Outcome of teenage pregnancy at a tertiary hospital in Abakaliki Southeast Nigeria

Onoh, Robinson Chukwudi; Ezeonu, Paul Olisaemeka; Anozie, Bonaventure Okechukwu; Esike, C.O.U.; Obuna, JA; Egbuji, Chukwuma; Agwu, UM; Agboeze, Joseph; Chukwudi, Ibekwe Perpertus

doi:10.4103/2278-960x.129274

Cited by 10 publications

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This observation is supported by Ayuba II et al and others. 1,8,13 Percentage of GDM was 1.2% VS 2% in our study which correlate with a study conducted by Onoh RC et al 13 The percentages for malpresentation, APH, PPH were not different statistically among the two groups which is supported by studies conducted by Mukhopadhyay P et al, Punn KD et al and Shah N et al respectively. 2,5,15 Instrumental delivery was commoner among adolescent pregnancies (6.4% VS 1.6%).…”

Section: Discussionsupporting

confidence: 89%

Adolescent Pregnancy

Tanveer

Anjum

2016

TPMJ

View full text Add to dashboard Cite

Objectives: To compare the obstetric outcomes in adolescent and adultprimigravida. Study Design: A comparative, cross sectional study. Setting: Gynae unit 3,Jinnah hospital, Lahore. Period: One year from Jan-Dec 2014. Methodology: Study populationwas adolescent primigravida (<19 years) and adult primigravida between the ages 20-29 years,250 in each group who were > 24 weeks of gestation. Obstetric complications were recordedas percentages of anaemia, pre-eclampsia, antepartum hemorrhage, postpartum hemorrhage,gestational diabetes mellitus, preterm delivery, instrumental delivery, cesarean section rate, lowbirth weight, Apgar score <7 at 5 minutes and NNU admission. Data was entered into SPSS 16.Chi square test applied and a p-value of<0.05 was considered significant. Results: The meanage of adolescent group was 18.4+ 0.56 years while it was 24+2.47 years in adult primigravida.The data revealed that the adolescent mothers are at higher risk of certain obstetric risks whencompared to adult primigravida .These include anaemia ( 41.2% VS 17.6%), pregnancy inducedhypertension (14.4% VS 1.6%), preterm delivery (21.6% VS 13.6% ), instrumental delivery (6.4%VS 1.6%), cesarean section rate (24% VS 12%), low birth weight (20.4% VS 8%), Apgar score<7 at 5 minutes (4% VS 2%) and NNU admission (19.2% VS 8%). The risk of antepartumhemorrhage (1.6% VS 1.2%), postpartum hemorrhage (0.8% VS 1.6%), gestational diabetesmellitus (1.2% VS 2%) and malpresentation (1.6% VS 2%) were not different in two groups.Conclusion: Adolescent pregnancy is associated with a higher rates of certain obstetric riskslike anemia, preterm delivery, pregnancy induced hypertension, instrumental delivery, cesareansection and poor neonatal outcome However the risk of antepartum hemorrhage, postpartumhemorrhage and malpresentation is no greater than adult pregnant mothers.

show abstract

Section: Discussionsupporting

confidence: 89%

Adolescent Pregnancy

Tanveer

Anjum

2016

TPMJ

View full text Add to dashboard Cite

show abstract

“…This was similar to previous fi ndings. 12,15,17,20,23,[25][26][27] This data seemed to corroborate anemia in pregnancy as a disorder of nutritional defi ciency. The teenagers are still undergoing physical growth and development 1 requiring a lot of nutrients and energy which combined with the high demands and stress from pregnancy increased the risk of nutritional defi ciencies including the hematopoietic factors.…”

Section: Discussionmentioning

confidence: 69%

“…This compared with other reports. 13,[17][18]22 Their educational, employment and marital disadvantaged status appeared to explain their increased risk of social and economic rejection commonplace in developing world with consequent adverse obstetric outcomes. This was unlike in the developed countries with better social system where both the incidence and the complications were declining.…”

Section: Discussionmentioning

confidence: 99%

Teenage Pregnancy and Obstetric Outcome: A Comparative Study In Urban Nigeria

Eugene

Jeremiah

Atombosoba

2016

Nepal j. obstet. gynaecol.

