TO COMPARE THE PREVALENCE OF PREGNANCY COMPLICATIONS AMONG TEENAGE MOTHERS AND CONTROL MOTHERS
Keywords:pregnancy, complications, teenage & prevalence.
Background & Method: This is a prospective observational study was conducted in the Department of Obstetrics & Gynaecology, Index Medical College Hospital and Research Centre, Indore. Cases were enrolled from amongst the women admitted for delivery in the labour room. All consecutive primigravida women below 19 years of age were enrolled as the study group and consecutive primigravidas above 19 years equal to the number of study group (210 each), served as the control group.
Result: The incidence of anaemia, PIH, pre-eclampsia, eclampsia, malpresentation, hyperemesis, and threatened abortion is higher in study group as compared to control group. Obstructed labour and postpartum psychosis were found only in teenage mothers and not in adults. Spontaneous vaginal delivery occurred in 74.3% of cases of study group which was significantly higher than that in control group (59%). While the rate of assisted delivery (25.7%) and cesarean section (16.2%) was much less than that of control group which was 41% and 26.6% respectively. This may be related to a higher number of low birth weight babies in the study group that deliver spontaneously vaginally.
Conclusion: Complications of pregnancy like anaemia and PIH were significantly higher in study group as compared to control group. An approach for prevention of teen pregnancy will be to create awareness through abstinence education programme, clinic focused program to bring about behavioural changes in the teens. Early childbearing can be postponed by delayed early marriage and delaying the time of the first birth through the effective use of family planning methods. In young woman subsequent pregnancies should be discouraged as rapid repeat pregnancy in young mothers also increases perinatal risks.
Keywords: pregnancy, complications, teenage & prevalence.
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