IMEMR
EMRO
66.92
Index Copernicus
ICICICICICICICIC
Volume 5, Issue 2 (2024)
J Clinic Care Skill 2024, 5(2): 69-75 |
Back to browse issues page
Article Type:
Subject:
History
Received: 2024/05/6 | Accepted: 2024/06/18 | Published: 2024/06/30
Received: 2024/05/6 | Accepted: 2024/06/18 | Published: 2024/06/30
How to cite this article
Mohammadi S, Pajohideh Z, Rabiei Z. Adolescent-Specific Prenatal Clinics' Effectiveness in Improving Birth Outcomes; A Systematic Review. J Clinic Care Skill 2024; 5 (2) :69-75
URL: http://jccs.yums.ac.ir/article-1-255-en.html
URL: http://jccs.yums.ac.ir/article-1-255-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rights and permissions
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Adolescent-Specific Prenatal Clinics' Effectiveness in Improving Birth Outcomes; A Systematic Review
1- Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
3- Department of Midwifery, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
2- Department of Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran
3- Department of Midwifery, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract (1249 Views)
Aims: Adolescent pregnancy is associated with adverse pregnancy outcomes, including preterm delivery, low birth weight, and perinatal death. Therefore, the purpose of this systematic review was to assess the effectiveness of prenatal clinics for adolescents in improving birth outcomes.
Information & Methods: In this systematic review, electronic databases, including Scopus, the Cochrane Library, PubMed, Web of Science, and grey literature databases were searched with keywords related to mesh for published studies from January 1, 1990, to December 31, 2022, in English language. Inclusion criteria included clinical trials and cohort studies focused on prenatal care in adolescent pregnant women with at least one perinatal outcome. Evaluation of the quality of the studies was done using the GATE tool.
Findings: Out of 3261 studies found in the database, 8 studies were included in this systematic review. All included studies were cohorts (retrospective, prospective, and mixed). These studies investigated the effectiveness of clinics for adolescents on outcomes such as premature birth, low birth weight, intrauterine growth restriction, instrumental delivery, cesarean delivery, and perinatal mortality. Most studies were conducted in high-income countries. 7 of the 8 studies (87.5%) report preterm birth as an outcome. Overall, 57.14% of studies showed an association between adolescent-specific prenatal clinic use and decreased preterm birth.
Conclusion: The effectiveness of adolescent-specific prenatal clinics in improving birth outcomes is uncertain.
Information & Methods: In this systematic review, electronic databases, including Scopus, the Cochrane Library, PubMed, Web of Science, and grey literature databases were searched with keywords related to mesh for published studies from January 1, 1990, to December 31, 2022, in English language. Inclusion criteria included clinical trials and cohort studies focused on prenatal care in adolescent pregnant women with at least one perinatal outcome. Evaluation of the quality of the studies was done using the GATE tool.
Findings: Out of 3261 studies found in the database, 8 studies were included in this systematic review. All included studies were cohorts (retrospective, prospective, and mixed). These studies investigated the effectiveness of clinics for adolescents on outcomes such as premature birth, low birth weight, intrauterine growth restriction, instrumental delivery, cesarean delivery, and perinatal mortality. Most studies were conducted in high-income countries. 7 of the 8 studies (87.5%) report preterm birth as an outcome. Overall, 57.14% of studies showed an association between adolescent-specific prenatal clinic use and decreased preterm birth.
Conclusion: The effectiveness of adolescent-specific prenatal clinics in improving birth outcomes is uncertain.
Keywords:
Prenatal Care [MeSH], Special Clinic [MeSH], Adolescents [MeSH], Birth Outcomes [MeSH], Systematic Review [MeSH]
References
1. Fleming N, O'Driscoll T, Becker G, Spitzer RF, Canpago Committee. Adolescent pregnancy guidelines. J Obstet Gynaecol Can. 2015;37(8):740-56. [Link] [DOI:10.1016/S1701-2163(15)30180-8]
2. Molina RC, Roca CG, Zamorano JS, Araya EG. Family planning and adolescent pregnancy. Best Pract Res Clin Obstet Gynaecol. 2010;24(2):209-22. [Link] [DOI:10.1016/j.bpobgyn.2009.09.008]
3. De Vargas Nunes Coll C, Ewerling F, Hellwig F, De Barros AJD. Contraception in adolescence: The influence of parity and marital status on contraceptive use in 73 low-and middle-income countries. Reprod Health. 2019;16(1):21. [Link] [DOI:10.1186/s12978-019-0686-9]
4. Leftwich HK, Alves MVO. Adolescent pregnancy. Pediatr Clin North Am. 2017;64(2):381-8. [Link] [DOI:10.1016/j.pcl.2016.11.007]
5. Karataşlı V, Kanmaz AG, İnan AH, Budak A, Beyan E. Maternal and neonatal outcomes of adolescent pregnancy. J Gynecol Obstet Hum Reprod. 2019;48(5):347-50. [Link] [DOI:10.1016/j.jogoh.2019.02.011]
