“TEENAGE PREGNANCY AND ITS FETO MATERNAL OUTCOME IN A PERIPHERAL TERTIARY CARE HOSPITAL: A PROSPECTIVE STUDY”

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Dr. Dipak Mandi, Dr. Hari Charan Ray, Dr. Soumik Mandal, Dr Himadri Nayek

Keywords

Teenage pregnancy, maternal morbidity, fetal morbidity and mortality

Abstract

Introduction: Teenage pregnancy is defined as “pregnancy occurring between 10-19 completed years at the time of delivery”1. Early marriages are still a social problem in our society specially in developing countries like India where the adolescent individuals face a lot of issues involving changes in hormonal, emotional and psychological level. Teenage pregnancy implicates so many adverse outcomes both in maternal and fetal health. Objectives: To study the incidence of pregnancy in teenage group and to evaluate the maternal and fetal adverse outcome of teenage pregnancies for the sake of prevention. Materials and Methods: This observational prospective study was undertaken with 115 teenage pregnant mothers over a period of 12 months from 1st April 2021 to 31st March 2022 at Department of Obstetrics and Gynaecology, Midnapore Medical College and Hospital. Required details were collected on a pre designed proforma from admission to delivery and were analysed. Results: Incidence of teenage pregnancy in present study was 8.4%. Maternal complications like anaemia (72%), HDP (28%), preterm labour (30%), PROM (20%), post-dated pregnancy (23%), obstructed labour (16%), PPH (10%) and complications like IUGR (15.6%), LBW (58%), respiratory distress (14%), hyperbilirubinemia (14%), congenital anomalies (1.7%) among fetal complications were seen in teenage pregnancies. Conclusion: Maternal and fetal morbidity and mortality due to teenage pregnancy is still a common problem in our society.

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