ADOLESCENT PREGNANCY;

摘要

Objectives: To compare the obstetric outcomes in adolescent and adult primigravida. Study Design: A comparative, cross sectional study. Setting: Gynae unit 3, Jinnah hospital, Lahore. Period: One year from Jan-Dec 2014. Methodology: Study population was adolescent primigravida ( 24 weeks of gestation. Obstetric complications were recorded as percentages of anaemia, pre-eclampsia, antepartum hemorrhage, postpartum hemorrhage, gestational diabetes mellitus, preterm delivery, instrumental delivery, cesarean section rate, low birth weight, Apgar score <7 at 5 minutes and NNU admission. Data was entered into SPSS 16. Chi square test applied and a p-value of<0.05 was considered significant. Results: The mean age of adolescent group was 18.4+ 0.56 years while it was 24+2.47 years in adult primigravida. The data revealed that the adolescent mothers are at higher risk of certain obstetric risks when compared to adult primigravida .These include anaemia ( 41.2% VS 17.6%), pregnancy induced hypertension (14.4% VS 1.6%), preterm delivery (21.6% VS 13.6% ), instrumental delivery (6.4% VS 1.6%), cesarean section rate (24% VS 12%), low birth weight (20.4% VS 8%), Apgar score <7 at 5 minutes (4% VS 2%) and NNU admission (19.2% VS 8%). The risk of antepartum hemorrhage (1.6% VS 1.2%), postpartum hemorrhage (0.8% VS 1.6%), gestational diabetes mellitus (1.2% VS 2%) and malpresentation (1.6% VS 2%) were not different in two groups. Conclusion: Adolescent pregnancy is associated with a higher rates of certain obstetric risks like anemia, preterm delivery, pregnancy induced hypertension, instrumental delivery, cesarean section and poor neonatal outcome However the risk of antepartum hemorrhage, postpartum hemorrhage and malpresentation is no greater than adult pregnant mothers.