Maternal and neonatal outcomes in teenage pregnancy: an observational study from Odisha


  • Arabinda Nepak Department of Obstetrics and Gynaecology, MKCG Medical College and Hospital, Odisha
  • Surendra Nath Soren Department of Obstetrics and Gynaecology, MKCG Medical College and Hospital, Odisha
  • Ashish Kumar Karjee Department of Obstetrics and Gynaecology, MKCG Medical College and Hospital, Odisha



Teenage pregnancy, Maternal and fetal outcome, Neonatal intensive care unit


Background: With changing socio-demographic landscape of India, teenage pregnancy has become an important public health issue. The present study was conducted to assess the incidence of teenage pregnancy in Berhampur, Odisha and various maternal and neonatal outcomes of these pregnancies.

Methods: This observational study was conducted on 564 antenatal mothers aged 16 to 19 years, who from October 2018 to September 2020. Demographic information of the mothers was noted. Maternal complications during antenatal, intrapartum and postpartum period were noted. Neonatal outcomes, mode of delivery, complications and need for intensive care unit admission was noted. The data collected was described in tabulated form.

Results: The incidence of teenage pregnancy at our centre was 4%. Of the 564 teenage pregnancies, 214 were anaemic, pregnancy induced hypertension in 74 and 129 had preterm labour. The caesarean section rate was performed in 51.9%, and the most common indications for caesarean section were fetal distress and cephalopelvic disproportion. Of the 553 live births, 1.04% of them weighed <1.5 kg, 29.16% weighed 1.5 till 2.5 kg, 65.5% weighed between 2.5 to 3.5 kg and 5.2% weighed >3.5 kg. NICU admission was required for 26.9% of the neonates and the most common complication was neonatal jaundice, which was observed in 14.3%.

Conclusions: Teenage pregnancies represent a high-risk. The present study demonstrated the various maternal as well as neonatal complications in teenage pregnancies. Those who experience teenage pregnancy should be given extra attention and care.


Park K. Park’s Textbook of Preventive and Social Medicine. 21st ed. Jabalpur, India: Banarasidas Bhanot. 2011;489-97.

Huang CC, Lin YC, Huang YT, Huang KH. Comparison of medical issues in antenatal and perinatal periods in early youth, adolescent, and young adult mothers in Taiwan: a 10-year nationwide study. BMC pregnancy and childbirth. 2014;14(1):260.

Lee SH, Lee SM, Lim NG, Kim HJ, Bae SH, Ock M et al. Differences in pregnancy outcomes, prenatal care utilization, and maternal complications between teenagers and adult women in Korea: a nationwide epidemiological study. Medicine. 2016;95(34).

Abebe AM, Fitie GW, Jember DA, Reda MM, Wake GE. Teenage Pregnancy and Its Adverse Obstetric and Perinatal Outcomes at Lemlem Karl Hospital, Tigray, Ethiopia, 2018. Bio Med Res Int. 2020;2020.

Devi G, Kayalvizhi, Poovathi M. Study of fetomaternal outcome of teenage pregnancy in a tertiary care hospital-MGMGH. Int J Reprod Contracept Obstet Gynecol. 2019;8:303-7.

Rita D, Naik K, Desai RM, Tungal S. Study of feto maternal outcome of teenage pregnancy at tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6:2841-5.

Okram SD, Reddy KM, Samyukta BSCN, Sadvika P, Betha K. Prevalence of teenage pregnancy and pregnancy outcome at a rural teaching hospital in India. Int J Reprod Contracept Obstet Gynecol. 2019;8:613-6.

National Family Health Survey:4, Available from: Accessed January 18, 2021.

Mahavarkar SH, Madhu CK, Mule VD. A comparative study of teenage pregnancy. Am J Obstet Gynecol. 2008;28(6):604-7.

Althabe F, Moore JL, Gibbons L, Berrueta M, Goudar SS, Chomba E et al. Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network’s Maternal Newborn Health Registry study. Reproduct Health. 2015;12(2):S8.






Original Research Articles