PREGNANCY COMPLICATION AND OUTCOME AMONG TEENAGER
Abstract
Objective: To evaluate the obstetrical complications and neonatal outcome of teenage pregnancies in comparison with older group. Setting : This study was carried out in Al- Basrah General hospital from 1st of October 2010 to 31st of March 2011. Study design: This study included 116 primigravida women aged 15-19 year as a case group & 116 rimigravida women aged 20-24 year as a control group admitted to labour word during the period of study, all women recieved standared labour management in cluding history & complete general & obstetric examination. Both groups were compared for the presnce of any pregnancy complication & for the mode of delivery and Neonatol outcome also compared between the two groups. Results: teenage mothers had a higher proportion (15.5%) of preterm deliveries compared to (4.3%) in the adult mothers and had higher proportion of low birth weight babies (19,8%) compared to adult mothers.(6.89%).References
Traggiai C & Stanhope R (2003) Disorders of pubertal development. Best Pract Res Clin Obstet Gynaecol 17,41-56.
Treffers PE (November 2003) Teenage pregnancy,a worldwide problem. Ned Tijdschr Geneeskd 147(47):2320-5.
UNICEF.(2001). A League Table of Teenage Births in Rich Nations PDF
Mayor S (May 2004) Pregnancy and childbirth are leading causes of death in teenage girls in developing countries. BMJ 328(7449):1152.
Makinson C (1985). The health consequences of teenage fertility. Fam Plann Perspect 17(3):132-9.
Scholl TO, Hediger ML,Belsky DH(September 1994).Prenatal care and maternal health during adolescent pregnancy: a review and meta-analysis .J Adolesc Health 15(6):444-56.
Gutierrez Y,King JC (February 1993). Nutrition during teenage pregnancy. Pediatr Ann 22(2):99-108.
Hofferth, Sandra L , Reid,Lori, Mott. & Frank L.(2001). The Effects of Early Childbearing On Schooling over Time. Family Planning Perspectives.33: 6.
Kalmuss DS, Namerow PB(1994). Subsequent childbearing among teenage mothers: the determinants of a closely spaced second birth. Fam Plann Perspect 26(4):149-53
American Academy of Pediatrics. Committee on Adolescence and Committee on Early Childhood and Adoption. And Dependent Care (February 2001). Care of adolescent parents and their children. Pediatrics 107(2):429-34.
Hofferth SL ,Reid L(2002). Early Childbearing and Children's Achievement And Behavior over Time. Perspectives on Sexual and Reproductive Health 34(1):41.
Crockenberg S(August 1987).Predictors and correlates of anger toward punitive control of toddlers by adolescent mothers. Child Dev 58(4);964-75.
Furstenberg FF,Levine JA, Brooks-Gunn J(1990),"The children of teenage mothers:patterns of early childbearing in two generations".Fam Plann Perspect 22(2):54-61.
Milman N,Byg KE & Agger A(2000) Hemoglobin and erythrocyte indicies during normal pregnancy & post partum in 206 women with and without iron supplementation. Acta Obstet Scand 79,89-98.
Davey DA & MacGillivray I (1988)The classification and definition of the hypertensive disorders of pregnancy. Am J obstet Gynecol 158,892-8
World Health Organization. Country, region and global estimates. Geneva: WHO 2005.
Mukhopadhyay P, chaudhuri RN; paul B (2010) hospital – based perinatal outcome and complications in teenage pregnancy in India. J Health Popul Nutr 5: 494-500.
Bhalerao AR, Desdi SV, Datur NA (1990) outcome of teenage pregnancy. J. postgrad, Med 36(5): 136-9.
. Mahfouz AA,el- said MM (1995) teenage pregnancy: are teenages ahigh risk group. J obstet Gynecol 59:17-20.
. Khashan AS, Baker PN, KennyLC (2010) Preterm birth and reduced birth weight in first and second teenage pregnancies: a register-based cohort study. BMC pregnancy child birth 10:36.
Sarkar CS,Giri AK, Sakar B (1991) outcome of teenage pregnancy and labor . J. Indian Med Association 89(7),197-9.
Lao TT et al (1997). The obstetric implications of teenage pregnancy. Human reproduction 12: 2303-5 .