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With 38 million residents, Poland has the eighth-largest population in Europe. As in the other European countries, Poland has been facing a rapid increase in the of older adults. According to estimates produced by the Polish Central Statistical Office, at the end of Poland had a population of


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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.

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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. We used data from 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.

The discussion

We adjusted these estimates to take into 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.

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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.

Our findings suggest that the excess mortality risk to adolescent mothers might be less than ly believed, and in most countries the adolescent maternal mortality ratio is low compared with women older than 30 years.

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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. Download PDF Download. Add to Mendeley Share.

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Under a Creative Commons. 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.

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Methods We used data from 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. Interpretation Our findings suggest that the excess mortality risk to adolescent mothers might be less than ly believed, and in most countries the adolescent maternal mortality ratio is low compared with women older than 30 years.

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Published by Elsevier Ltd.