Maternal and Perinatal Outcome in Adolescent Pregnancies as Compared to Adult Pregnancies

Khaniya, Bishal

doi:10.3126/njhs.v1i1.38732

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…In our study, the TP/AP was 18.6%. This is in accordance to other studies from Nepal where the prevalence of AP varied from 7.8% to 29.1% 20–22. Similarly, the prevalence of advanced maternal age (AMA) pregnancy in our study was 3.8%.…”

Section: Discussionsupporting

confidence: 92%

Association of geographic distribution and birth weight with sociodemographic factors of the maternal and newborn child of hilly and mountain regions of eastern Nepal: a cross-sectional study

Bhattarai

Panthi

Gautam

et al. 2022

bmjpo

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ObjectivesTo determine the association of geographic distribution, and birth weight with sociodemographic factors of the maternal and newborn child of hilly region (lower altitude) and mountain region (high altitude) of eastern Nepal as well as the prevalence of low birth weight (LBW) and large for gestational age (LGA) among term singleton deliveries in eastern Nepal.MethodologyA cross-sectional study was conducted in the district-level hospitals of Dhankuta, Tehrathum, Solukhumbu and Taplejung districts of eastern Nepal of Province 1. Mothers with preterm or post-term delivery, multiple pregnancies, stillbirth/intrauterine fetal death and incomplete records were excluded from the study with only 1386 term pregnancies (37–42 weeks) delivered at the respective facilities between 17 July 2019 and 16 July 2020 were included. The appropriate data were entered in Microsoft Excel 2019 V.16.0 and statistical analysis was performed by using the statistical package for social sciences, IBM SPSS V.29.ResultsThe low maternal age, Dalit ethnic group, low gravidity, low parity, higher antenatal care (ANC) visits (≥4), incomplete deworming and dT vaccination status, breech deliveries and LBW newborns were significantly attributed to hilly region (lower altitude) (p value <0.05). Similarly, the hilly region, lower and/or no ANC visits and early term gestation had significant negative association with birth weight at the lower quantiles only. Meanwhile, the female newborn had significant and negative association with birth weight distribution at all seven quantiles. The prevalence of the LBW, average for gestational age and LGA newborn child among term singleton deliveries in Eastern Nepal is 6.6%, 85.8% and 7.6%, respectively.ConclusionsThe local organisations should focus on adequate antenatal care visits in mountain region and coverage of dT vaccine and deworming medications in hilly region. Appropriate measures and programmes should be initiated to bring down LBW in hilly region.

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Section: Discussionsupporting

confidence: 92%

Association of geographic distribution and birth weight with sociodemographic factors of the maternal and newborn child of hilly and mountain regions of eastern Nepal: a cross-sectional study

Bhattarai

Panthi

Gautam

et al. 2022

bmjpo

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“…Multiple studies evaluated the mode of delivery among adolescent patients, but the results vary and may be contradictory depending on demographic characteristics [7,45,50,51]. Most reports demonstrate that cesarean section in developed countries is less frequent in patients under 18 years [7,45], while in developing countries the rate of cesarean section is higher in adult and adolescent patients, representing almost one-third of all surgeries [52,53].…”

Section: Discussionmentioning

confidence: 99%

Mode of Delivery and Neonatal Outcome in Adolescent Pregnancy (13–16 Years Old) Associated with Anemia

