A case- control study on maternal complications of teenage pregnancy in Nepal
Journal Title: International Journal of Public Health Asia Pacific (IJPHAP) - Year 2022, Vol 1, Issue 1
Abstract
Background: WHO defines Teenage pregnancy as pregnancy in a female under the age of 20. Pregnant teenagers face many of the same pregnancy related issues as other women with additional concerns for as they are less likely to be physically developed to sustain a healthy pregnancy or to give birth. For girls aged 15–19, risks are associated with socioeconomic factors along with the biological effects of age. Risk of premature labor, anemia, and pre-eclampsia are observed more in teen births compared to women of optimum reproductive age group. This study is an attempt to know the prevalence of maternal complications of teenage mothers so as for appropriate management and early recognition can be done in future. Objectives: To compare the maternal complications of teenage pregnancies with those of normal pregnancies. Methods: A case control study was conducted in a tertiary hospital in Nepal. A total of 75 (case) i.e. teenage pregnancy and 75 (control) i.e. women with optimal age group were studied. This was a hospital-based study and the data were collected during 5th January 2018 to 5th January 2019. The preformed proforma was used for history taking and examination of all participants. Only those participants who gave written consent were included in the study. Odds Ratio and its 95% CI was calculated by using conditional logistic regression. P-value of<0.05 was considered as significant. Results: Most of the teens were in their first pregnancy with mean age 17 years. This study concluded that maternal complications were higher in teenage pregnancy (40%Vs 15%). The maternal complications like Hypertensive Disorders (OR= 2.65, 95%CI :1.07-6.54, P=0.031), Anaemia (OR= 2.07, 95%CI:1.07-4.02, P=0.031), Preterm Labour (OR= 2.28, 95%CI:1.15-4.52, P=0.017) and PPH (OR =2.49, 95%CI:1.04-5.94, P=0.04) were associated with teenage pregnancy respectively. Conclusion: Teenage pregnancies are at the increased risk of maternal complications like hypertensive disorders, anaemia, preterm labour, and PPH. The complications are even higher in developing countries like ours where there are limited health resources and restrictive marriage laws. Therefore, an adequate antenatal visit for early detection and timely management will reduce the maternal complications during teenage pregnancy. Similarly, proper marriage laws should be implicated to prevent teenage pregnancies.
Authors and Affiliations
Sweta Mahato, Sanjeev Younjan
Keywords
Related Articles
- EP ID EP752579
- DOI https://doi.org/10.62992/ijphap.v1i1.11
- Views 29
- Downloads 1
Perspectives on fluid overload management among caregivers of end-stage renal disease patients undergoing hemodialysis
Background: Fluid overload is a significant problem often encountered in patients with end-stage renal disease. If not properly managed, it can have multiple adverse effects on a patient's health or may even be life-thre...
Prescribing pattern of antidepressants among patients with depression in a Mental Hospital of Nepal
Background: Depression is one of the major mental disorders and on the verge of emergence. Study on rational prescription of antidepressants is important since their inappropriate use may lead to precipitation of depress...
Factors associated with depression among Type-2 Diabetic Patients in Nepal
Background: The worldwide health scenario is undergoing a shift from infectious diseases to non-communicable ones, and diabetes is now the seventh major contributor to global mortality. Depression, anticipated to be the...
Factors associated with birth preparedness and complication readiness among pregnant women in Nepal
Background: Maternal and neonatal mortality is major problem especially affecting newly industrialized and developing countries. Birth preparedness and complication readiness is a strategy used in maternal and new-born h...
Improving awareness on household flood preparedness and flood-related communicable diseases among students from high schools in Yangon Region, Myanmar
Background: Rainfall-related, river-related, and coastal flooding are expected to be found at Yangon City in upcoming years with increasing climate change and sea level rise. Moreover, outbreaks prone infections can occu...