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SHABNAM NAZ, REHANA PARVEEN, AFSHAN BHATTI. RAFIA BALOCH, MOHAMMAD HANIF

ABSTRACT | Full Text PDF

OBJECTIVE : To determine the effects of teenage pregnancy on obstetrical outcome.

STUDY DESIGN : This was an prospective cross sectional study. .

PLACE AND DURATION OF STUDY : Department of Gynaecology and Obstetrics Unit-I CMC Larkana & Unit-II DUHS Karachi, from 1st  January 2009 to 30th  June 2009.

PATIENTS AND METHODS : Total 300 pregnant women were taken for study, they were divided into two groups. Group A comprised of 150 women aged less than 20 years, while group-B comprised of 150 women aged 20 to < 35 years, which was used as control. A comparison was done between the two groups regarding maternal and perinatal outcome. Statistical analysis was performed using SPSS version 12. Results were compared using chi-square test by keeping P-valve < 0.05 as a significant.

RESULTS : The total number of deliveries during the study period were 2325. The teenage pregnancy were accounted for 6.45% . The mean age in the teenage (group A) was 18.2 years (ranges 13.8-19.99).77.7 years  were primiparous in Group A while 38.6% in Group B. 68% of teenage mothers were booked after 20 weeks. There was lower incidence of multiple pregnancy 4% VS 13.33%, high incidence of anemia 40% VS 18.66%, UTI 6.66% VS 2.6%,  preterm labour 40% VS 12%,  LBW 44% VS 15% respectively. 86% of the patients delivered vaginally & 24% were delivered by caesserean  section.

CONCLUSION : Frequency of teenage pregnancy was low in our study. Teenage pregnant mothers had high rate of inadequate prenatal care, they sufferd more from anemia, UTI, & were more likely to deliver preterm and had low birth weight babies. They had lower rates of obstetric intervention and were likely to have spontaneous vaginal delivery.

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