Open AccessTeenage Pregnancy Outcome in Rapti Sub Regional Hospital
Author(s) -
Sandesh Poudel,
Gehanath Baral,
Kirtipal Subedi
Publication year - 2019
Publication title -
nepal journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
eISSN - 1999-9623
pISSN - 1999-8546
DOI - 10.3126/njog.v14i1.26629
Subject(s) - medicine , obstetrics , caesarean section , pregnancy , respiratory distress , fetal distress , low birth weight , teenage pregnancy , eclampsia , pediatrics , childbirth , gynecology , fetus , population , surgery , genetics , environmental health , biology
Aim: To determine the maternal and perinatal outcome in teenage pregnancies.
Methods: A hospital based descriptive cross sectional study conducted from April 2017 to April 2018, among the pregnant women of age group≤19 years, admitted to the labour ward atRapti Sub regional Hospital, Dang.
Results: The total of 853 pregnant adolescent women were admitted during the study period, most of which belonged to 19 years of age (38.6%) and were primipara (93.3%) and 42.1% belonged to janjati group. 79.6% had normal delivery, while 14.1% of the cases underwent caesarean section, 5.9% had instrumental delivery and in 0.5% had perineal injury. Anaemia complicated 63% of teenage mothers, more in age group of ≤ 18yrs than in > 18years (61.4%vs 38.6%) and 4.6% had maternal complications, the majority being PPH (2.9%) followed by oligohydraminos, eclampsia, wound infection and vulvar haematoma. Preterm delivery occurred in 15.5% of the cases (≤ 18yrs vs>18yrs being 9.8% vs 5.7%), other neonatal complications included respiratory distress (1.5%), intrauterine growth retardation (4.5%), intrauterine foetal death (0.4%) and very low birth weight (1.2%).
Conclusions: Teenage pregnancy has increased risk of adverse pregnancy outcomes leading to various adverse maternal, fetal and neonatal complications.
Keywords: outcome, pregnancy, teenage.