Adverse Maternal and Fetal Outcomes of Adolescent Pregnancy

  • Firdous Khatoon Consultant Gynaecologist, Sindh Government Hospital Paretababad
  • Ishrat Saba Women Medical officer, LUMHS Jamshoro
  • Maria Ghafoor Senior registrar, OBS &Gynae, Gomal medical College Dera Ismail Khan
  • Azra Parveen Rajpar Women Medical officer Sindh Government Hospital Paretababad
  • Anila Mahmood Assistant Professor, OBS & Gynae Department LUMHS Jamshoro
  • Muzafar Ali Medical officer, Bilawal Medical College for Boys LUMHS Jamshoro
Keywords: Maternal complications, Neonatal outcome, Teenage Pregnancy

Abstract

Objective: To determine frequency of adverse maternal and fetal outcomes of adolescent pregnancy

Methodology: This cross sectional study was conducted during one year after approval of synopsis from December 2015 to December 2016, at gynae and OBS department of LUMHS. All the adolescent primigravida mothers with singleton pregnancy were included. All the women underwent normal vaginal deliveries and c-section. Maternal complication and neonatal outcome were assessed among study subjects. Data was recorded via predesigned proforma. Data was entered and analyzed by SPSS version 16.

Results: The totals of 369 pregnant women were assessed with adolescent pregnancy, their mean age was 17.8±1.5 years and mean gestational age was 35.45±3.8 weeks. Anemia was found to be most common maternal complication as 56.3% followed by PIH 31.97%, Preterm labour 14.63%, Preeclampsia 18.69%, Eclampsia 22.76%. Low Birth weight was most common complication 118(31.97%), still born was found to be 8(2.16%), early neonatal death 2.16 % and NICU admission was 7.58%. Anemia, eclampsia, preterm deliveries and neonatal outcomes were statistically significant according to maternal age (p>0.05).

Conclusion: Teenage pregnancy was found to be associated with increased risk of anemia, pregnancy induced hypertension cesarean section and eclampsia. There are also increased risks of low birth weight, still born and admission to the neonatal intensive care units.

Published
2021-04-08
Section
Original Articles