Md. Rashed Alam
Department of Population Science and Human Resource Development, University of Rajshahi, Bangladesh
Biography
Dr. Md. Rashed Alam is an associate professor in population science and human resource development with particular expertise on adolescent reproductive health and fertility. He leads a research group on reproductive health and fertility, at Rajshahi University (RU) with approximately 10 multidisciplinary researchers. Over the last 12 years he has lead a few number of research projects in Bangladesh, aiming at more effective program implementation of HIV/AIDS knowledge, awareness and attitudes; women’s working status on fertility and determinants of academic performance of the universities students. Dr. Alam has been joined various training program such as reproductive health and HIV/AIDS; and initiatives in science education, research and capacity building in home and aboard. He received his B.Sc ,MSc and PhD degree from the department of Population Science and Human resource development, University of Rajshahi, Bangladesh. He also awards scholarships on the above degree. Dr. Alam join various conference in home and aboard and he has been published 14 research articles in various journals. He is the leader of departmental indoor and outdoor games.
Abstract
Adolescent childbearing is a major public health problem worldwide especially in South Asian Countries. Adolescent pregnancy below 17 years of age has been considered to have a higher risk than adult pregnancy, because of biological immaturity of the teenager. This study conducted the systematic review and meta-analysis to summarize the adverse birth and health outcomes associated with adolescent pregnancy. We adopted the PRISMA consensus statement. PubMed database were searched on February 13, 2016. 24 studies were included, 10 studies go to the quantative synthesis and others go to narrative reviews. Meta analysis was used to pool the result of the individual studies. Adolescent pregnancy found to be significantly associated with higher risk of low birth weight (LBW), (OR, 1.50; 95% CI 1.27 – 1.78), preterm birth (PTB) (OR, 1.49; 95% CI 1.15 – 1.93), small for gestational age (SGA) (OR, 1.33; 95% CI 1.13 – 1.56) and neonatal mortality (OR,1.45; 95% CI 1.20 – 1.76) . Lower risk of cesarean delivery (OR, 0.77; 95% CI 0.60 – 0.98) also reported among the adolescent mothers. Risk of perinatal mortality also found lower (OR, 0.80; 95% CI 0.42 – 1.51) among adolescent mothers, however, the risk was not statistically significant. The findings concluded that adolescence pregnancy increase the risk of LBW, PTB, SGA, neonatal mortality. The risk of cesarean delivery and perinatal mortality found lower among adolescent mothers. Increase awareness about the adverse effect of adolescent pregnancy outcomes may protective rules in adolescent marriage help to reduce such outcomes for the welfare of mother as well as children.