Keywords : CPD
TEENAGE PREGNANCY - ITS EFFECT ON MATERNAL AND FETAL OUTCOME
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2391-2406
Background: To find complications associated with teenage pregnancies. To find the effects on maternal and fetal outcomes.
Materials and Methods: It was a Quantitative, observational, analytical, prospective cross-sectional study. 100 Study populations were taken by randomization, after applying exclusion criteria. The study was carried out during the year from October 2019 – September 2021 At GGH, Kadapa.
Results: In the present study, 2% of total deliveries conducted in our institution are of teenagers. 74% of pregnant teenage women were 19 years and 18 years old, 4% were under 15 years, and 22% were in the 15-18 years age group. 85% belong to primigravida in our study, and the remaining were high order pregnancies. In our study, 1% is pregnant out of wedlock. The mean age of marriage is 17 years in our study. Only 7% had an occupation in our study. All pregnant teenage women in our study belong to low socioeconomic status. 95% of our study had poor knowledge regarding pregnancy and delivery. 31% of teenage pregnancies were booked. 2% came directly during labour, remaining 67% registered late in pregnancy. Only 4% are short-statured in our study. 4% are undernourished in our study, and 12% are overweight. 73% are anaemic in our study according WHO guidelines. 26% of our study has PIH disorders. 26% had oligohydramnios as a risk factor in our study population . There was a 1% antepartum haemorrhage. In addition, 1% had twins as a risk factor. Malpresentation was seen in 5% of cases. CPD was noted in 19% of the study population. 8% of our study group had premature rupture of membranes. 60% of our study population underwent LSCS,1% had instrumental deliveries. 39% had a vaginal delivery. Indications for c-section are CPD, which is 19%, followed by oligohydramnios, malpresentation and prior LSCS. 15% of babies in our study were below 2.5 kg. 1% had a congenital anomaly.7% of babies admitted in NICU.
Conclusion: Teenage pregnancy is a severe social problem prevalent in rural India. Educating on STDs and measures to prevent them together can reduce teenage pregnancies, by which complications of teenage pregnancy can be prevented.