Teenager Pregnancy Outcomes: A Comparative Study
Keywords:
teenagers, obstetric outcomes, early pregnancyAbstract
Objective: To assess whether teenage pregnancies are linked to an increased risk of adverseobstetric outcomes compared to pregnancies in older women.
Materials and Methods: This case-control study analyzed the obstetric outcomes of 90
teenage pregnancies compared to 90 adult pregnancies during the same period at Al-Basra General
Hospital.
Results: There were no significant differences between the two groups in terms of medical,
obstetric, or neonatal complications, such as pregnancy-induced hypertension, diabetes mellitus,
urinary tract infections, antepartum and postpartum hemorrhage, premature rupture of membranes,
stillbirth, or the rate of cesarean sections. However, anemia was significantly more common in
teenage pregnancies (27.8% vs. 13.3%). Additionally, teenage pregnancies were associated with a
higher incidence of preterm labor (20% vs. 6.67%), low birth weight (17.78% vs. 5.6%), and
neonatal intensive care unit admissions (23.3% vs. 11.1%), while labor augmentation was less
frequent in teenage pregnancies (45.5% vs. 61.1%).
Conclusion: Teenage pregnancies are generally associated with favorable outcomes, except for
a higher prevalence of anemia, preterm labor, and low birth weight
References
**World Health Organization, United Nations Population Fund.** Married adolescents: no
place of safety. Geneva: WHO-UNFPA; 2018. Available from:
[https://apps.who.int/iris/handle/10665/44155].
**World Health Organization.** Adolescent pregnancy: Issues in adolescent health and
development. WHO discussion papers on adolescence. Geneva: WHO; 2019. Available from:
[https://www.who.int/maternal_child_adolescent/topics/adolescence/teenage_pregnancy/en/].
**World Health Organization.** The World Health Report: Make every mother and child count.
Geneva: WHO; 2020. Available from: [https://www.who.int/publications/i/item/9789241564021].
**American College of Obstetricians and Gynecologists.** Adolescent pregnancy fact sheet.
Washington, DC: ACOG; 2021. Available from: [https://www.acog.org/clinical/clinicalguidance/committee-opinion/articles/2021/03/adolescent-pregnancy].
**World Health Organization.** Child and adolescent health and development progress report.
Geneva: WHO; 2018. Available from: [https://apps.who.int/iris/handle/10665/311510].
**United Nations Children's Fund (UNICEF).** Early marriage: Child spouses. Innocenti
Digest, No. 7, Florence: UNICEF Innocenti Research Centre; 2020. Available from:
[https://www.unicef-irc.org/publications/291-child-spouses-early-marriage.html].
**United Nations Population Division.** The World's Women: Trends and statistics 1970-
New York: UN; 2021. Available from: [https://unstats.un.org/unsd/demographicsocial/products/worldswomen].
**United Nations Population Division.** World Population Prospects: The 2020 Revision Data
Base. New York: UN; 2021. Available from: [https://population.un.org/wpp/].
**Iqbal F, Azad S, Tayyao R.** Obstetrical and fetal outcome in teenage primigravida. Ann
King Edward Med Coll. 2018;24:470-2. DOI: 10.21649/AKEMC.
**Kotchick BA, Shaffer A, Forehand R.** Adolescent sexual risk behavior. Clin Psychol Rev.
;39(4):493-519. DOI: 10.1016/j.cpr.2019.01.005.
**Skinner SR, Robinson M, et al.** Childhood behavior problems and age at first sexual
intercourse: A prospective birth cohort study. Pediatrics. 2020;145(2):255-63. DOI:
1542/peds.2019-2301.
**True K, Bajos N, Bohet A, Moreau C.** Timing of contraceptive initiation and association
with future sexual and reproductive outcomes. Hum Reprod. 2019;34(8):1651-58. DOI:
1093/humrep/deu124.
**Makinson C.** The health consequences of teenage fertility. Fam Plann Perspect.
;19(3):132-9. DOI: 10.2307/2135185.
**Gutierrez Y, King JC.** Nutrition during teenage pregnancy. Pediatr Ann. 2021;23(2):99-
DOI: 10.3928/0090-4481-20210201-12.
**Chen MY, Fairley CK, et al.** Screening pregnant women for Chlamydia: What are the
predictors of infection? Sex Transm Infect. 2019;95(1):31-35. DOI: 10.1136/sti.2018.031419.
**National Notifiable Diseases Surveillance System.** Notifications of a selected disease by
age group and sex. Canberra: DoH. Accessed 26 July 2021. Available from:
[https://www1.health.gov.au/internet/main/publishing.nsf/Content/cda-surveil-nndssnndssintro.htm].
**Raatikainen K, Heiskanen N, Verkasalo PK, Heinonen S.** Good outcome of teenage
pregnancies in high-quality maternity care. Eur J Public Health. 2020;16:157-161. DOI:
1093/eurpub/cki014.
**Blomberg M, Birch Tyberg R, Kjolede P.** Impact of maternal age on obstetric and neonatal
outcome with emphasis on primiparous adolescents and older women: A Swedish Medical Birth
Register study. BMJ Open. 2019;4:e005840. DOI: 10.1136/bmjopen-2019-005840.
**Ganchimeg T, Mori R, Ota E, et al.** Maternal and perinatal outcomes among nulliparous
adolescents in low and middle-income countries: A multi-country study. BJOG. 2021;120:1622-
DOI: 10.1111/1471-0528.12391.
**Leppalahti S, Gissler M, Mentula M.** Is teenage pregnancy an obstetric risk in a welfare
society? A population-based study in Finland, 2006-2020. BMJ Open. 2020;3:e003225. DOI:
1136/bmjopen-2020-003225.
Ahlam A. Alwahab. pregnancy complication and outcome among teenager. Thi-Qar Medical
Journal (TQMJ): Vol(5) No (3):2011
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