Vandana Sharma|Joanne Katz|Luke C. Mullany|Subarna K. Khatry|Steven C. LeClerq|Santosh Kumar Shrestha|Gary L. Darmstadt|James M. Tielsch
Young Maternal Age and the Risk of Neonatal Mortality in Rural Nepal
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
investigate relationship adolescent pregnancy neonatal mortality nutritionally deprived population rural nepal determine mechanisms low maternal age may affect neonatal mortalitynested cohort study using data populationbased clusterrandomized placebocontrolled trial newborn skin umbilical cord cleansing chlorhexidinesarlahi district nepalliveborn singleton infants mothers younger 25 years either parity 0 1 n 10745maternal age birth offspringcrude adjusted odds ratios neonatal mortality maternal age categoryinfants born mothers aged 12 15 years higher risk neonatal mortality born women aged 20 24 years odds ratio 224 95 confidence interval 140359 adjustment confounders 53 excess risk neonatal mortality among infants born mothers youngest vs oldest age category 153 090260 association attenuated adjustment low birth weight preterm birth smallforgestationalage birthsthe higher risk neonatal mortality among younger mothers setting partially explained differences socioeconomic factors younger vs older mothers risk mediated primarily preterm delivery low birth weight newborns small gestational age andor interaction variablesclinicaltrialsgov identifier nct00109616