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Research Article

Current status and management of teenage pregnancy in a south indian teaching hospital

Soumini G1*, Padmanalini P2, Swarnalatha Gudivada3

1-3 Rangaraya Medical College, Kakinada, Andhra Pradesh, India

E-mail:
*doctorsoumini@yahoo.co.in

Abstract
Background: Pregnancy in teenagers is a risk factor as they are still incomplete in their growth, development and mental maturity, with complications and additional family responsibilties..
Objectives: To determine the factors that are significant in the clinical outcome of teenage pregnancy and to know the incidence of maternal medical and obstetric complications an fetal outcome.
Methods: 100 teenage pregnant women attending government General Hospital (GGH) attached to RMC, Kakinada were studies from May 2014-April 2015 in a prospective case control study.
Results: About 72% of teenage pregnancies do not have proper antenatal care because of illiteracy, ignorance, poverty, lack of transport facilities. Majority (62%) belonged to low socio-economic status and education. 42% of teen age pregnancies are in group of 18 years. 43% of teen age pregnancies are anemic. Incidence of preeclampsia is 21%. The incidence of caesarean section is 35%. Complications occurred in 48%. 38% of neonates are low birth weight (<2.5kgs). Perinatal mortality was 7.6% due to low birth weight babies resulting from prematurity or IUGR.
Conclusions: Teenage pregnancy is associated with increased antenatal complications like anemia, preeclampsia, eclampsia, intrauterine growth restriction. Operative interventions like caesarean section  and forceps are high. Perinatal mortality was high due to low birth weight babies resulting from prematurity or IUGR .In conclusion, teenage pregnancy poses a problem to both the mother and fetus. It concerns not only the obstetrician but also the pediatrician and psychiatrist and in fact the whole family and the society.
Keywords: Teenage pregnancy, antenatal care, fetomaternal complications.

Published online August, 2015
2015 Published by
Global Science Publishing Group, USA

Cite this Article as

Soumini G, Padmanalini P, Swarnalatha Gudivada (2015). Current status and management of teenage pregnancy in a south indian teaching hospital. The Ame J Sci & Med Res, 1(1):148-153. doi:10.17812/ajsmr20151124.
The Ame J Scie & Med Res, Volume 1, Issue 1
DOI: http://dx.doi.org/10.17812/ajsmr20151124
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