Background: Teenage pregnancy can be defined as pregnancy that occurs after menarche up to the age of 19 years. It is one of the important causes of maternal as well as neonatal morbidity and mortality. There is an increased incidence of preterm deliveries in teenage girls with its associated complications in newborn such as increased incidence of hyaline membrane disease in newborn baby, anaemia of prematurity, neonatal hypoglycaemia, hyperbilirubinemia and need for neonatal intensive care unit admissions. Aims and Objectives: 1.To assess the quantum of problem of teenage pregnancy. 2. To ascertain the different risk factors associated with teenage pregnancy. 3. To evaluate outcome of pregnancy in teenage mothers. 4. Todetermine the extent and association of teenage pregnancy with poor obstetric outcome. Materials and Methods: It was a hospital based prospective case control study. All teenage pregnant patients who were admitted during the study period were included in the study and a representative group of equal number of non-teenage pregnant women who were admitted during the study period were included in the study. For statistical purposes p value less than 0.05 was taken as statistically significant. Results: The most common single complication in teenage pregnancies was found to be preterm deliveries which was seen in 15 (12%) patients followed by fetal distress (10.40%) Pre-Eclampsia (6.40%) and PROM (4.80%). Amongst non-teenage pregnancies the common complications seen were fetal distress (17.60%), PROM (8.80%). The incidence of PPH was found to be high in teenage pregnancies as compared to non-teenage pregnancies. The comparison of the neonates on the basis of incidence of low birth weight (LBW) showed that more LBW babies were born to teenage mother as compared to non-teenage pregnancies and the difference was found to be statistically significant (P<0.05). Conclusion: Teenage pregnancy is associated with increased incidence of maternal as well as neonatal complications. In additions to maternal and neonatal complications it also has an immense impact on psychosocial consequences on teenage mothers.

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