Comparison of Obstetric Outcome among Teenage and Adult Pregnancies in Tertiary Level Hospital
Keywords:
Teenage pregnancy, Young mother, Obstetric outcomes, Adolescent, Maternal healthAbstract
Background: Teenage pregnancies are a global problem but occur most often in poorer and marginalized communities. It is a high-risk situation for both mother and child because of their vulnerability to many health challenges. This study aimed to compare the obstetric outcome of teenage pregnant mothers (13-19 years) with that of adult pregnant mothers (20–29 years).
Methods: Hospital-based cross-sectional descriptive comparative study design was adopted. The study was carried out in Nepal medical college and teaching hospital, Kathmandu and Mahakali hospital, Kanchanpur, using a non-probability purposive sampling technique. The data were collected from 94 teenage mothers (13-19 years) and 94 adult mothers (20-29 years) comprising of 2 health facilities. Face to face interview technique was used for the collection of socio-demographic information and obstetric-outcomes related information was collected by observations and hospital/delivery records through pre-designed proforma. Statistical Package for Social Science (SPSS) version 16 was used for data analysis. Descriptive and inferential statistics were used for statistical analysis.
Results: The findings of this study showed higher proportion of anemia (28.7% vs. 5.3%, p < 0.001), Pereineal tear (42.3% vs. 16.1%, p = 0.001), pre-term birth (19.1% vs. 5.3%, p = 0.004) and low birth weight infants (30.9% vs. 8.5%, p < 0.001) occurred among teenagers compared to adult mothers (20-29 years). However, caesarean section was found to be lower and vaginal deliveries in higher proportion among teenagers.
Conclusions: Teenage pregnant mothers had significantly higher rates of anemia, perineal tear, pre-term birth, and low birth weight. Focusing on girl-child education, strict law to prohibit teenage marriage, proper antenatal care in case if teenage pregnancy occurs can reduce teenage pregnancy and its related complications.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Pratima Pathak, Sapana Shrestha, Bijaya Ghimire, Pratima Ghimire, Hari Kumar Shrestha
This work is licensed under a Creative Commons Attribution 4.0 International License.
The author(s) retain the copyright and the full publishing right without restriction under the Creative Commons Attribution 4.0 International License (CC BY 4.0) which allows readers to share (copy and redistribute the material in any medium or format) and adapt (remix, transform, and build upon the material) for any purpose, even commercially, provided the work is properly attributed. (https://creativecommons.org/licenses/by/4.0/).
Author(s) grant the non-exclusive publishing right to the Journal of Karnali Academy of Health Sciences (JKAHS). The publishing rights include the rights to publish, reproduce, distribute, include in indexes or search databases or other media in print or online. The JKAHS may require revisions to the manuscript before acceptance for publication or may choose not to publish it based on the judgement of the editors. Further, JKAHS might retract, withdraw, or publish a correction or other notice after publication, if such publication would be inconsistent with the good publication practices and associated guidelines set forth by the COPE (Committee on Publication Ethics) (https://publicationethics.org/core-practices).
More information about the Creative Commons Attribution 4.0 International License can be found in the webpage of Creative Commons (CC) by following the link provided below: https://creativecommons.org/licenses/by/4.0/