The Indian Journal of Pediatrics

, Volume 74, Issue 10, pp 927–931 | Cite as

Outcome of teenage pregnancy

  • Ashok Kumar
  • Tej Singh
  • Sriparna Basu
  • Sulekha Pandey
  • V. Bhargava
Original Article

Abstract

Objective

The objective of the study was to evaluate the obstetric, fetal and neonatal outcomes of teenage pregnancy in a tertiary care teaching hospital.

Methods

A retrospective case control study was performed over a period of 5 years. Data were retrieved from hospital records. All teenage mothers (aged 13–19 completed years at delivery) delivering in the University Hospital were taken as cases. Next 3 consecutive deliveries in the age group of 20–30 year were selected as controls for each case. For statistical analysis the cases were further subdivided into 2 groups, ≤17 years (Group A) and 18–19 years (Group B). Groups were compared for obstetric complications and neonatal outcome. Statistical analysis was done by software package SPSS 10.

Results

The incidence of teenage deliveries in hospital over last 5 years was 4.1%. Majority of the teenagers were primigravida (83.2% vs. 41.4%, p<0.01). Complications like pregnancy induced hypertension (PIH) (11.4% vs 2.2%, p<0.01), pre-eclamptic toxemia (PET) (4.3% vs 0.6%, p<0.01) eclampsia (4.9% vs 0.6%, p<0.01) and premature onset of labor (26.1% vs 14.6%, p<0.01) occurred more commonly in teenagers compared to controls. Teenage mothers also had increased incidence of low birth weight (LBW) (50.4% vs 32.3%, p<0.01), premature delivery (51.8% vs 17.5%, p<0.01) and neonatal morbidities like perinatal asphyxia (11.7% vs 1.9%, p<0.01), jaundice (5.7% vs 1.2%, p<0.01) and respiratory distress syndrome (1.9% vs 0.3%, p<0.05). Teenage pregnancy was also associated with higher fetal (1.9% vs 0.3%, p<0.05) and neonatal mortality (3.8% vs 0.5%, p<0.05).

Conclusion

Teenage pregnancy was associated with a significantly higher risk of PIH, PET, eclampsia, premature onset of labor, fetal deaths and premature delivery. Increased neonatal morbidity and mortality were also seen in babies delivered to teenage mothers. Younger teenager group (≤17 years) was most vulnerable to adverse obstetric and neonatal outcomes.

