Outcome of teenage pregnancy.

dc.contributor.authorKumar, Ashoken_US
dc.contributor.authorSingh, Tejen_US
dc.contributor.authorBasu, Sriparnaen_US
dc.contributor.authorPandey, Sulekhaen_US
dc.contributor.authorBhargava, Ven_US
dc.date.accessioned2007-10-06en_US
dc.date.accessioned2009-05-30T11:15:35Z
dc.date.available2007-10-06en_US
dc.date.available2009-05-30T11:15:35Z
dc.date.issued2007-10-06en_US
dc.description.abstractOBJECTIVE: The objective of the study was to evaluate the obstetric, fetal and neonatal outcomes of teenage pregnancy in a tertiary care teaching hospital. METHODS: A retrospective case control study was performed over a period of 5 years. Data were retrieved from hospital records. All teenage mothers (aged 13-19 completed years at delivery) delivering in the University Hospital were taken as cases. Next 3 consecutive deliveries in the age group of 20-30 year were selected as controls for each case. For statistical analysis the cases were further subdivided into 2 groups, 17 years (Group A) and 18 -19 years (Group B). Groups were compared for obstetric complications and neonatal outcome. Statistical analysis was done by software package SPSS 10. RESULTS: The incidence of teenage deliveries in hospital over last 5 years was 4.1%. Majority of the teenagers were primigravida (83.2% vs. 41.4%, p< 0.01). Complications like pregnancy induced hypertension (PIH) (11.4% vs 2.2%, p< 0.01), pre-eclamptic toxemia (PET) (4.3% vs 0.6%, p< 0.01) eclampsia (4.9% vs 0.6%, p< 0.01) and premature onset of labor (26.1% vs 14.6%, p< 0.01) occurred more commonly in teenagers compared to controls. Teenage mothers also had increased incidence of low birth weight (LBW) (50.4% vs 32.3%, p< 0.01), premature delivery (51.8% vs 17.5%, p< 0.01) and neonatal morbidities like perinatal asphyxia (11.7% vs 1.9%, p< 0.01), jaundice (5.7% vs 1.2%, p< 0.01) and respiratory distress syndrome (1.9% vs 0.3%, p< 0.05). Teenage pregnancy was also associated with higher fetal (1.9% vs 0.3%, p< 0.05) and neonatal mortality (3.8% vs 0.5%, p< 0.05). CONCLUSION: Teenage pregnancy was associated with a significantly higher risk of PIH, PET, eclampsia, premature onset of labor, fetal deaths and premature delivery. Increased neonatal morbidity and mortality were also seen in babies delivered to teenage mothers. Younger teenager group (17 years) was most vulnerable to adverse obstetric and neonatal outcomes.en_US
dc.description.affiliationDepartment of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India. ashokkumar_bhu@hotmail.comen_US
dc.identifier.citationKumar A, Singh T, Basu S, Pandey S, Bhargava V. Outcome of teenage pregnancy. Indian Journal of Pediatrics. 2007 Oct; 74(10): 927-31en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/79491
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshCause of Deathen_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshInfant Mortalityen_US
dc.subject.meshInfant, Low Birth Weighten_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshObstetric Labor, Premature --epidemiologyen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Complications --epidemiologyen_US
dc.subject.meshPregnancy Outcome --epidemiologyen_US
dc.subject.meshPregnancy in Adolescence --statistics & numerical dataen_US
dc.subject.meshReference Valuesen_US
dc.subject.meshRetrospective Studiesen_US
dc.titleOutcome of teenage pregnancy.en_US
dc.typeJournal Articleen_US
Files
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.79 KB
Format:
Plain Text
Description: