COMPARE THE COMPLICATIONS OF PREGNANCY BETWEEN TEENAGE PREGNANCY AND ADULT AGE PREGNANCY
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Keywords
Teenage Pregnancy, Birth Asphyxia, Neonatal Death (ND), Intra-uterine Death (IUD), Intra-uterine growth retardation (IUGR).
Abstract
Teenage pregnancy is very common in lower socioeconomic population. The girls are not educated and due to poverty, they are usually malnourished and associated with different nutritional deficiency problem. Therefore, we addressed this group to see the complications and compare them with old age ladies.
Objective: To explore the complications of pregnancy between teenagers and adult age patients.
Study Design: Observational Comparative study
Place and Duration: This study was carried out in the Department of Obstetrics and Gynecology Sindh Employees Social Security Landhi Hospital, Karachi-Pakistan
Methodology: This study was carried out in the Department of Obstetrics and Gynecology Sindh Employees Social Security Landhi Hospital, Karachi and included 392 pregnant women. They were divided in two equal groups with 196 patients in each group i.e. T-group and A-Group. Teenage pregnancy age ranged from 15 to 19 years and adult age pregnancy from 20 to 35 years. Women who had co-morbid such as diabetes mellitus, hypertension, cardiac, renal and liver diseases were excluded from the study and those patients were also excluded who didn’t sign written consent. Convenient sampling technique was used and patients were enrolled for antenatal care from 28 weeks to 40 weeks of pregnancy.
Results: Mean age of teenagers was 16.25 ± 2.46 years and mean age of adult pregnant women was 27.55 ± 6.80 years. Mean gestational age was 30.05 ± 1.5 weeks in teenagers and 38.85 ± 0.68 weeks in adult age pregnancies. Mean BMI was 24.80 ± 4.75 kg/m2 in the pregnancy of teenagers and 25.05 ± 4.83 Kg/m2 in the adult age pregnancy. Mean concentration of hemoglobin was low in teenagers 9.67 ± 5.98 mg/dl. Preterm deliveries were 14.28% in teenagers and 8.16% in adult age and p < 0.049 (S). Number of normal deliveries were higher in both groups. Cesarean section deliveries were 8.67% in teenagers and 5.61% in adult age and p-value was < 0.238. Anemia, pre-eclampsia, pre term rupture of membrane, pre term labor, low lying placenta, IUGR, postpartum hemorrhage, abnormal presentation, birth asphyxia and neonatal deaths were more in the teenage pregnancy. Conclusion: In the Teenage group, pregnancy related complications in mother as well as in newborn were more as compared with adult age pregnancy.
References
2. Tahir H, Ashfaq S, Jabeen M, Samina M, Khan TH. Comparison of complications in teenage pregnancy and pregnancy in ideal age group. Rawal Medical Journal. 2022 Sep 3;47(3):594-.
3. Tahir H, Samina M, Azhar F, Bano Z, Ahmad S, Khan S. Frequency of Various Complications in Teenage Pregnancy and Adult-Age Pregnancies: A Cross-Sectional Study. Int J Cur Res Rev| Vol. 2022 May;14(10):94.
4. Rexhepi M, Besimi F, Rufati N, Alili A, Bajrami S, Ismaili H. Hospital-based study of maternal, perinatal and neonatal outcomes in adolescent pregnancy compared to adult women pregnancy. Open access Macedonian journal of medical sciences. 2019 Mar 14;7(5):760.
5. Chakole S, Akre S, Sharma K, Wasnik P, Wanjari MB, Wasnik Sr P, Wanjari M. Unwanted teenage pregnancy and its complications: a narrative review. Cureus. 2022 Dec 18;14(12).
6. Diabelková J, Rimárová K, Dorko E, Urdzík P, Houžvičková A, Argalášová Ľ. Adolescent pregnancy outcomes and risk factors. International journal of environmental research and public health. 2023 Feb 25;20(5):4113.
7. Ursache A, Lozneanu L, Bujor I, Cristofor A, Popescu I, Gireada R, Mandici CE, Găină MA, Grigore M, Matasariu DR. Epidemiology of adverse outcomes in teenage pregnancy—A northeastern Romanian tertiary referral center. International Journal of Environmental Research and Public Health. 2023 Jan 10;20(2):1226.
8. Saleh MA. Outcomes of teenage pregnancy at Benghazi Medical Center 2019-2020. International Journal of Science Academic Research. 2022;3(3):358-602.
9. Tetteh J, Nuertey BD, Dwomoh D, Udofia EA, Mohammed S, Adjei-Mensah E, Yawson AE. Teenage pregnancy and experience of physical violence among women aged 15-19 years in five African countries: Analysis of complex survey data. PloS one. 2020 Oct 27;15(10):e0241348.
10. Ara RF, Alam J. Comparison of Clinical Profiles in Teenage and Adult Pregnancy. Journal of National Institute of Neurosciences Bangladesh. 2018 Sep 17;4(1):8-11.