et al. 2022

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Background: Adolescent pregnancy represents an important public-health problem due to its maternal and fetal outcomes. Adolescent patients are predisposed to multiple obstetrical complications, including anemia and preterm birth which has a higher incidence among this population; withal, in the specialty literature, anemia is considered to be a risk factor for preterm delivery; furthermore, multiple studies have demonstrated that a very young age is an independent risk factor for preterm birth. Objectives: The study aims to reveal if anemia during adolescent pregnancy has a negative impact on the time and mode of delivery and newborns’ outcomes. Patients and methods: We performed a retrospective multicentric study on adolescent pregnancy. We analyzed 172 patients aged between 13 and 16 years who delivered in two large tertiary hospitals between 1 October 2018 and 15 April 2022. We divided the patients into two groups—a study group (n = 64) with anemia and a control group (n = 108) without anemia. We evaluated the modes of delivery, the times of birth, and the neonatal outcomes by 1-min newborn’s Apgar score, neonatal intensive-care unit (NICU) admission, and the newborns’ weights. Results: The rate of cesarean section was higher in patients with anemia than in the control group (45.31% vs. 38.88%, p < 0.001). We found that patients between 13 and 16 years diagnosed with anemia have a higher risk of preterm birth than those without anemia (35.93% vs. 21.29%, p < 0.001); however, an increased rate of LBW neonates was observed in the anemic adolescent group ≤14 years (p < 0.001). Regarding the newborns’ 1-min Apgar score, NICU admission, no statistically significant differences were recorded between the two groups according to the severity of anemia. In the anemic patients’ group, prenatal screening was identified in 9.37% of cases, while in the control group, in 16.67% (p = 0.034), which represents negative predictive factors, along with a low socio-economic status for the presence of anemia in young adolescent patients. Conclusions: Anemia is a risk factor for preterm birth, LBW, and cesarean section in young adolescent pregnancy. The association of lack of prenatal care and low socio-economic status worsens maternal and neonatal outcomes.

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A Study of Teenage Pregnancy Its Risk Factors and Complications At the Tertiary Care Center

Dhore

Wahane

Gaikwad

et al. 2023

ijsr

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Background: Pregnancy in girls between 10 and 19 years is adolescent or teenage pregnancy. Teenage parenthood comes with dangers and realities that have been well-documented. Material & Methods:This observational study was conducted at Government Medical College, AkolaMaharashtra. 80 teenage mothers admitted to the ward from October 2019 to May 2021 were included after permission from the Institutional Ethics Committee, and consent from the patients & was evaluated regarding teenage pregnancy, its risk factors, and complications. SPSS version 2.0 was used for statistical analysis. Results: The majority of the patients 68.8% were in the age group of 18-19 years, the mean age of the patients was 17.75 ± 1.22 years. 26.2% of patients were booked, 73.8% had unbooked status. 58.8% had preterm delivery (≤37 weeks), and 41.2% had term delivery. The prevalence of anemia (<10 gm %) was 63.8%. 38.8% of patients were delivered through Lower Segment Caesarean Section (LSCS) and vaginal delivery was performed in 61.2%. 63.8% of patients had anemia while 21.2% and 13.7% of patients developed Pregnancy induced hypertension (PIH) and postpartum hemorrhage (PPH) respectively. 7.5% and 6.2% of patients had antepartum hemorrhage (APH) & intrauterine growth restriction (IUGR) respectively. It was observed that unbooked status, preterm delivery, anemia, PIH, IUGR, Low birth weight (LBW), and NICU admission were signicant risk factors for teenage pregnancy. Conclusion: Teenage pregnancies are associated with adverse obstetric and perinatal outcomes. Maternal age is an important feature, as several obstetric and perinatal complications are more frequent in teenage mothers than in other age groups. Improving the general health and nutrition of the girl child, increasing the age of marriage and subsequent childbearing, and access to safe abortion services along with adequate antenatal care reduce the incidence of adverse pregnancy outcomes.

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Maternal and Perinatal Outcome in Adolescent Pregnancies as Compared to Adult Pregnancies

Cited by 3 publications

References 3 publications

Association of geographic distribution and birth weight with sociodemographic factors of the maternal and newborn child of hilly and mountain regions of eastern Nepal: a cross-sectional study

Association of geographic distribution and birth weight with sociodemographic factors of the maternal and newborn child of hilly and mountain regions of eastern Nepal: a cross-sectional study

Mode of Delivery and Neonatal Outcome in Adolescent Pregnancy (13–16 Years Old) Associated with Anemia

A Study of Teenage Pregnancy Its Risk Factors and Complications At the Tertiary Care Center

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