TEENAGE PREGNANCY AND ITS OBSTETRIC OUTCOME
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 15
Abstract
BACKGROUND Teenage pregnancy is upcoming as one of the most important social and public health problem all over the world. In the present study, we have evaluated the maternal and foetal outcomes of teenage pregnancy in a tertiary teaching hospital over a period of one year. The objective of the study is to evaluate the maternal, foetal and neonatal outcomes of teenage pregnancy in a tertiary care teaching hospital. MATERIALS AND METHODS A retrospective study was undertaken for a period of one year at KIMS, a tertiary care teaching hospital in a rural area, where on an average 3000 deliveries per year take place. Data was retrieved from hospital records. All teenage mothers aged 13-19 years were included in the study. RESULTS In this study, 626 (18.79%) cases of teenage mothers were recorded out of 3330 antenatal cases. Majority of teenagers were primigravida (79.23%) and multigravida 20.76%. Antenatal care was nil or inadequate in 32% of cases. Majority of the mothers were of low socioeconomic status. Complications like pregnancy-induced hypertension (11.5%), premature onset of labour (5.75%), anaemia (23.64%), others like gestational diabetes mellitus, etc. (2.56%) were noted. 25.88% underwent lower segment caesarean section, the most common indication was cephalopelvic disproportion (45.68%). 5% of babies delivered to teenage mothers had higher risk of low Apgar at 5 minutes. Neonatal morbidities like asphyxia, jaundice, respiratory distress were recorded in 14% of neonates and babies were more prone to neonatal intensive care unit admissions. CONCLUSION Teenage pregnancy was associated with high risk of pregnancy-induced hypertension, eclampsia, premature onset of labour and foetal deaths. High risk of neonatal morbidity and mortality were also seen. Adequate antenatal care reduces the adverse pregnancy outcome in these mothers.
Authors and Affiliations
Kudupudi Subba Rao, Kantipudi Sree Ramya, Divya Batchu, Pratyusha Reddy M
Keywords
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- EP ID EP214356
- DOI 10.18410/jebmh/2017/173
- Views 94
- Downloads 0
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