Obstetric outcome of teenage pregnancy in comparison with pregnant women of 20-29 years: a retrospective study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20150703Keywords:
Adolescence, Teenage pregnancy, Adolescent pregnancyAbstract
Background: Adolescent pregnancy also called as teenage pregnancy is a major public health problem worldwide. Adolescence is defined by WHO as a period from 10-19 years. Adolescent pregnancy results from a number of factors like early marriage, lack of education, premarital sexual relations and lack of awareness regarding contraception. The impact of adolescent pregnancy on the teenager and her future generation is disastrous. This includes obstetric complications like anemia, hypertensive disorders, preterm labour, still births and low birth weight babies. The objective of the present study was to compare the obstetric outcome of teenage pregnancy with that of pregnant women of 20-29 years age group.
Methods: This was a hospital based retrospective case-control study conducted in a tertiary care teaching hospital in North Kerala from January 2013 to June 2013. Data collection was done from hospital records. The next delivery belonging to 20-29 years age group entered in parturition register after a teenage delivery was taken as control after satisfying inclusion and exclusion criteria. The obstetric outcome was recorded and analysed.
Results: The incidence of teenage pregnancy during the study period was 8.48%. 90.89% of teenage pregnant women were primigravidae. 40.7% were anaemic, 18.22% had preterm labor, 14.87% had preeclampsia and 29.5% of the babies had low birth weight.
Conclusions: Teenage pregnancy continues to be a major public health problem in India. The young age structure of Indian population favours more number of adolescents in the country. Preventing early marriages and delaying the onset of child bearing may go a long way in decreasing the number of teenage pregnancies.
References
WHO. Programming for adolescent health and development. WHO Technical Report Series 886. Geneva: WHO; 1999: 1-217.
WHO. The World Health Report, 2005. Make every mother and child count, 2005. Available at: http://www.who.int/whr/2005/en/.
Bhaduria S. Teenage pregnancy: a retrospective study. J Obstet Gynaecol India. 1991;41:454-6.
Kale KM. Socio-medical correlates of teenage pregnancy. J Obstet Gynaecol India. 1996;46:180-4.
Pal A, Gupta KB, Randhawa I. Adolescent pregnancy: a high risk group. J Indian Med Assoc. 1997;95:127-8.
Verma V, Dask KB. Teenage Primi gravidae: a comparative study. Indian J Public Health. 1997;412:52-5.
Chhabra S. Perinatal outcome in teenage mothers. J Obstet Gynaecol India. 1991;41:30-2.
Bhalerao AR, Desai SV, Dastur NA, Daftary SN. Outcome of teenage pregnancy. J Postgrad Med. 1990;36:136-9.
Edilberto Loaiza, Mengjia Liang. Adolescent pregnancy. In: Edilberto Loaiza, Mengjia Liang, eds. A Review of the Evidence UNFPA. New York: UNFPA; 2013: 8-10.
Nitwe MT. Teenage pregnancy. A health hazard. J Obstet Gynaecol India. 1989;39:303-6.
National Family Health Survey India. Key findings from NFHS-3. International Institute of Population Sciences, Mumbai, India, 2015. Available at: http://www. Nfhsindia.org/factsheet.html. Accessed 10 March 2015.
Loto OM, Ezechi OC, Kalu BKE. Poor obstetric performance of teenagers. Is it age or quality of care-related? J Obstet Gynaecol. 2004;24:395-8.
Park K. Parks text book of preventive and social medicine. In: Park K, eds. 21st ed. Jabalpur, India: M/s. Banarsidas Bhanot Publishers; 2011.
Rajoriya M, Kalra R. Challenges of motherhood in adolescent girls. Int J Reprod Contracept Obstet Gynaecol. 2015;4:696-700.
Ghazala Yasmin, Aruna Kumar, Bharti Parihar. A study of sociodemographic factors of teenage pregnancy at a tertiary care centre. J Evol Med Dent Sci. 2014;3(4):1020-5.
Dubashi S, Wani R. Teenage pregnancy. Bombay Hosp J. 2008;50(2):236-9.
Ambedkar NN, Khandait DW, Zodpey SP, Kasturwar NB, Vasudeo ND. Teenage pregnancy outcome. A record based study. Indian J Med Sci. 1999;53:14-7.
Mamatha S. Adolescent pregnancy: trends and determinants. J Evol Med Dent Sci. 2014;3(57):12910-26.
Prachi Saurabh Koranne, Aparna R. Wahane. Pregnancy in adolescence: is it really a concern? J Evol Med Dent Sci. 2014;4(28):7659-68.
Mukhopadhyay P, Chaudhuri RN, Bhaskar P. Hospital based perinatal outcomes and complications in teenage pregnancy in India. J Health Popul Nutr. 2010;28(5):494-500.
Dharmendra Raut, Amol Patil. Study of comparison of pregnancy and fetal outcome among the pregnant adolescent (13-19 years) and control (20-25 years) groups. J Evol Med Dent Sci. 2014;3(73):15374-80.
Kumar A, Singh T, Basu S, Pandey S. Outcome of teenage pregnancy. Indian J Pediatr. 2007;74(10):927-31.
Padmasri Devi P, Kiran Deedi M. Ch. Ganapathy Swamy V. Sarojini. Risk of low birth weight infants in teenage pregnancy. J Evol Med Dent Sci. 2014;3(52):12164-70.
Singh KN. Outcome in adolescent pregnancy. J Obstet Gynaecol India. 2001;51(6):34-6.
