Maternal and Fetal Outcome in Adolescent Pregnancy
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 3
Abstract
Background: Adolescent pregnancy is significant burden as compared to adults because of physical immaturity and overlapping maternal growth, nutritional status, socioeconomic factors. WHO defines teenage pregnancy as any pregnancy from a girl who is 10 to 19 years of age, age being defined as her age at the time of delivery. Methodology: The prospective study is conducted in KRH, Department of Obstetrics and Gynaecology over a period of 6 months (January 2017 to June 2017). All pregnant women < 19 yrs coming to labour room were included in study group. History taken and examination done investigation collected. Results: LSCS contributing to 5.15% for various indication without much difference compared to adult mother. Incidence of anemia in teenage mother is 70.80%, preeclampsia contributing 16.78%, eclampsia in 8.7%, PROM 18.97%, intrauterine infection 7.78% and dystocia 1.9%. Low birth weight was seen in 5.5%, neonatal jaundice in 4.6%, preterm birth in 3.1% and perinatal death was in 1.2%. Main indication contributing to cesarean delivery were seen in cephalopelvic disproportion (CPD) which was 74.76% followed by preeclampsia and eclampsia, fetal distress and malpresentation were in 10%, 9.04% and 6.19% respectively. Conclusion: Teenage pregnancy is likely to aggravate the problem. As teenage pregnancy is associated with increased incidence of preeclampsia, eclampsia, preterm delivery, increased incidence of instrumental deliveries and LSCS due to cephalopelvic disproportion, neonatal complications, increased neonatal morbidity and mortality mainly due to low birth weight was noted in babies delivered to teenage mothers.
Authors and Affiliations
Dr J. Bindal
Keywords
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