Outcomes Of Adolescent Pregnancy at Kathmandu University Hospital, Dhulikhel, Kavre

Abstract

Background Adolescence Pregnancy is a social problem worldwide with serious implication of maternal and child health. This study purposed to compare the maternal and neonatal outcome of the teenage mothers (15- 19 years) with that of the young mothers (20-24 years) to determine if adolescent pregnancies have increased risk of adverse outcomes. Objectives This st udy aims to find out the outcomes of adolescent pregnancy at Kathmandu Univeristy Hospital, Dhulikhel Hospital, KAvre. Methods Descriptive cross sectional study was done. The study included all primiparous mothers of age 15-19 (n=168) and 20-24 (n=401) recorded in the delivery record book of Dhulikhel Hospital from June 2007 to May 2008. Chi-square test and relative risk (RR) for subgroups of study population was examined using the SPSS version 10.0. Results The low birth weight baby among teenage mothers and young mothers were 28% and 26.7% respectively (p=0.572). The Relative risk of low birth weight among adolescent is 1.1 (0.75-1.684) times to that of young mothers at 95% confidence interval. Preterm birth was not associated with adolescence pregnancy (7% Vs. 11.5%, p=0.141). Normal delivery was the common mode of delivery among both groups (77.4% Vs. 74.6%). Among the neonatal complication, newborns of adolescents had greater neonatal complications than newborns of the young mothers (17.2% Vs 16.7%). Maternal complication like antepartum hemorrhage (2.4% Vs. 1.7%) and postpartum hemorrhage (0.6% Vs. 0.2%) was higher among adolescents. ConclusionsLow birth weight, common neonatal complication, antepartum hemorrhage and postpartum hemorrhage are found more in adolescent group, however statistically insignificant.http://dx.doi.org/10.3126/kumj.v9i1.6263 Kathmandu Univ Med J 2011;9(1):50-3

Outcome of Teenage Pregnancy

“…Next common indication is fetal distress. Incidence of preterm delivery is statistically significant in our study; this is in accordance with previous studies 1,2,4,5,7,8,10,12,13,14,15 . Others have shown no significant statistical significance in preterm delivery in two groups 6,9,11,12 .…”

“…Incidence of anemia, preeclampsia, eclampsia and premature rupture of membranes were found to be significantly higher than the controls in the present study. This is in accordance previous studies 1,4,5,7,8,9,10,13,14 ,and contrast other showed no difference in incidence of anemia 6,9 . Gestational diabetes mellitus was less common in younger women 8,9,13 .…”

“…Regarding the mode of delivery, incidence of cesarean section and forceps delivery were similar in both groups. This is in accordance to previous studies 6,7,9,10 .Some authors have reported increased operative deliveries 1,3,5,7,9,11 ; whereas other have shown less incidence of cesarean section 3,4,7,11,13,15 .This could be due to higher proportion of smaller babies in that age group. Opinion on modes of delivery by operative interventions in teenage pregnancy differed widely.…”

“…Teenage pregnancy represents a high risk group in reproductive terms because of the double burden of reproduction and growth 3 . Teenagers make up more than one billion i.e., nearly one fifth of the world population 4 . The aim of this study was to compare several obstetric characteristics and outcomes of teenage women to that of controls aging 20-24years.…”

Clinical observation of Pregnancy outcome in Teenage Pregnancy

“…The incidence of teenage pregnancies varies dramatically between the different countries. Approximately 90% of teenage birth occurring in developing countries [4]. Regardless of marital status, early childbirth is more dangerous for both young mother and her child as compared to older mothers.…”