Key words

Neonatal outcome Obstetric outcome Teenage pregnancy 

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References

  1. 1.
    Lee MC, Suhng LA, Lu TH, Chou MC. Association of parental characteristics with adverse outcomes of adolescent pregnancy. Fam Pract 1998; 15: 336–342.PubMedCrossRefGoogle Scholar
  2. 2.
    Fraser AM, Fraser JE, Ward RH. Association of Young Maternal Age with Adverse Reproductive Outcomes. NEJM 1995; 332: 1113–1118.PubMedCrossRefGoogle Scholar
  3. 3.
    Ballard JL, Khoury JC, Wedling K, Wang L, Eilers-Walsman BL, Lipp R. New Ballard score expanded to include premature infants. J Pediatr 1991; 119: 417–423.PubMedCrossRefGoogle Scholar
  4. 4.
    Gortzak-Uzan L, Hallak M, Press F, Katz M, Shoham-Vardi I. Teenage pregnancy: risk factors for adverse perinatal outcome. J Matern Fetal Med 2001; 10: 393–397.PubMedCrossRefGoogle Scholar
  5. 5.
    Yoder BA, Young MK. Neonatal outcomes of teenage pregnancy in a military population. Obstet Gynecol 1997; 90(4 Pt 1): 500–506.PubMedCrossRefGoogle Scholar
  6. 6.
    Kumbi S, Isehak A. Obstetric outcome of teenage pregnancy in northwestern Ethiopia. East Afr Med J 1999; 76: 138–140.PubMedGoogle Scholar
  7. 7.
    Brabin L, Verhoeff FH, Kazembe P, Brabin BJ, Chimsuku L, Broadhead R. Improving antenatal care for pregnant adolescents in southern Malawi. Acta Obstet Gynecol Scand 1998; 77: 402–409.PubMedCrossRefGoogle Scholar
  8. 8.
    Watcharaseranee N, Pinchantra P, Piyaman S. The incidence and complications of teenage pregnancy at Chonburi Hospital. J Med Assoc Thai 2006; 89: S118–S123.PubMedGoogle Scholar
  9. 9.
    Ziadeh S. Obstetric outcome of teenage pregnancies in North Jordan. Arch Gynecol Obstet 2001; 265: 26–29.PubMedCrossRefGoogle Scholar
  10. 10.
    Leppert PC, Namerow PB, Barker D. Pregnancy outcomes among adolescent and older women receiving comprehensive prenatal care. J Adolesc Health Care 1986; 7: 112–117.PubMedCrossRefGoogle Scholar
  11. 11.
    Berenson AB, Wiemann CM, McCombs SL. Adverse perinatal outcomes in young adolescents. J Reprod Med 1997; 42: 559–564.PubMedGoogle Scholar
  12. 12.
    Scholl TO, Hediger ML, Belsky DH. Prenatal care and maternal health during adolescent pregnancy: a review and meta-analysis. J Adolesc Health 1994; 15: 444–456.PubMedCrossRefGoogle Scholar
  13. 13.
    Konje JC, Palmer A, Watson A, Hay DM, Imrie A, Ewings P. Early teenage pregnancies in Hull. Br J Obstet Gynaecol 1992; 99: 969–973.PubMedGoogle Scholar
  14. 14.
    Lao TT, Ho LF. The obstetric implications of teenage pregnancy. Hum Reprod 1997; 12: 2303–2305.PubMedCrossRefGoogle Scholar
  15. 15.
    Buitendijk SE, van Enk A, Oosterhout R, Ris M. Obstetrical outcome in teenage pregnancies in The Netherlands. Ned Tijdschr Geneeskd 1993; 137: 2536–2540.PubMedGoogle Scholar
  16. 16.
    Donoso Sina E, Becker Valdivieso J, Villarroel del Pino L. Birth rates and reproductive risk in adolescents in Chile, 1990–1999. Rev Panam Salud Publica 2003; 14: 3–8.CrossRefGoogle Scholar
  17. 17.
    Gale R, Seidman DS, Dollberg S, Armon Y, Stevenson DK. Is teenage pregnancy a neonatal risk factor? J Adolesc Health Care 1989; 10: 404–408.PubMedCrossRefGoogle Scholar
  18. 18.
    Scholl TO, Hediger ML, Salmon RN, Belsky DH, Ances IG. Association between low gynaecological age and preterm birth. Paediatr Perinat Epidemiol 1989; 3: 357–366.PubMedCrossRefGoogle Scholar
  19. 19.
    Scholl TO, Hediger ML, Ances IG, Cronk CE. Growth during early teenage pregnancies. Lancet 1988; 1: 701–702.PubMedCrossRefGoogle Scholar
  20. 20.
    Haiek L, Lederman SA. The relationship between maternal weight for height and term birth weight in teens and adult women. J Adolesc Health Care 1989; 10: 16–22.PubMedCrossRefGoogle Scholar
  21. 21.
    Hediger ML, Scholl TO, Belsky DH, Ances IG, Salmon RW. Patterns of weight gain in adolescent pregnancy: effects on birth weight and preterm delivery. Obstet Gynecol 1989; 74: 6–12.PubMedGoogle Scholar
  22. 22.
    Chang SC, O’Brien KO, Nathanson MS, Mancini J, Witter FR. Characteristics and risk factors for adverse birth outcomes in pregnant black adolescents. J Pediatr 2003; 143: 250–257.PubMedCrossRefGoogle Scholar
  23. 23.
    Cooper LG, Leland NL, Alexander G. Effect of maternal age on birth outcomes among young adolescents. Soc Biol 1995 Spring-Summer; 42: 22–35.PubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2007

Authors and Affiliations

  • Ashok Kumar
    • 2
  • Tej Singh
    • 2
  • Sriparna Basu
    • 2
  • Sulekha Pandey
    • 2
    • 1
  • V. Bhargava
    • 2
  1. 1.Department of Obstetrics, Institute of Medical SciencesBanaras Hindu UniversityVaranasiIndia
  2. 2.Department of Pediatrics, Institute of Medical SciencesBanaras Hindu UniversityVaranasiIndia

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