Obstetric outcome of teenage pregnancy and labour in Obafemi Awolowo University Teaching Hospitals complex, Ile-Ife: A ten year review

Feto-Maternal Outcome of Teenage Pregnancy in Port Harcourt, Southern Nigeria

“…This was also similar to the findings in Ile-Ife 13 , especially as a result of the higher proportion of unbooked teenage parturients in that study. Both complications may be attributable to prematurity following preterm labour that occurred in these patients.…”

“…Postpartum hypertension and puerperal sepsis were also noted, but to lesser extents. These were also noted in other studies 3,8,13 .…”

“…Maternal case fatality rate from the study was 5.1 per 1000 deliveries (0.51%) and fetal case fatality rate recorded was 35 per 1000 deliveries (3.5%). These statistics were similar to findings conducted in Benin, Ile-Ife and Bayelsa 8,13,18 , but were at variance with a study in Calabar where maternal and case fatality rates were higher 9 . Generally, booked teenagers have a better perinatal outcome than their unbooked counterparts even when subjected to the same delivery conditions 1,5,[19][20][21][22] .…”

“…This brought about a high caesarean section rate of 30.4%, as this form of operative intervention was important in alleviating fetopelvic disproportion and preventing obstructed labour and its sequelae in the teenage parturients. This trend was apparent in similar studies conducted in different parts of Nigeria and other developing countries alike 11,[13][14][15][16][17] .…”

“…Labour and delivery may also be complicated by obstructed labour due to fetopelvic disproportion, ruptured uterus, stillbirth, obstetric fistulae, prolonged labour, instrumental delivery, caesarean section, and death 1 . Fetal complications such as intrauterine growth restriction, low birth weight, neonatal morbidities and perinatal mortality also abound 3,13 .…”