ABSTRACT
Introduction: Pregnancy at very young age is a high risk pregnancy. It can lead to the vicious cycle of medical, physical and social problems from which a pregnant girl and her fetus can hardly escape. Approximately 90% of the teenage births occur in developing countries. In teenage pregnancy both mother and her child are at high risk of disease and death. Early pregnancy in teenage is considered as an independent risk factor for adverse pregnancy outcome
Objective: To determine the adverse fetomaternal outcome in teenage pregnancies
Methodology: This retrospective study was conducted in department of obstetrics and Gynecology unit-II , Liaquat University Hospital Hyderabad from 1[st] January 2015 to 31[st] December 2015. Data was collected from hospital records of all nulliparous women aged between13-19 years with a singleton birth of 28 weeks or above. Multigravida women, with multiple pregnancies, alcoholics, smokers, having any medical disorder and those with strong family history of hypertension were excluded from the study. Maternal and Perinatal outcome measures recorded were anemia, pregnancy induced hypertension, pre-eclampsia, preterm labour, operative delivery, stillbirth and low birth weight
Results: The mean age of subjects included in this study was 17.35 years +/- SD1.06 years. Average gestational age at delivery was 36.86 +/-SD 2.15 weeks. Common complications seen in adolescent mothers were Anemia [34.2%], Pregnancy induced hypertension [33.3%] and preterm delivery [23.9%]. Most of the deliveries carried out vaginally however caesarean section was done in 33.33% cases. Regarding fetal outcome, 12.82% deliveries ended in stillbirth and out of live newborns, 21.57% were low birth weight
Conclusion: Teenage Pregnancy are associated with increased risk of unfavorable obstetric outcome, so every effort should be taken to provide optimal care and support to these young mothers