11. Sharoni SK, Konneh AS. Complications of pregnancy among adolescents and adult mothers treated in a public hospital, the republic of Liberia: a retrospective comparative study. Malaysian Journal of Public Health Medicine. 2020 Dec 31;20(3):140-6.
12. Naik RR, Cacodkar J, Pednekar GN. Effects of teenage pregnancy on obstetric and perinatal outcomes at a tertiary health institution in Goa. Journal of South Asian Federation of Obstetrics and Gynaecology. 2022 Mar 4;13(6):363-8.
13. Sattar T, Zakar R, Saleem U. Factors affecting utilization of antenatal health care services among pregnant women in public hospitals of Multan, Pakistan. Isra Med J. 2019; 11(5): 398-401.
14. Khaniya B. Maternal and perinatal outcome in adolescent pregnancies as compared to adult pregnancies. Nepal Journal of Health Sciences. 2021 Jul 30;1(1):43-7.
15. Ranjbar A, Jahromi MS, Boujarzadeh B, Roozbeh N, Mehrnoush V, Darsareh F. Pregnancy, childbirth and neonatal outcomes associated with adolescent pregnancy. Gynecology and Obstetrics Clinical Medicine. 2023 Jun 1;3(2):100-5.
16. Aslan Cetin B, Aydogan Mathyk B, Turan G, Güralp O, Gedİkbaşi A. A comparison of obstetric outcomes in adolescent pregnancies and adult pregnancies. The Journal of Maternal-Fetal & Neonatal Medicine. 2020 Dec 16;33(24):4037-42.
17. Zhang T, Wang H, Wang X, Yang Y, Zhang Y, Tang Z, Wang L. The adverse maternal and perinatal outcomes of adolescent pregnancy: a cross sectional study in Hebei, China. BMC pregnancy and childbirth. 2020 Jun 1;20(1):339.
18. Amoadu M, Hagan D, Ansah EW. Adverse obstetric and neonatal outcomes of adolescent pregnancies in Africa: a scoping review. BMC pregnancy and childbirth. 2022 Jul 27;22(1):598.
19. Ogunwale OI, Rangiah S. Profile and obstetric outcome of teenage pregnancies compared with pregnant adults at a district hospital in KwaZulu-Natal. South African Family Practice. 2021 Sep 7;63(3).
20. Pathak P, Shrestha S, Ghimire B, Ghimire P, Shrestha HK. Comparison of Obstetric Outcome among teenage and adult pregnancies in Tertiary Level Hospital. Journal of Karnali Academy of Health Sciences. 2021 Aug 31;4(2).
21. de la Calle M, Bartha JL, Lopez CM, Turiel M, Martinez N, Arribas SM, Ramiro-Cortijo D. Younger age in adolescent pregnancies is associated with higher risk of adverse outcomes. International Journal of Environmental Research and Public Health. 2021 Aug 12;18(16):8514.
22. Shehta D, Farg S, Hassan HE. Obstetric outcomes for teenage and adult pregnancy: a comparative study. Nurse Care Open. Acces J. 2020;7:3-7.
23. Diabelková J, Rimárová K, Dorko E, Urdzík P, Houžvičková A, Argalášová Ľ. Adolescent pregnancy outcomes and risk factors. International journal of environmental research and public health. 2023 Feb 25;20(5):4113.
24. Abebe AM, Fitie GW, Jember DA, Reda MM, Wake GE. Teenage pregnancy and its adverse obstetric and perinatal outcomes at Lemlem Karl Hospital, Tigray, Ethiopia, 2018. BioMed research international. 2020;2020(1):3124847.
25. Sharmin N, Begum J, Ali MR, Raihan AA. Comparative study on fetomaternal outcome of pregnancy between adolescent and adult women. International Journal of Obstetrics and Gynaecology Research. 2023;8(1):871-91.
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Humaira Tahir
Assistant Professor Gynecology, Liaquat College of Medicine and Dentistry & SESSI Landhi Hospital Karachi Pakistan. Email: [email protected]
Hafsa Rana
Resident Medical Officer Gynecology, SESSI Landhi Hospital Karachi-Pakistan
Email: [email protected]
Nighat Sultana
Senior Registrar Gynecology, SESSI Landhi Hospital/Liaquat College of Medicine and Dentistry, Karachi-Pakistan. Email: [email protected]
Zill e Huma
Resident Medical Officer Gynecology, SESSI Landhi Hospital, Karachi-Pakistan
Email: [email protected]
Natasha Imtiaz
Resident Medical Officer Gynecology, SESSI Landhi Hospital, Karachi-Pakistan
Email: [email protected]
Sidrah Khan
Medical Student, 4th year MBBSLiaquat College of Medicine and Dentistry, Karachi-Pakistan. Email: [email protected]