View full text Add to dashboard Cite

Aims: Teenage pregnancy is a worldwide problem that poses social and health concerns in both industrialized and developing countries. This study therefore sought to evaluate the relevance of age at first pregnancy on obstetric performance.Methods: This was a case control analytical, observational study of teenage women as study group and older control subgroup aged 20-34 years that had their first childbirth between 2009 and 2013 at a mission Hospital in Benin City, South- South, Nigeria. Statistical analysis was with computer statistical software with statistical significance set at p<.05.Results: The incidence of teenage nullipara in this study was 1.1%. The study group were more likely to be unmarried (OR=9.6, P<0.001), unemployed (OR=6.6, P=0.001), attained below secondary level of education (OR=8.4, P< 0.001) and less likely to attain post secondary level of education (OR=0.05, P<0.001), lack prenatal care (OR=2.1, P=0.15),have vaginal delivery (OR: 5.7, P=0.01), less caesarean section rate (OR=0.2, P=0.01), weighed less at booking and last prenatal visits (P<0.001) respectively and neonates weighing less at birth (t=2.1, P=0.04).Conclusion:Teenage pregnancy was more a social than an obstetric problem. Adequate empowerment before reproductive role, discouragement of early marriage and or childbearing is hereby proffered.

show abstract

“…8 – 12 The majority of these teenage pregnancies are unintended and to single mothers. 9 The high incidence of teenage pregnancy in our environment may be attributed to the ignorance of adolescents on their menstrual pattern and poor contraceptive practice. 13 , 14 Therefore, knowledge of the length and variations in menstrual cycles and awareness and use of modern contraception is necessary for adolescent sexuality and education.…”

Section: Introductionmentioning

confidence: 99%

Adolescent reproductive health challenges among schoolgirls in southeast Nigeria: role of knowledge of menstrual pattern and contraceptive adherence

Ajah¹,

Onubogu²,

Anozie³

et al. 2015

PPA

View full text Add to dashboard Cite

BackgroundReproductive health services in the form of adolescent health and contraceptive services are fundamental in the prevention of a high incidence of teenage pregnancy. The purpose of this study was to determine the age at menarche, menstrual pattern, and awareness of and use of modern contraception among secondary school girls in Abakaliki, Nigeria.Subjects and materialsThis was a cross-sectional study in which self-administered questionnaires were completed by 482 adolescent girls at two girls’ secondary schools between August and September 2012.ResultsThe mean age at menarche was 13.13±1.37 years. The mean menstrual cycle length was 27.8±3.14 days, and the mean duration of menstrual flow was 4.8±1.14 days. Thirty-seven (7.7%) respondents were ignorant of their cycle length, while 29 (6.0%) had irregular cycles. Premenstrual syndrome and dysmenorrhea were major menstrual issues, which resulted in 69 (14.3%) and 59 (12.2%) of respondents resorting to self-medication and absenteeism from school, respectively. Mothers were the main source of their daughters’ adolescent education, while friends and mass media were the main source of contraceptive information. Though there was a high level (75.7%) of awareness of contraceptive information among the girls, usage (8.9%) was poor. Only eight (18.6%) of the 43 respondents who had ever used modern contraception were adherent to modern contraceptives. Students who were more than 15 years old, attained menarche at 13 years or less, and whose families were of low socioeconomic classes were more likely to be sexually active.ConclusionThe declining age at menarche, menstrual challenges, and poor reproductive health status of adolescent girls in this study have made menstrual issues and contraceptive adherence critical aspects of adolescent health care, especially when appropriate sources of reproductive health information were not fully harnessed. Therefore, there is an urgent need to establish adolescent-friendly clinics and include sexuality education in the curriculum of schools in this environment.

show abstract

Outcome of teenage pregnancy at a tertiary hospital in Abakaliki Southeast Nigeria

Cited by 10 publications

References 9 publications

Adolescent Pregnancy

Adolescent Pregnancy

Teenage Pregnancy and Obstetric Outcome: A Comparative Study In Urban Nigeria

Adolescent reproductive health challenges among schoolgirls in southeast Nigeria: role of knowledge of menstrual pattern and contraceptive adherence

Contact Info

Product

Resources

About