OBSTETRICAL AND PERINATAL OUTCOME IN TEENAGE PREGNANCIES IN SUBHIMALAYAN REGION

Abstract

Objectives:To assess the quantum of problem of teenage pregnancy, ascertain the different risk factors associated with and to evaluate outcome of pregnancy in teenage mothers. Design: Hospital based prospective case control study Department of Obstetrics and G . Setting: ynaecology, Central Referral Hospital (CRH), a teaching hospital of Sikkim Manipal Institute of Medical Sciences, Sikkim, India. All teenage Participants: pregnant women (aged 13-19 years) and Non teenage pregnant women of same gestational age as of teenage pregnant women admitted for delivery. Incidence of Teenage Pregnancy and the Primary outcome measures: maternal and neonatal outcomes. Results: Teenage pregnancy rate was found to be 5.51%, with statistically signicant number of patients being those referred to our hospital. The mean age of teenage mothers was found to be 18.5 +/- 0.66 years, with 60.80% from lower class. 40.80% patients had Anemia, whereas PIH and thrombocytopenia was seen in 8 (7.20%) and 1 (0.80%) patients respectively. 76.80% of teenage delivered vaginally, but statistically signicant higher cesarean was in NonTeenage pregnancies (P<0.0001). The incidence of PPH was found to be statistically high (P=0.0357) in teenage pregnancies. More LBW babies were born to teenage mother (P<0.05), and admission rates in NICU was found to be statistically signicant (P=0.042). To conclude Conclusions: teenage pregnancy is associated with increased maternal as well as neonatal morbidity and mortality. Reduction in teenage pregnancies can be achieved through education, awareness programs, sex education and free and easy access to effective contraception