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Adolescent pregnancy and childbirth can carry a risk of morbidity associated with the physiological and sociological characteristics of teenage girls. This study aims to identify the main adverse obstetric and perinatal outcomes for adolescent pregnancies in the Hospital Dr. Ayres de Menezes (HAM), the only hospital in STP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An institution-based cross-sectional study. Pregnant women\u2009\u2264\u200919\u00a0years of age (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009104) were compared to non-adolescent women (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009414). The obstetric and perinatal outcomes were compared between groups using the t test. Odds ratio (OR) were calculated through Cochran\u2019s and Mantel\u2013Haenszel statistics test for odds ratio equal to 1, 95% confidence intervals (CI) and p values (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) were considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The adverse perinatal outcomes imputable to adolescent births were foetal distress with low first minute Apgar score\u2009&lt;\u20097 (OR 1.94, 95% CI 1.18\u20133.18,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009) and performance of neonatal resuscitation manoeuvres (OR 2.4, 95% CI 1.07\u20135.38,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032). Compared to older mothers, teenage girls were likely to have a non-statistically significant threefold higher risk of having an obstructed labour (OR 3.40, 95% CI 0.89\u201312.94,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.07). Other perinatal outcomes as neonatal asphyxia, risk for cerebral palsy, premature birth, early neonatal infection, and neonatal death were identical between groups as well as maternal anaemia, mode of delivery or other obstetrical outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adolescent pregnancies were associated with worse perinatal outcomes as foetal distress and higher need for neonatal resuscitation manoeuvres. This study may support STP health authorities in their efforts to make Sustainable Development Goals 3 (good health and wellbeing), 4 (quality education) and 5 (gender equality) a reality by 2030, since it identifies specific problems that need to be addressed to improve maternal adolescent health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12884-022-04779-9","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T07:12:52Z","timestamp":1653981172000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Adolescent pregnancy in Sao Tome and Principe: are there different obstetric and perinatal outcomes?"],"prefix":"10.1186","volume":"22","author":[{"given":"Alexandra","family":"Vasconcelos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Bandeira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swasilanne","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria C\u00e9u","family":"Machado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filomena","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,31]]},"reference":[{"issue":"10176","key":"4779_CR1","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.1016\/S0140-6736(18)32427-9","volume":"393","author":"PS Azzopardi","year":"2019","unstructured":"Azzopardi PS, Hearps SJ, Francis KL, et al. 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Written informed consent was obtained from every participant (or their parent or legal guardian in the case of teenage under 16) after the purpose of the research was explained orally by the investigator. Participation in the survey was voluntary, as participants could decline to participate at any time during the study. Anonymity and safety of participants were ensured. All methods were performed in accordance with the relevant guidelines and regulations in practice.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"453"}}