{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T20:37:29Z","timestamp":1793824649327,"version":"4.6.1"},"reference-count":17,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>Adolescent pregnancy is a major social and public health problem that burdens affected families, the communities and societies globally. It has been associated with a higher prevalence of adverse pregnancy outcomes compared to pregnancy in adults. To compare adverse pregnancy outcomes in adolescents (13\u201319 years) and those in adults (20 to 35 years) at the Korle-Bu Teaching Hospital in Accra, Ghana and investigate the associated factors among adolescents.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>This comparative study involved 110 adolescents (13\u201319 years) and 220 adults (20 to 35 years) who delivered at the Maternity Unit of the Korle-Bu Teaching Hospital between November 2016 and February 2017. Participants were recruited using the convenience sampling method. After study protocol was explained to the parturient, informed voluntary consent and assent were obtained. Participants who met the inclusion criteria were recruited in the study. Sociodemographic characteristics, antenatal and delivery records; and maternal and perinatal outcomes were collected using an interviewer administered questionnaire and the participants\u2019 records. Data analysis was done using SPSS version 16.0.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The prevalence of adolescent pregnancies during the study period was 5.1%. Compared to adults, adolescents were about 3 times more likely to have eclampsia although preeclampsia occurred more in adults. Adolescents that resided in sub-urban dwellings were more likely to have an adverse perinatal outcome compared to their adult counterparts.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Our study found that, in addition to their socioeconomic and biophysical disadvantages, adolescents were likely to have exceptionally high risk of eclampsia.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0297317","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T17:51:30Z","timestamp":1722534690000},"page":"e0297317","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["Comparing adverse maternal and neonatal outcomes in adolescent versus adult mothers in Sub-Saharan Africa"],"prefix":"10.1371","volume":"19","author":[{"given":"Chibuikem N.","family":"Onuzo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3575-2838","authenticated-orcid":true,"given":"Promise E.","family":"Sefogah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson K.","family":"Damale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore K.","family":"Boafor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alim","family":"Swarray-Deen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kareem","family":"Mumuni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,8,1]]},"reference":[{"key":"pone.0297317.ref001","unstructured":"World Health Organization, Adolescent Pregnancy\u2014Issues In Adolescent Health and Development. Geneva, 2004."},{"key":"pone.0297317.ref002","first-page":"8","volume-title":"Adolescent Pregnancy: A Review of the Evidence Adolescent Pregnancy: A Review of the Evidence.","author":"L Edilberto","year":"2013"},{"key":"pone.0297317.ref003","author":"Unicef","year":"2015","journal-title":"The state of the world\u2019s children 2015 Executive Summary"},{"issue":"1","key":"pone.0297317.ref004","first-page":"45","article-title":"Outcome of teenage pregnancy in the Niger delta of Nigeria. Ethiop","volume":"22","author":"II Ayuba","year":"2012","journal-title":"J. Health Sci."},{"issue":"2","key":"pone.0297317.ref005","first-page":"147","article-title":"Obstetric outcome of teenage pregnancies at a tertiary hospital in Enugu, Nigeria, Niger.","volume":"15","author":"HU Ezegwui","year":"2012","journal-title":"J. Clin. Pract."},{"key":"pone.0297317.ref006","doi-asserted-by":"crossref","first-page":"22","DOI":"10.4103\/2278-960X.129274","article-title":"Outcome of Teenage Pregnancy at a Tertiary Hospital in Abakaliki Southeast Nigeria","volume":"3","author":"R Onoh Chukwudi","year":"2014","journal-title":"Journal of Basic and Clinical Reproductive Sciences"},{"issue":"3","key":"pone.0297317.ref007","first-page":"290","article-title":"Socio-clinical factors related to the perinatal outcome of teenage pregnancies in a Nigerian teaching hospital.","volume":"40","author":"T Ogunlesi","year":"2013","journal-title":"Orig. Niger J Paed"},{"issue":"02","key":"pone.0297317.ref008","doi-asserted-by":"crossref","first-page":"88","DOI":"10.4236\/ojog.2015.52012","article-title":"Obstetrical and Perinatal Outcomes of Adolescent Pregnancies in Cameroon: A Retrospective Cohort Study at the Yaounde General Hospital.","volume":"05","author":"JDK Ngowa","year":"2015","journal-title":"Open J. Obstet. Gynecol."},{"issue":"6","key":"pone.0297317.ref009","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1080\/jmf.10.6.393.397","article-title":"Teenage pregnancy: risk factors for adverse perinatal outcome","volume":"10","author":"L Gortzak-Uzan","year":"2001","journal-title":"J. Matern. Fetal. Med."},{"issue":"Suppl 2","key":"pone.0297317.ref010","doi-asserted-by":"crossref","first-page":"S8","DOI":"10.1186\/1742-4755-12-S2-S8","article-title":"Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network\u2019s Maternal Newborn Health Registry study","volume":"12","author":"F Althabe","year":"2015","journal-title":"Reprod Health"},{"key":"pone.0297317.ref011","first-page":"1","article-title":"Perinatal Outcome in Unbooked Teenage Pregnancies in the University of Calabar Teaching Hospital, Calabar, Nigeria","volume":"2012","author":"CU Iklaki","year":"2012","journal-title":"Obstet. Gynecol"},{"issue":"3","key":"pone.0297317.ref012","doi-asserted-by":"crossref","first-page":"77","DOI":"10.7196\/sajog.679","article-title":"Obstetric and perinatal outcome in teenage pregnancies,","volume":"19","author":"S Sulaiman","year":"2013","journal-title":"S. Afr. J. Obstet. Gynaecol."},{"key":"pone.0297317.ref013","author":"Ghana Statistical Service(GSS), Ghana Health Service(GHS),","year":"2015"},{"issue":"3","key":"pone.0297317.ref014","first-page":"155","article-title":"Extent of the problem of adolescent pregnancy in Korle-Bu teaching hospital","volume":"23","author":"D. Ampofo","year":"1989","journal-title":"Ghana Med J"},{"issue":"2","key":"pone.0297317.ref015","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.ajog.2004.10.593","article-title":"Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study","volume":"192","author":"A Conde-Agudelo","year":"2005","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"2","key":"pone.0297317.ref016","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.ejogrb.2007.06.013","article-title":"Teenage pregnancies: Obstetric characteristics and outcome","volume":"137","author":"N Gupta","year":"2008","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"issue":"1","key":"pone.0297317.ref017","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12884-017-1575-2","article-title":"Perinatal outcomes of hypertensive disorders in pregnancy at a tertiary hospital in Ghana.","volume":"17","author":"K Adu-Bonsaffoh","year":"2017","journal-title":"BMC Pregnancy Childbirth"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0297317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T17:52:11Z","timestamp":1722534731000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0297317"}},"subtitle":[],"editor":[{"given":"Adu","family":"Appiah-Kubi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,8,1]]},"references-count":17,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8,1]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0297317","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,1]]}}}