AUTHOR=Derbisbek Saule Bekenkyzy , Abduldayeva Aigul Abduldayevna , Delellis Nailya , Khamidullina Zaituna Gadilovna , Kalen Dina 
  
TITLE=The Adverse Maternal Outcomes and Risk Factors of Adolescent Pregnancy: Evidence From a Retrospective Study in Astana, Kazakhstan
  
JOURNAL=International Journal of Public Health
  
VOLUME=Volume 70 - 2025
  
YEAR=2026
  
URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2025.1608992
  
DOI=10.3389/ijph.2025.1608992
  
ISSN=1661-8564
  
ABSTRACT=ObjectivesAdolescent pregnancy remains a global health concern. Evidence from Central Asia is limited, where sociocultural factors and evolving healthcare systems may influence outcomes. This study compared maternal and perinatal outcomes between adolescent and adult mothers in Astana, Kazakhstan.MethodsA retrospective study was conducted among primigravid adolescents (10–19 years, n = 135) and adults (20–30 years, n = 106). Data extracted from an electronic MIS and analyzed using descriptive statistics.ResultsNo significant differences found between the groups in preeclampsia, PIH, or anemia rates. Adolescents had higher rates of STI (21.5% vs. 6.6%, p = 0.001) and postpartum endometritis (14.1% vs. 3.8%, p = 0.007). Adults exhibited higher rates of PROM (20.8% vs. 5.2%, p < 0.001) and fetal distress (64.3% vs. 18.5%, p < 0.001).ConclusionAdolescent pregnancy outcomes in Kazakhstan differ from other regions, likely reflecting distinct healthcare access and sociocultural factors. Targeted adolescent-friendly reproductive health services, routine STI screening, and supportivepolicies enabling early and confidential prenatal care are warranted to improve maternal and neonatal outcomes.