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

Abstract

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.

Co-morbidities, Maternal and Fetal Outcome of Teenage Pregnancy at Tertiary Care Hospital, Nepal

“…[15][16][17][18] In contrary, many studies had showed that adolescent group are more prone to have pre-eclampsia and eclampsia compare to adult group. 7,8,10,12,19 Common pregnancy co-morbidities revealed in this study were, Urinary tract infection 18.4%, similar finding was observed in the study done by Santos et al 20 Lower urinary tract infection was high among younger teenagers and late teenagers, 26.95% and 24.35% respectively compare to adult, which was statistically significant with p=0.01 showed in study done in Romania. 16 However, a study by Nili et al showed only 2% of the teenage pregnancy had developed UTI during pregnancy.…”

“…8 And 92.7% of teenage mothers were married. 7 More than half of teenagers resides 58.6% at rural areas, similar findings was found in study conducted in Bangladesh showed 59.3%. 6 But study conducted in eastern part of Nepal showed that 65% of the teenagers are from urban residents.…”

“…5,8,9,10,12 In contrary to this, 95.1% was found in compare to adult women, 77.2% study done in Nigeria and 21.3% in Bangladesh. 7,6 Similarly, operative delivery in this study found to be less compare to other study, study conducted in Romania revealed that, teenage women are lower risk of caesarean and operative vaginal delivery in women < 20 years of age compared with those between 20 and 24 years of age but Shah et al found the rate of instrumental delivery significantly higher among the teenage group. 17 However many other studies had higher rate of operative delivery than adult group.…”

“…5,8,10,12 In contrast, one study had even lower operative delivery than present study, 12% in study by Joseph and Eugene, only 4.9%. 6,7,9,10,19 Teenage pregnancy age < 17 was found to be higher among tamang and dalit ethnic group and found statistically significant with p=0.010. Study conducted by Sah showed similar findings as dalit and terai caste population are more likely to have teenage pregnancy, p= < 0.05.…”

“…Similar findings were revealed at study conducted in India, mean (±SD) age was 18.3±0.8 years and slightly higher found in Bangladesh, 18.61±0.72 and 18.5±0.7. [5][6][7] Age of less than 17 accounts 23.3% and more than 17 were 76.7%. Similar findings were found in study conducted at Nigeria revealed 24.1% of teenager age between 14 to 16 years of age.…”