Comparison of Outcome of Fetal and Maternal Risks in Teenage Pregnancy and Adult Pregnancy
Authors/Creators
- 1. Assistant Professor, Department of Obstetrics and Gynaecology, RIMS, Adilabad, Telangana State
Description
Background: Teenage pregnancy is a high-risk pregnancy as it has obstetric, physical, social, emotional and psychological effects on both baby and mother. This study was undertaken to investigate factors contributing to teenage pregnancy and to evaluate maternal complications during antenatal, intrapartum and postpartum periods and neonatal outcomes of teenage pregnancy when compared to adult pregnancy. Materials and Methods: This prospective study included pregnant women between 13 and 30 years, who visited during study period. Participant’s socio-demographic characteristics, medical, and menstrual histories were recorded. Routine blood investigations and radiographic evaluation were done for all patients as per standard protocol. Participants were monitored during all stages of labour and post-partum period. Perioperative and post-operative complications of mother and babies were compared between teenage and adult pregnancy groups. Results: Incidence of teenage pregnancy in this study period was 2.8%. Maximum number of unmarried pregnancies belonged to teenagers. Incidence of abortion was 4.9% in Teenage group and 4% in Adult group. Incidence of Anemia, PIH, and Eclampsia were significantly greater in Teenage group than Adult group (p<0.001). LBW was more common in Teenage group, with most of the neonates being <2.5kg (57.9%). Perinatal as well as maternal mortality was higher in teenage group (3.4%, 0.3%) than in adult group (3.1%, 0.1%). Conclusion: Perinatal and maternal morbidity and mortality with teenage pregnancy is high than adult pregnancy. Female literacy should be encouraged and introduction of sex education is needed in schools. Knowledge of contraception should be given to prevent complications of pregnancy.
Abstract (English)
Background: Teenage pregnancy is a high-risk pregnancy as it has obstetric, physical, social, emotional and psychological effects on both baby and mother. This study was undertaken to investigate factors contributing to teenage pregnancy and to evaluate maternal complications during antenatal, intrapartum and postpartum periods and neonatal outcomes of teenage pregnancy when compared to adult pregnancy. Materials and Methods: This prospective study included pregnant women between 13 and 30 years, who visited during study period. Participant’s socio-demographic characteristics, medical, and menstrual histories were recorded. Routine blood investigations and radiographic evaluation were done for all patients as per standard protocol. Participants were monitored during all stages of labour and post-partum period. Perioperative and post-operative complications of mother and babies were compared between teenage and adult pregnancy groups. Results: Incidence of teenage pregnancy in this study period was 2.8%. Maximum number of unmarried pregnancies belonged to teenagers. Incidence of abortion was 4.9% in Teenage group and 4% in Adult group. Incidence of Anemia, PIH, and Eclampsia were significantly greater in Teenage group than Adult group (p<0.001). LBW was more common in Teenage group, with most of the neonates being <2.5kg (57.9%). Perinatal as well as maternal mortality was higher in teenage group (3.4%, 0.3%) than in adult group (3.1%, 0.1%). Conclusion: Perinatal and maternal morbidity and mortality with teenage pregnancy is high than adult pregnancy. Female literacy should be encouraged and introduction of sex education is needed in schools. Knowledge of contraception should be given to prevent complications of pregnancy.
Files
IJPCR,Vol16,Issue6,Article296.pdf
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Additional details
Dates
- Accepted
-
2024-06-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue6,Article296.pdf
- Development Status
- Active
References
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