{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T01:07:30Z","timestamp":1773018450981,"version":"3.50.1"},"reference-count":26,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>High rate of adolescent pregnancies in Low and Middle-Income Countries (LMICs) has become a major threat to the health and safety of young female adolescents. Despite the evidence of maternal of adolescent pregnancies globally, little is known, especially in low-income countries. This study assessed adolescent pregnancy and delivery outcomes compared to young adults and in the Asante Akim North District, Ghana. Quantitative study was conducted using secondary data on pregnancies and deliveries of teenagers in the Asante Akim North District from 1st January 2018 to 31st December 2020 on 1st November 2021 to 1st December 2021. Health facilities and participants were selected using a multi-stage sampling technique. Data was collected using a structured extraction form and analyzed using descriptive and inferential statistical tools with the help of STATA version 16 at a significant level of 0.05. A total of 3036 records (1144 adolescent records and 1892 early adult records) contributed to the study. Most of the adolescent participants (98.5%) were aged 15\u201319 years, and had attained primary education (48.9%). The proportion of adolescent pregnancies in the study setting is 13.35%. Adolescent pregnancies were associated with Postpartum Haemorrhage (P-value = 0.001), Uterine Tract Infections (P-value &lt; 0.001), Genital Tract Sepsis (P-value &lt; 0.001), Maternal death (P-value &lt; 0.001) and anaemia in pregnancies (P-value = 0.036). The study found the proportion of adolescent pregnancies and deliveries to be high and therefore requires prompt and effective adolescent reproductive health education.<\/jats:p>","DOI":"10.1371\/journal.pgph.0004290","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T18:53:59Z","timestamp":1740423239000},"page":"e0004290","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative analysis of adolescent pregnancy and delivery outcomes versus early adulthood pregnancy in the Asante Akim North District, Ghana"],"prefix":"10.1371","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1888-4193","authenticated-orcid":true,"given":"Selina Achiaa","family":"Owusu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward Etse","family":"Aloryito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Sotame","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Asiedu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"key":"pgph.0004290.ref001","article-title":"Testosterone therapy and the female-to-male transgender voice: A prospective study","author":"ZH Teoh","year":"2016","journal-title":"Endocr Rev"},{"issue":"1","key":"pgph.0004290.ref002","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s12978-018-0460-4","article-title":"Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review","volume":"15","author":"I Yakubu","year":"2018","journal-title":"Reprod Health"},{"key":"pgph.0004290.ref003","volume-title":"Teenage pregnancies: a worldwide social and medical problem. 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