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Interventions to prevent unintended pregnancies among adolescents: a rapid overview of systematic reviews

التفاصيل البيبلوغرافية
العنوان: Interventions to prevent unintended pregnancies among adolescents: a rapid overview of systematic reviews
المؤلفون: Sahra Mohamed, Michael G. Chipeta, Tony Kamninga, Lomuthando Nthakomwa, Chimwemwe Chifungo, Themba Mzembe, Ruth Vellemu, Victor Chikwapulo, Maame Peterson, Leyla Abdullahi, Kelvin Musau, Kerri Wazny, Eliya Zulu, Nyovani Madise
المصدر: Systematic Reviews, Vol 12, Iss 1, Pp 1-19 (2023)
بيانات النشر: BMC, 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine
مصطلحات موضوعية: Medicine
الوصف: Abstract Risks associated with unintended pregnancy include unsafe abortions, poor maternal health-seeking behaviour, poor mental health, and potentially, maternal and infant deaths. Adolescent girls with unintended pregnancies are particularly vulnerable as they are at higher risk of eclampsia, premature onset of labour, and increased neonatal morbidity and mortality. Unintended pregnancy, with the right combination of interventions, can be avoided. Evidence-based decision-making and the need for a robust appraisal of the evidence have resulted in many systematic reviews. This review of systematic reviews focuses on adolescent pregnancy prevention and will seek to facilitate evidence-based decision-making. Two review authors independently extracted data and assessed the methodological quality of each review according to the AMSTAR 2 criteria. We identified three systematic reviews from low- and middle-income countries and high-income counties and included all socioeconomic groups. We used vote counting and individual narrative review summaries to present the results. Overall, skill-building, peer-led and abstinence programmes were generally effective. Interventions focused on information only, counselling and interactive sessions provided mixed results. In contrast, exposure to parenting and delaying sexual debut interventions were generally ineffective. Adolescent pregnancy prevention interventions that deploy school-based primary prevention strategies, i.e. strategies that prevent unintended pregnancies in the first place, may effectively reduce teenage pregnancy rates, improve contraceptive use, attitudes and knowledge, and delay sexual debut. However, the included studies have methodological issues, and our ability to generalise the result is limited.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2046-4053
Relation: https://doaj.org/toc/2046-4053
DOI: 10.1186/s13643-023-02361-8
URL الوصول: https://doaj.org/article/c256ca7468e44a36bfbee2ab0e69bd47
رقم الأكسشن: edsdoj.256ca7468e44a36bfbee2ab0e69bd47
قاعدة البيانات: Directory of Open Access Journals
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