MATERNAL ADVERSE OUTCOMES OF TEENAGE PREGNANCY: A CROSS-SECTIONAL STUDY FROM PESHAWAR
Main Article Content
Objective: To determine the adverse maternal outcome in teenage pregnancies reported to a tertiary care hospital in Peshawar.
Methodology: A descriptive cross-sectional study was conducted among 177 females (15-19 years of age) and gestational age of more than 28 weeks was confirmed through ultrasonography. Adverse maternal outcomes such as anemia, eclampsia, pre-eclampsia, preterm deliveries, and lower segment cesarean section (LSCS) were measured as per defined in the operational definition. Maternal outcomes were stratified among residence and educational level to see effect modifiers.
Results: In this study, anemia was detected in 45 (25.4%) patients while eclampsia and pre-eclampsia were noted in 44 (24.9%) and 45 (25.4%) patients respectively. Pre-term delivery and LSCS were observed in 79 (44.6%) and 53 (29.9%) patients respectively. Lower educational level was associated with eclampsia, preterm delivery, and lower segment cesarean section.
Conclusion: Teenage pregnancy was reported to be related to a high rate of adverse maternal outcomes like anemia, eclampsia, pre-eclampsia, premature birth, and LSCS.
Work published in JPMI is licensed under a
Creative Commons Attribution-NonCommercial 2.0 Generic License.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
World Health Organization (WHO). Ado¬lescent pregnancy. 2020. [cited on: 14 July 2021]. Available from URL: https:// www.who.int/news-room/fact-sheets/ detail/adolescent-pregnancy
Abebe AM, Fitie GW, Jember DA, Reda MM, Wake GE. Teenage preg¬nancy and its adverse obstetric and perinatal outcomes at Lemlem Karl Hospital, Tigray, Ethiopia, 2018. Biomed Res Int. 2020:3124847. DOI: 10.1155/2020/3124847.
National Institute of Population Studies [Pakistan] and ICF International. 2013. Pakistan Demographic and Health Survey 2012-13. Calverton, Maryland, USA: National Institute of Statistics and ICF International.
Pergialiotis V, Vlachos DE, Gkioka E, Tsotra K, Papantoniou N, Vlachos GD. Teenage pregnancy antenatal and perinatal morbidity: results from a tertiary centre in Greece. J Obstet Gynaecol. 2015;35(6):595-9. DOI: 10.3109/01443615.2014.991285.
Leppert PC. The effect of pregnancy on adolescent growth and development. Women Health. 1984;9(2-3):65-79. DOI: 10.1300/j013v09n02_05.
Mubeen K, Baig M.Adoloscent preg¬nancies: The case of Pakistan. J Asian Midwives. 2016;3(2):69-78.
Rita D, Kiran Naik, R.M .Desai, Spurthi Tungal. Study of fetomaternal outcome of teenage pregnancy in tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2017;6(7):2841-45.
Shah FJ, Ismat S, Shah SA, Sher R, Ma¬saud M, Khan MA. Factors and conse¬quences leading to teenage pregnancy in women visiting tertiary care hospital of Peshawar. Pak J Med Health Sci. 2020;14(1):331-34.
Shah N, Rohra DK, Shuja S, Liaqat NF, Solangi NA, Kumar K, et al. Comparision of obstetric outcome among teenage and non-teenage mothers from three tertiary care hospitals of Sindh, Pakistan. J Pak Med Assoc. 2011;61(10):963-7.
Acharya DR, Bhattarai R, Poobalan A, Teijlingen VE, Chapman G. Factors associated with teenage pregnancy in South Asia.A systematic review. J Health Sci. 2010;1(4):3-14
Indarti J, Al Fattah AN, Dewi Z, Hasani RDK, Mahdi FAN, Surya R. Teenage Pregnancy: Obstetric and perinatal outcome in a tertiary cen¬tre in Indonesia. Obstet Gynecol Int. 2020 Mar 26;2020:2787602. DOI: 10.1155/2020/2787602.
Kumar A, Singh T, Basu S, Pand¬ey S, Bhargava V. Outcome of teen¬age pregnancy. Indian J Pediatr. 2007;74(10):927-31. DOI: 10.1007/ s12098-007-0171-2.
Devi OS, Reddy KM, Samyukta BS, Sad¬vika P, Betha K. Prevalence of teenage pregnancy and pregnancy outcome at a rural teaching hospital in India. Int J Reprod Contracept Obstet Gynecol. 2019;8(2):614. DOI: 10.18203/2320- 1770.ijrcog20190293.
Shaikh F, Abbas S, Sultana F, Yousfani S, Hasan T. Adverse Outcome of a Teenage Pregnancy. J Liaquat Uni Med Health. 2016;15(04):179-82. DOI:10.22442/ jlumhs.161540489.
Kongnyuy EJ, Nana PN, Fomulu N, Wi¬ysonge SC, Kouam L, Doh AS. Adverse perinatal outcomes of adolescent preg¬nancies in Cameroon. Matern Child Health J. 2008;12(2):149-54. DOI: 10.1007/s10995-007-0235-y.
16. Ayanaw Habitu Y, Yalew A, Azale Bisetegn T. Prevalence and Factors Associated with Teenage Pregnancy, Northeast Ethiopia, 2017: A Cross-Sectional Study. J Pregnancy. 2018:1714527. DOI: 10.1155/2018/1714527.