Teenage Pregnancy and Its Adverse Obstetric and Perinatal Outcomes at Lemlem Karl Hospital, Tigray, Ethiopia, 2018

Abstract

Introduction. One of the major public health issues across the whole world these days is teenage pregnancy which is defined as being pregnant in the age ranging from 13–19 years. About 11% of all births which occurred worldwide accounted for girls aged 15 to 19 years. From these, 95% teenage deliveries occur in low- and middle-income countries. World health 2014 statistics show that complications during pregnancy and childbirth are the second cause of death for 15–19-year-old girls globally. The aim of this study was to determine adverse obstetrical and perinatal outcomes of teenage pregnancy among deliveries at Lemlem Karl General Hospital, Tigray, Ethiopia, 2018. Result. This study result showed that 17.5% of the teenagers and 6.8% of the adults deliver low birth weight neonates. From the total teenage mothers, about thirty-five (11.3%) of them had developed pregnancy-induced hypertension, whereas about thirteen (4.2%) of adults develop pregnancy-induced hypertension. Regarding cesarean delivery, forty (12.9%) of those teenage mothers deliver by a cesarean section while 58 (18%) of the adult mothers deliver by cesarean delivery. Teenage pregnancy was significantly associated with adverse obstetric and perinatal outcomes, a cesarean delivery (AOR: 0.57; 95% CI, 0.36–0.90), episiotomy (AOR: 2.01; 95% CI, 1.25–3.39), and low birth weight (AOR: 2.22; 95% CI, 1.13–4.36), and premature delivery were 2.87 (1.49–5.52). This study shows that adverse obstetric and perinatal outcomes were significantly associated with teenagers than adult mothers. Therefore, giving health education on focused ANC is very important to bring change to the teenager at this study area.

Outcomes of Pregnancy-Related Referrals From Rural Health Facilities to Two Central Hospitals in Harare, Zimbabwe: A Prospective Descriptive Study

“…A maternal age younger than 20 years of age was associated with adverse perinatal outcomes (perinatal mortality), a nding that was similar to other studies [24,25]. This could be due to failure to achieve the minimum four ANC visits due to inadequate knowledge on the essential aspect of these visits by the adolescent mothers [26] since the average number of ANC visits in this study was two.…”

Teenage pregnancy and experience of physical violence among women aged 15-19 years in five African countries: Analysis of complex survey data

“…Every year, an estimated 21 million teenage girls aged 15–19 years become pregnant [ 1 ], of which 16 million give birth. Birth among older teenagers aged 15–19 years accounts for 11% of worldwide births, 95% of which occur in low and middle-income countries (LMIC) [ 2 , 3 ]. Sub-Saharan Africa has the highest teenage pregnancy and delivery rates in the world and the rates are still increasing [ 4 ].…”

“…The foetus, neonates, and infants of teenage mothers are at an increased risk of preterm delivery, low birth weight, small for gestational age, low APGAR (Appearance, Pulse, Grimace, Activity, and Respiration) scores [ 2 , 7 , 16 – 19 ], death in the perinatal, neonatal and infant periods [ 4 , 20 – 23 ], increased Neonatal Intensive Care Unit (NICU) admissions [ 14 , 24 – 26 ], higher neonatal morbidities [ 27 , 28 ], congenital malformations [ 10 , 24 , 25 ], developmental delays and behavioural disorders [ 29 ].…”

Maternal and neonatal outcomes in teenage pregnancy: an observational study from Odisha

“…3 Numerous social determinants causing teenage pregnancy include lack of education in general and on sex education, which result in poor health seeking behaviour and thus very abysmal utilization of health services like contraceptives, and abortion services. 4 Therefore, the incidence and outcomes of teenage pregnancies can vary with the geographical location. The present study was conducted to assess the incidence of teenage pregnancy in Berhampur, Odisha and various maternal and neonatal outcomes of these pregnancies.…”