DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20193800

A study on clinico social impact of teenage pregnancy in a tertiary care hospital

Anuradha Konduru, Anil Kumar Bathula, R. Nageswara Rao, N. Prabhavathi

Abstract


Background: 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. Data of the National Family Health Survey (NFHS)-3 revealed that 16% of women, aged 15-19 years, have already started childbearing. Teenage pregnancies represent a high-risk group in reproductive terms because of the double burden of reproduction and growth. Complications of pregnancy and childbirth are the leading cause of mortality among girls aged 15-19 years in developing countries. Aim and objective of the study was to study the prevalence of teenage pregnancies and to study the clinic social impact of teenage pregnancies.

Methods: The observational cross-sectional study was conducted in Government General Hospital, Guntur in the department of Obstetrics and Gynaecology over three Months from August to October 2018. All pregnant women coming to either OPD or directly to the labour room were included in the study group. History was taken and examination was done.

Results: Among the 709 deliveries in the institute, 138 are teenage pregnancies contributing to 19.4%. Prevalence of anaemia in teenage mothers is as high as 63.7%, pregnancy induced hypertension contributing to 26.8% and abortions 9.4%. The neonatal outcome is poor in teenage mothers, low birth weight 20.2% contributing to the main morbidity.

Conclusions: Teenage pregnancy is associated with an increased incidence of preeclampsia, eclampsia, preterm delivery, increased incidence of instrumental deliveries and lower segment caesarean sections due to cephalopelvic disproportion, neonatal complications, increased neonatal morbidity and mortality mainly due to low birth weight was noted in babies delivered to teenage mothers. 


Keywords


Abortion, Low birth weight, Maternal morbidity, Marriage, Teenage pregnancy, Vaginal delivery

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References


International Institute for Population Sciences. National family health surveys, India. Key findings from NFHS-3. Mumbai: International Institute for Population Sciences; 2007. Available at: http://www. nfhsindia. org/factsheet. Accessed on 22 Jan 2019.

Mayor S. Pregnancy and childbirth are leading causes of death in teenage girls in developing countries. BMJ. 2004;328:1152.

Makinson C. The health consequences of teenage fertility. Fam Plann Perspect. 1985;17:132-9.

Raatikainen K, Heiskanen N, Verkasalo PK, Heinonen S. Good outcome of teenage pregnancies in high-quality maternity care. Eur J Public Health. 2006;16:157-61.

Agarwal N, Reddaiah VP. Factors affecting birthweight in a suburban community. Health Popul Perspect Issue. 2005;28:189-96.

World Health Organization. Towards adulthood: exploring the sexual and reproductive health of adolescents in South Asia. Geneva: World Health Organization; 2003:244.

Chahande MS, Jadho AR, Wadhva SK, Udhade S. Study of some epidemiological factors in teenage pregnancy hospital based case comparison study. Indian J Community Med. 2002;27:106-9.

World Health Organization. Adolescent pregnancy: issues in adolescent health and development. Geneva: World Health Organization. 2004:86.

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

Sharma AK, Verma K, Khatri S, Kannan AT. Pregnancy in adolescents: the study of risks and outcome in eastern Nepal. Indian Pediatr. 2001;38:1405-9.

Ramahi M, Saleh S. Outcome of adolescent pregnancy at a university hospital in Jordan. Arch Gynecol Obstet. 2006;273:207-10.

Scholl TO, Hediger ML, Belsky DH. Prenatal care and maternal health during adolescent pregnancy: a review and meta-analysis. J Adolesc Health. 1994;15:444-56.

Geist RR, Beyth Y, Shashar D, Beller U, Samueloff A. Perinatal outcome of teenage pregnancies in a select-ed group of patients. J Pediatr Adolesc Gynecol. 2006;19:189-93.

Ziadeh S. Obstetric outcome of teenage pregnancy in north Jordan. Arch Gynecol Obstet. 2001;265:26-9.

Lao TT, Ho LF. The obstetric implications of teenage pregnancy. Hum Reprod. 1997;12:2303-5.

Eure CR, Lindsay MK, Graves WL. Risk of adverse pregnancy outcomes in young adolescent parturients in an inner-city hospital. Am J Obstet Gynecol. 2002;186:918-20.

Chen XK, 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;36:368-73.

Kushwaha KP, Rai AK, Rathi AK, Singh YD, Sirohi R. Pregnancies in adolescents: fetal, neonatal and maternal outcome. Indian Pediatr. 1993;30:501-5.

Mehra S, Agrawal D. Adolescent health determinants for pregnancy and child health outcomes among the urban poor. Indian Paediatr. 2004;41:137-45.

Gortzak UL, Hallak M, Press F, Katz M, Shoham-Vardi I. Teenage pregnancy: risk factors for adverse perinatal outcome. J Matern Fetal Med. 2001;10:393-7.

Sharma V, Katz J, Mullany LC, Khatry SK, LeClerq SC, Shrestha SR. Young maternal age and the risk of neonatal mortality in rural Nepal. Arch Pediatr Adolesc Med. 2008;162:828-35.

Watcharaseranee N, Pinchantra P, Piyaman S. The incidence and complications of teenage pregnancy at Chonburi Hospital. J Med Assoc Thai. 2006;89(4):118-23.