Analytical study of adolescent pregnancies at a tertiary care centre


  • Shubha Srivastava Department of Obstetrics and Gynecology, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Madhuri Chandra Department of Obstetrics and Gynecology, Mahavir Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
  • Umesh Kumar Singh District Hospital, Singrauli, Bhopal, Madhya Pradesh, India



Adolescent pregnancy, Analytical study, Obstetric outcome


Background: According to World Health Organization, about 16 million girls aged 15 to 19 and some 1 million girls under the age of 15 give birth every year. Teenage pregnancies have shown association with higher risks of prematurity, low birth weight, preeclampsia and anaemia as compared to adult pregnancies. The present study was analytical study of pregnant adolescent girls and feto-maternal outcome at a tertiary care centre.

Methods: Girls between 10 to19 years, who attended the antenatal clinic and/or who were admitted in the hospital while pregnant or during labour were included in the study. A questionnaire along with detailed history and examination were done. Adolescents who were admitted for confinement, details of labour and mode of delivery were noted. The newborn was assessed in context of prematurity, IUGR or any other complications and referral to NICU.

Results: Of the 1870 adolescent girls attending the OPD, 1234 (65.98%) were pregnant. There were 429 (4.02%) teenage deliveries in the institute during the study period. The girls were mostly married, older teenagers and primigravidas. The use of contraception was poor and awareness regarding antenatal care was lacking. The most common risk factor was anemia. The other risk factors included HDP, preterm labor, PROM, IUGR, hemorrhage and previous LSCS.

Conclusions: Early childbearing increases the risks for both mothers and their newborns.  A delay in marriage givesadolescents opportunities for higher education, thus empowers them. Sex education should be a part of the school curriculum. Good antenatal care may reduce complications of teenage pregnancy.


Lawlor DA, Shaw M. Teenage pregnancy rates: high compared with where and when. J Royal Soc Medic. 2004;97:121-3.

World Health Organization update 2014

Population Reference Bureau. The World’s youth 2000. Population Reference Bureau, Washington DC. 2000.

Kumar A, Singh T, Basu S, Pandey S, Bhargava V. Outcome of teenage pregnancy. The Indian J Pedia. 2007;74(10):927-31.

Trivedi SS, Pasrija S. Teenage pregnancies and their obstetric outcomes. Trop Doct. 2007;37(2):85-8.

Cornelius MD, Goldschmidt L, Willford JA, Leech SL, Larkby C, Day NL. Body Size and Intelligence in 6-year-olds: are offspring of teenage mothers at risk? Matern Child Health J. 2009;13(6):847-56.

Wellings K, Wadsworth J, Johnson A, Field J, Macdowall W. Teenage fertility and life chances. Rev Reprod. 1999;4:184-90

Acharya DR, Bhattarai R, Poobalan A, Van TE, Chapman G. Factors associated with teenage pregnancy in South Asia: a systematic review. Health Sci J. 2010;4:1-13.

Kamini S, Avvaru KV. Teenage Pregnancy: Maternal and Fetal Outcomes. IOSR J Dent Medic Sci. (IOSR-JDMS). 2014;13(4):41-4.

Rudra S, Bal H, Singh S. A retrospective study of teenage pregnancy in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2013;2:383-7.

Gollapudi R, Sistla J. Teenage pregnancy: demographics, maternal and foetal outcome. J Evid Based Med Healthc.2016;3(68): 3625-3672.

Ganatra B and Elul B. Legal but not always safe: Three decades of a legal abortion policy in India. Gaceta Medica de Mexico. 2003;139:S103-8.

Orientation programme for medical officers to provide adolescent reproductive and sexual health services. Facilitators Guide. MoHFW, Govt. of India 2006.

Mahfouz AA, El-Said MM, Al-Erian RA, Hamid AM. Teenage pregnancy: are teenagers a high risk group?. Europ J Obstet Gynecol Reprod Biol. 1995;59(1):17-20.

Yasmin G, Kumar A, Parihar B. Teenage Pregnancy - its impact on maternal and fetal outcome. Int J Scienti Study. 2014;1(6):9-13.

Thaker RV, Panchal MV, Vyas RC, Shah SR, Shah PT, Deliwala KJ. Study of feto-maternal outcome of teenage pregnancy at tertiary care hospital. Gujarat Medic J. 2013; 68( 2):100-3.

Brabin BJ, Hakimi M, Pelletier D. An analysis of anaemia and pregnancy-related maternal mortality. J Nutr. 2001;131(2S-2):604S-15S.

Prema K, Neel Kumari S, Rama Lakshmi BA. Anaemia and adverse obstetric outcome. Nutr Rep Int. 1981;23:637-43.

Santos GH, Martins M da G, Sousa M da S. Gravidez na adolescência e fatores associados com baixo peso ao nascer. Rev Bras Ginecol Obstet. 2008;30(5):224-31.

Kongnyuy EJ, Nana PN, Fomulu N, Wiysonge SC, Kouam L, Doh AS. Adverse perinatal outcomes of adolescent pregnancies in Cameroon. Matern Child Health J. 2008;12(2):149-54.

Reime B, Schücking BA, Wenzlaff P. Reproductive outcomes in adolescents who had a previous birth or an induced abortion compared to adolescents’ first pregnancies. BMC Pregnancy Childbirth. 2008;8:4.

Althabe, F, Moore, JL, Gibbons, L. Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network's Maternal Newborn Health Registry study. Reprod Health. 2015;12:S8

Yasmin S, Osrin D, Paul E, Costello A. Neonatal mortality of low-birth-weight infants in Bangladesh. Bull World Health Org. 2001;79(7):608-14.

Lopoo LM. Labor and delivery complications among teenage mothers. Biodemography Soc Biol. 2011;57(2):200-20.

Mukhopadhyay P, Chaudhuri RN, Paul B: Hospital-based perinatal outcomes and complications in teenage pregnancy in India. J Health Popul Nutr. 2010;28(5): 494-500.






Original Research Articles