Teenage pregnancy complications and outcomes in a tertiary care hospital
Journal Title: Journal of the Indian Medical Association - Year 2017, Vol 115, Issue 12
Abstract
To investigate the problem of teenage pregnancy with a view to study complication and outcomes through a case control format. A prospective case control study, where 50 cases of teenage pregnant women (13-19 years) were compared with 50 cases of control (20-29 years) for fetal and maternal outcomes in one year period. The exclusion criteria included medical or surgical disorders like diabetes, hypertension, convulsive disorder, tuberculosis, hypothyroidism, renal disorder, severe cardiac or liver disease (except anaemia and protein energy malnutrition), ectopic pregnancy, molar pregnancy, multiple pregnancy etc). For each case recruited, the next antenatal client attending the hospital and fulfilling the criteria was selected as control. Semi-structured open ended questionnaire was provided to each case and control in their language. Women were followed up till delivery. Feto-maternal outcome at the end of pregnancy was noted. The mean age of teenagers was 18.7 years compared to 22.4 years in control. All were nullipara with 48% teenagers being illiterate. Statistically significant association was noted for occurrence of mild anaemia, severe pre-eclampsia, preterm labour and UTI. 32% of teenage mothers required induction at the time of labour, and occurrence of low birth weight, birth asphyxia, and NICU admission was significantly high. Teenage pregnancy, a social problem distributed worldwide, continues and has serious implications on maternal and child health, especially in the context of developing countries.
Authors and Affiliations
Shivani Agarwal, Sangita Nangia Ajmani, Pooja Verma, Vibha Tandon
Keywords
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