Obstetric outcome of teenage pregnancies in a tertiary care centre in Mangalore, Karnataka, India
Keywords:Hypertension in pregnancy, Low birth weight, Maternal health, Preterm birth, Teenage pregnancies
Background: Teenage pregnancy is a social problem affecting maternal and child health. In India, teenage pregnancy is an important public-health problem, although the national policy of the Government of India advocates the minimum legal age of marriage for girls to be 18 years. The aim of the present study was to observe the obstetric outcome in Teenage pregnancies
Methods: A retrospective analysis of all Teenage pregnancies was done over a period of 1 year from August 2014 to July 2015. Case sheets of all teenage mothers delivered during that period were retrieved. Maternal and neonatal outcome were analyzed and compared with pregnant women ≥20 years of age.
Results: 5859 deliveries occurred during the study period, teenage deliveries were 457.The prevalence of teenage deliveries was 7.8%. Cesarean delivery rate was 56% vs 42% (p value<0.05) among teenagers compared to non teenage pregnant mothers. Preterm delivery rate was higher in teenagers 24% vs 14 % (p<0.05). 39(8.6%) teenage mothers had developed hypertension in pregnancy and 42(8.3%) among non-teenagers (p>0.05). Teenage mothers had increased Low birth weight rates 24% vs 10% (p<0.05).
Conclusions: Teenage pregnancies has a negative impact on maternal and perinatal health. Hence strict laws should be enforced to prohibit teenage marriages. Adolescent girls should be educated about safe sex practices, contraception and complications of teenage pregnancies on maternal and child health.
International Institute for Population, Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005-06.
World Health Organization; Adolescent pregnancy September 2014. Available at http://www.who.int/mediacentre/factsheets/fs364/en/
Agarwal N, Reddaiah VP. Factors affecting birthweight in a suburban community. A study in a secondary level hospital in Delhi. Health Popul Persp. 2005;28(4):189-96.
Bott S, Jejeebhoy J. S. World Health Organization. Towards adulthood: Exploring the sexual and reproductive health of adolescents in South Asia. Geneva:2003:10
World Health Organisation. Programming for adolescent health and development. WHO Technical Report series. 1999;886:1-217.
Kumar A, Singh T, Basu S, Pandey S, Bhargava V. Outcome of teenage pregnancy. Indian J Pediatr 2007;74(10):927-31.
Yasmin G, Kumar A, Parihar B. Teenage Pregnancy-Its Impact on Maternal and Fetal Outcome. Int J Scien St. 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. GMJ 2013;68(2):100-3.
Talawar S, Venketesh G. Outcome of Teenage Pregnancy. IOSR-JDMS. 2013;6(6):81-3.
Chen X K, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol. 2007 ;36(2):368-73.
Mukhopadhyay P, Chaudhuri R.N, Paul B. Hospital-based Perinatal Outcomes and Complications in Teenage Pregnancy in India. J Health Popul Nutr. 2010;28(5):494-500.