AXO4D
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Read Post #70.
"Complications of pregnancy and childbirth are the leading cause of death in young women aged 15–19. Young girls who marry later and delay pregnancy beyond their adolescence have more chances to stay healthier, to better their education and build a better life for themselves and their families,” says Flavia Bustreo, M.D., Assistant Director-General for Family, Women’s and Children’s Health at the World Health Organization. "We have the means at our disposal to work together to stop child marriage.” “Child marriage makes girls far more vulnerable to the profound health risks of early pregnancy and childbirth – just as their babies are more vulnerable to complications associated with premature labor,” notes Anthony Lake, Executive Director of UNICEF. WHO | Child marriages: 39 000 every day
Child marriage threatens the health and life of girls.[153][154] Complications from pregnancy and childbirth are the main cause of death among adolescent girls below age 19 in developing countries. Pregnant girls aged 15 to 20 are twice as likely to die in childbirth as those in their 20s, and girls under the age of 15 are five times as likely to die. These consequences are due largely to girls’ physical immaturity where the pelvis and birth canal are not fully developed. Teen pregnancy, particularly below age 15, increases risk of developing obstetric fistula, since their smaller pelvises make them prone to obstructed labor. Fistula leaves its victims with urine or fecal incontinence that causes lifelong complications with infection, pain, and smell.[155] Complications during pregnancy and birth are worsened in poor countries where child marriage is prevalent.[15] -Wiki
pregnancy risk at age about 30 have more risk of complication then adolescents pregnancy .there was research paper published this year few months back.
Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries
Dr Andrea Nove PhD a, Prof Zoë Matthews PhD b, Sarah Neal PhD b, Alma Virginia Camacho MD c
Summary
Background
Adolescents are often noted to have an increased risk of death during pregnancy or childbirth compared with older women, but the existing evidence is inconsistent and in many cases contradictory. We aimed to quantify the risk of maternal death in adolescents by estimating maternal mortality ratios for women aged 15—19 years by country, region, and worldwide, and to compare these ratios with those for women in other 5-year age groups.
Methods
We used data from 144 countries and territories (65 with vital registration data and 79 with nationally representative survey data) to calculate the proportion of maternal deaths among deaths of females of reproductive age (PMDF) for each 5-year age group from 15—19 to 45—49 years. We adjusted these estimates to take into account under-reporting of maternal deaths, and deaths during pregnancy from non-maternal causes. We then applied the adjusted PMDFs to the most reliable age-specific estimates of deaths and livebirths to derive age-specific maternal mortality ratios.
Findings
The aggregated data show a J-shaped curve for the age distribution of maternal mortality, with a slightly increased risk of mortality in adolescents compared with women aged 20—24 years (maternal mortality ratio 260 [uncertainty 100—410] vs 190 [120—260] maternal deaths per 100 000 livebirths for all 144 countries combined), and the highest risk in women older than 30 years. Analysis for individual countries showed substantial heterogeneity; some showed a clear J-shaped curve, whereas in others adolescents had a slightly lower maternal mortality ratio than women in their early 20s. No obvious groupings were apparent in terms of economic development, demographic characteristics, or geographical region for countries with these different age patterns.
Interpretation
Our findings suggest that the excess mortality risk to adolescent mothers might be less than previously believed, and in most countries the adolescent maternal mortality ratio is low compared with women older than 30 years. However, these findings should not divert focus away from efforts to reduce adolescent pregnancy, which are central to the promotion of women's educational, social, and economic development.
Funding
WHO, UN Population Fund.
Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries : The Lancet Global Health