Study on adolescent pregnancies
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 8
Abstract
WHO defines adolescence or teenage as transition from childhood to adulthood. Adolescent pregnancy, also known as teenage pregnancy, is pregnancy under the age of 20. Adolescents are not physically developed and pregnancy puts them at risk of educational, economic, social and financial issues apart from health issues. Aim of the study: To study the subjects with pregnancy in adolescent or teenage group and to analyse the sociodemographic, medical and obstetrical complications and fetomaternal outcome in teenage pregnancy. Material and methods: 100 cases of teenage primigravidae (13-19 years) after 28wks, were selected at random in the observational study conducted at Government General Hospital /Rangaraya Medical College (RMC), Kakinada for a period of one year from January2016 to December2016. Results: The rate of teenage pregnancy is 34/1000 deliveries. Mean age of the cases is 16.8yrs. Unbooked cases were 74 %, with inadequate antenatal care. Majority [72%] belonged to low socioeconomic status 28% of women are illiterate. Anemia and Hypertensive disorders were common medical disorders. Prolonged labour was in 28 %. The incidence of caesarean section is 35%. Cephalopelvic disproportion is most common indication of caesarean section in teenage pregnancy. Perinatal mortality was 8% there were no maternal deaths. Conclusion: Adolescent pregnancy poses a problem to both the mother and foetus. It is associated with increased antenatal complications like anemia, preeclampsia, eclampsia, intrauterine growth restriction. Operative interventions like caesarean section and forceps are high. Perinatal mortality was high due to low birth weight babies resulting from prematurity or IUGR. Comprehensive sex education and access to birth control appear to reduce unplanned teenage pregnancy with multifaceted preventive approach in home, school and society.
Authors and Affiliations
Dr. G Soumini FICOG, Dr. DVK Harini MS
Keywords
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