Clinical study of teenage pregnancy and its outcome

Abstract

Aim and Objectives: To assess the quantum of problem of teenage pregnancy. To ascertain the different risk factors associated with teenage pregnancy. Materials and methods: It is a prospective controlled assessment of obstetric behaviour and outcome of teenage pregnancies over a period of four month. Results: Emergency / unbooked admissions are more in teenagers 61.8% than in adult group 42.7%. Number of late teens are more than early teens. Predominant group distributed based on age is between 20-25 years teenagers comprising of 9.53%. Teenage pregnant woman have a low literacy percentage than the control group. More number of teenage mothers (64%) are from rural areas when compared to the control group (43.6%) which is statistically significant. In the present study it is evident from the above table that teenage pregnancies are predominantly more common in lower socio economic group which is statistically significantly different from the control group. As such there is no statistically significant difference in age at menarche in between two groups. The incidence of Eclampsia is 6.4% as against 1.8% in Adults. Incidence of PET also considerably high in teenagers. The incidence of severe anemia is more in teenagers than in adults. Mod anemia is also high in teenagers when compared to the adults. Mild anemia is common in both groups. 27.7% of teenage pregnants were less than 40 kgs of weight at term. Incidence of LSCS is less in teenagers when compared to the adult group. In teenage pregnancy the perinatal mortality is 9.9% than of adults is 3.6% only. Intrauterine growth retardation is more in teenage pregnancy 42.7% when compared with control group 21.8%. Big babies are less in teenage pregnancy 0.9% when compared with control group 4.5%. From the above study it is statistically evident that the prematurity is more common in teenage pregnancy without antinatal care. Inspite of antenatal care there are an certain case 11.8% which are premature in contrary to 2.7% in control group,