6. Maheshwari MV, Khalid N, Patel PD, Alghareeb R, Hussain A. Maternal and neonatal outcomes of adolescent pregnancy: A narrative review. Cureus. 2022;14(6):e25921. [Link] [DOI:10.7759/cureus.25921]
7. Amjad S, MacDonald I, Chambers T, Osornio‐Vargas A, Chandra S, Voaklander D, et al. Social determinants of health and adverse maternal and birth outcomes in adolescent pregnancies: A systematic review and meta‐analysis. Paediatr Perinat Epidemiol. 2019;33(1):88-99. [Link] [DOI:10.1111/ppe.12529]
8. Xie Y, Harville EW, Madkour AS. Academic performance, educational aspiration and birth outcomes among adolescent mothers: A national longitudinal study. BMC Pregnancy Childbirth. 2014;14:3. [Link] [DOI:10.1186/1471-2393-14-3]
9. Phupong V, Suebnukarn K. Obstetric outcomes in nulliparous young adolescents. Southeast Asian J Trop Med Public Health. 2007;38(1):141-5. [Link]
10. Raatikainen K, Heiskanen N, Verkasalo PK, Heinonen S. Good outcome of teenage pregnancies in high-quality maternity care. Eur J Public Health. 2006;16(2):157-61. [Link] [DOI:10.1093/eurpub/cki158]
11. Fleming NA, Tu X, Black AY. Improved obstetrical outcomes for adolescents in a community-based outreach program: A matched cohort study. J Obstet Gynaecol Can. 2012;34(12):1134-40. [Link] [DOI:10.1016/S1701-2163(16)35460-3]
12. Quinlivan JA, Evans SF. Teenage antenatal clinics may reduce the rate of preterm birth: A prospective study. BJOG. 2004;111(6):571-8. [Link] [DOI:10.1111/j.1471-0528.2004.00146.x]
13. Ukil D, Esen UI. Early teenage pregnancy outcome: A comparison between a standard and a dedicated teenage antenatal clinic. J Obstet Gynaecol. 2002;22(3):270-2. [Link] [DOI:10.1080/01443610220130544]
14. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. [Link] [DOI:10.1136/bmj.n71]
15. Jackson R, Ameratunga S, Broad J, Connor J, Lethaby A, Robb G, et al. The GATE frame: Critical appraisal with pictures. Evid Based Med. 2006;11(2):35-8. [Link] [DOI:10.1136/ebm.11.2.35]
16. Kay BJ, Share DA, Jones K, Smith M, Garcia D, Yeo SA. Process, costs, and outcomes of community-based prenatal care for adolescents. Med Care. 1991;29(6):531-42. [Link] [DOI:10.1097/00005650-199106000-00012]
17. Morris DL, Berenson AB, Lawson J, Wiemann CM. Comparison of adolescent pregnancy outcomes by prenatal care source. J Reprod Med. 1993;38(5):375-80. [Link]
18. Perez R, Patience T, Pulous E, Brown G, McEwen A, Asato A, et al. Use of a focussed teen prenatal clinic at a military teaching hospital: Model for improved outcomes of unmarried mothers. Aust N Z J Obstet Gynaecol. 1998;38(3):280-3. [Link] [DOI:10.1111/j.1479-828X.1998.tb03066.x]
19. Robinson A, O'Donohue M, Drolet J, Di Meglio G. 123. Tackling teenage pregnancy together: The effect of a multidisciplinary approach on adolescent obstetrical outcomes. J Adolesc Health. 2015;56(2):S64-5. [Link] [DOI:10.1016/j.jadohealth.2014.10.128]
20. Van Winter J, Harmon M, Atkinson E, Simmons P, Ogburn Jr PL. Young moms' clinic: A multidisciplinary approach to pregnancy education in teens and in young single women. J Pediatr Adolesc Gynecol. 1997;10(1):28-33. [Link] [DOI:10.1016/S1083-3188(97)70041-X]
21. Bensussen‐Walls W, Saewyc EM. Teen‐focused care versus adult‐focused care for the high‐risk pregnant adolescent: An outcomes evaluation. Public Health Nurs. 2001;18(6):424-35. [Link] [DOI:10.1046/j.1525-1446.2001.00424.x]
22. Malek ME, Borghei NS, Mehrbakhsh Z. Comparison of the outcomes of pregnancy and childbirth in married adolescents and young women. Iran J Obstet Gynecol Infertil. 2023;26(3):78-89. [Persian] [Link]
23. Marvin-Dowle K, Soltani H. A comparison of neonatal outcomes between adolescent and adult mothers in developed countries: A systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol X. 2020;6:100109. [Link] [DOI:10.1016/j.eurox.2020.100109]
24. Walani SR. Global burden of preterm birth. Int J Gynecol Obstet. 2020;150(1):31-3. [Link] [DOI:10.1002/ijgo.13195]
25. Kotsakis GA. Minimizing risk of bias in clinical implant research study design. Periodontol 2000. 2019;81(1):18-28. [Link] [DOI:10.1111/prd.12279]
26. Huda MM, O'Flaherty M, Finlay JE, Al Mamun A. Time trends and sociodemographic inequalities in the prevalence of adolescent motherhood in 74 low-income and middle-income countries: A population-based study. Lancet Child Adolesc Health. 2021;5(1):26-36. [Link] [DOI:10.1016/S2352-4642(20)30311-4]
27. Gadson A, Akpovi E, Mehta PK. Exploring the social determinants of racial/ethnic disparities in prenatal care utilization and maternal outcome. Semin Perinatol. 2017;41(5):308-17. [Link] [DOI:10.1053/j.semperi.2017.04.008]
28. Van Den Heuvel MW, Stikkelbroek YA, Bodden DH, Van Baar AL. Coping with stressful life events: Cognitive emotion regulation profiles and depressive symptoms in adolescents. Dev Psychopathol. 2020;32(3):985-95. [Link] [DOI:10.1017/S0954579419000920]
29. WHO. WHO recommendations on adolescent sexual and reproductive health and rights. Geneva: World Health Organization; 2018. [Link]