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58; CI 1.23-2.02). Newborns of adolescent mothers had an increased risk of major external birth defects (aOR 1.33; CI 1.02-1.76), specifically, gastroschisis (aOR 3.20; CI 1.12-9.13) compared to mothers 20-34years. The difference between the prevalence of gastroschisis among adolescent mothers (7.3 per 10,000 births; 95% CI 3.7-14.3) was statistically significant when compared to mothers 20-34years (1.6 per 10,000 births; 95% CI 0.9-2.6). This study found that adolescent mothers had an increased risk for several adverse birth outcomes com