.1002","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1523-2555","authenticated-orcid":false,"given":"Jayati Kusari","family":"Basu","sequence":"first","affiliation":[{"name":"Ekurhuleni District Department of Health  Gemiston South Africa"},{"name":"Department of Obstetrics and Gynecology, Faculty of Health Sciences University of the Witwatersrand  Johannesburg South Africa"},{"name":"Maternal and Infant Health Care Strategies Research Unit, South African Medical Research Council University of Pretoria  Pretoria South Africa"},{"name":"Ekurhuleni Clinical Research Center: A JBI Affiliated Group University of Adelaide  Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimee","family":"Stewart","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, School of Therapeutic Sciences, Faculty of Health Sciences University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ute","family":"Feucht","sequence":"additional","affiliation":[{"name":"Maternal and Infant Health Care Strategies Research Unit, South African Medical Research Council University of Pretoria  Pretoria South Africa"},{"name":"Ekurhuleni Clinical Research Center: A JBI Affiliated Group University of Adelaide  Adelaide Australia"},{"name":"Department of Pediatrics University of Pretoria  Pretoria South Africa"},{"name":"Research Center for Maternal, Fetal, Newborn and Child Health Care Strategies University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Wing","sequence":"additional","affiliation":[{"name":"Department of internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debashis","family":"Basu","sequence":"additional","affiliation":[{"name":"Ekurhuleni Clinical Research Center: A JBI Affiliated Group University of Adelaide  Adelaide Australia"},{"name":"Department of Public Health Medicine, Steve Biko Academic Hospital University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"WHO.Adolescent pregnancy fact sheet 2023. Accessed January 15 2024.https:\/\/www.who.int\/news\u2010room\/facts\u2010sheets\/detail\/adolescent\u2010pregnancy"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30311-4"},{"key":"e_1_2_10_4_1","unstructured":"United Nations Department of Economic and Social Affairs.World Population Prospects 2019 Revision: Age\u2010specific fertility rates by region subregion and country 1950\u20132100 (births per 1 000 women). Accessed January 15 2024.https:\/\/population.un.org\/wpp\/Download\/Standard\/Fertility\/"},{"key":"e_1_2_10_5_1","unstructured":"World Bank.The social and educational consequences of adolescent childbearing. Accessed January 15 2024.https:\/\/genderdata.worldbank.org\/data\u2010stories\/"},{"key":"e_1_2_10_6_1","unstructured":"United Nations.Department of Economic and Social Affairs. Transforming our world: the 2030 agenda for sustainable development. 2017. 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