Outcome of Teenage Pregnancy: A Retrospective Study

Abstract

OBJECTIVE: Determination of adverse pregnancy out come and complications in teenage pregnancy. MATERIAL AND METHODS: Total 258 cases were studied from Hospital Records in the OBG dept of Navodaya Medical College, Raichur, which were enrolled during the study period. Out of cases, 43 were teenagers and others 215 were non-teenagers. RESULTS: Out of 43 cases, 29 (67.5%) were primigravida, 10(23.25%) were Gravida-2, 3 (7%) were Gravida-3 and 1(2.25) were Gravida-4. All of these cases had complications like 12 (28%) Low birth weight babies, 10 (24%) had PIH, 6(14%) had CPD 5(12%) had IUD, 4(10%) were Anemic, Fetal distress cases were 3 (8%) and 1 (2.5%) was abortion and anencephaly each. All the 43 cases had worst outcome of pregnancy. 6(14%) delivered prematurely, 5 (11.5%) had macerated stillbirth, 19(44%) of cases had undergone Caesarean-section for which indications were CPD, fetal distress, breech presentation, PROM and previous LSCS history. Incidence of C Section in this study was 44% which is higher as compared to other studies .Reproductive losses in the form of abortions and stillbirth. Perinatal Mortality was 23.5%. CONCLUSION: In this study outcome of pregnancy was adverse in most of the teenage pregnancies. It is pointer towards a need to discourage teenage pregnancy and consequently reduce wastage of deliveries, low birth weight through an intensive campaign for proper marriage age of girls.