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The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature

BACKGROUND: While the main causes of maternal mortality in low and middle income countries are well understood, less is known about whether patterns for causes of maternal deaths among adolescents are the same as for older women. This study systematically reviews the literature on cause of maternal...

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Autores principales: Neal, Sarah, Mahendra, Shanti, Bose, Krishna, Camacho, Alma Virginia, Mathai, Matthews, Nove, Andrea, Santana, Felipe, Matthews, Zoë
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5106816/
https://www.ncbi.nlm.nih.gov/pubmed/27836005
http://dx.doi.org/10.1186/s12884-016-1120-8
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author Neal, Sarah
Mahendra, Shanti
Bose, Krishna
Camacho, Alma Virginia
Mathai, Matthews
Nove, Andrea
Santana, Felipe
Matthews, Zoë
author_facet Neal, Sarah
Mahendra, Shanti
Bose, Krishna
Camacho, Alma Virginia
Mathai, Matthews
Nove, Andrea
Santana, Felipe
Matthews, Zoë
author_sort Neal, Sarah
collection PubMed
description BACKGROUND: While the main causes of maternal mortality in low and middle income countries are well understood, less is known about whether patterns for causes of maternal deaths among adolescents are the same as for older women. This study systematically reviews the literature on cause of maternal death in adolescence. Where possible we compare the main causes for adolescents with those for older women to ascertain differences and similarity in mortality patterns. METHODS: An initial search for papers and grey literature in English, Spanish and Portuguese was carried out using a number of electronic databases based on a pre-determined search strategy. The outcome of interest was the proportion of maternal deaths amongst adolescents by cause of death. A total of 15 papers met the inclusion criteria established in the study protocol. RESULTS: The main causes of maternal mortality in adolescents are similar to those of older women: hypertensive disorders, haemorrhage, abortion and sepsis. However some studies indicated country or regional differences in the relative magnitudes of specific causes of adolescent maternal mortality. When compared with causes of death for older women, hypertensive disorders were found to be a more important cause of mortality for adolescents in a number of studies in a range of settings. In terms of indirect causes of death, there are indications that malaria is a particularly important cause of adolescent maternal mortality in some countries. CONCLUSION: The main causes of maternal mortality in adolescents are broadly similar to those for older women, although the findings suggest some heterogeneity between countries and regions. However there is evidence that the relative importance of specific causes may differ for this younger age group compared to women over the age of 20 years. In particular hypertensive conditions make up a larger share of maternal deaths in adolescents than older women. Further, large scale studies are needed to investigate this question further.
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spelling pubmed-51068162016-11-25 The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature Neal, Sarah Mahendra, Shanti Bose, Krishna Camacho, Alma Virginia Mathai, Matthews Nove, Andrea Santana, Felipe Matthews, Zoë BMC Pregnancy Childbirth Research Article BACKGROUND: While the main causes of maternal mortality in low and middle income countries are well understood, less is known about whether patterns for causes of maternal deaths among adolescents are the same as for older women. This study systematically reviews the literature on cause of maternal death in adolescence. Where possible we compare the main causes for adolescents with those for older women to ascertain differences and similarity in mortality patterns. METHODS: An initial search for papers and grey literature in English, Spanish and Portuguese was carried out using a number of electronic databases based on a pre-determined search strategy. The outcome of interest was the proportion of maternal deaths amongst adolescents by cause of death. A total of 15 papers met the inclusion criteria established in the study protocol. RESULTS: The main causes of maternal mortality in adolescents are similar to those of older women: hypertensive disorders, haemorrhage, abortion and sepsis. However some studies indicated country or regional differences in the relative magnitudes of specific causes of adolescent maternal mortality. When compared with causes of death for older women, hypertensive disorders were found to be a more important cause of mortality for adolescents in a number of studies in a range of settings. In terms of indirect causes of death, there are indications that malaria is a particularly important cause of adolescent maternal mortality in some countries. CONCLUSION: The main causes of maternal mortality in adolescents are broadly similar to those for older women, although the findings suggest some heterogeneity between countries and regions. However there is evidence that the relative importance of specific causes may differ for this younger age group compared to women over the age of 20 years. In particular hypertensive conditions make up a larger share of maternal deaths in adolescents than older women. Further, large scale studies are needed to investigate this question further. BioMed Central 2016-11-11 /pmc/articles/PMC5106816/ /pubmed/27836005 http://dx.doi.org/10.1186/s12884-016-1120-8 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Neal, Sarah
Mahendra, Shanti
Bose, Krishna
Camacho, Alma Virginia
Mathai, Matthews
Nove, Andrea
Santana, Felipe
Matthews, Zoë
The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature
title The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature
title_full The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature
title_fullStr The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature
title_full_unstemmed The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature
title_short The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature
title_sort causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5106816/
https://www.ncbi.nlm.nih.gov/pubmed/27836005
http://dx.doi.org/10.1186/s12884-016-1120-8
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