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TITLE:

THE IMPACT OF TEENAGE PREGNANCY ON MATERNAL AND PERINATAL OUTCOME

AUTHORS:

Dr Syed Taimoor Hashmi , Dr Sanam Mahmood, Dr Zaibunnissa Memon

ABSTRACT:

Aim: This study aimed to discover fetal results (miscarriage, birth weight, prematurity and childbirth) and pregnancy complications (hypertension, preterm labor, diabetes and anemia) in teenage mothers compared to adult women. Place and Duration: In the Obstetrics and Gynecology Unit II of Services Hospital Lahore for one year duration from March 2019 to March 2020 Methods: This study is a retrospective comparative study that involved 129 teenage mothers aged 19 and younger, and 740 primitive adult mothers aged 20-29 with fetal and maternal complications. Results: The frequency of miscarriages was higher in mothers in teenage p = 0.0016, OR = 5.25, 95% CI = 1.87-14.74. The lowest birth weight index was recorded among mothers in adolescence p = 0.0033, OR = 2.1219, 95% CI = 1.28-3.48. A larger percentage of premature babies was recorded among mothers in adolescence p = 0.0001, OR = 3.95, 95% CI = 2.16-7.24. The adolescent group showed a higher incidence of fetal death compared to the adult group with statistically insignificant p = 0.9, OR = 1.15, 95% CI = 0.133-9.91. A higher incidence of hypertensive disorders was found in adult primary mothers p = 0.45, OR = 0.63, 95% CI = 1.88-2.1. The highest percentage of premature deliveries was recorded among mothers in adolescence p = 0.0001, OR = 3.95, 95% CI = 2.16-7.24. DM cases were reported in adult mothers and no similar cases were found in the study group, p = 0.6939, OR = 1.29, 95% CI = 0.86-1.94. A higher incidence of anemia was found in teenage groups p = 0.2135, OR = 1.29, 95% CI = 0.86-1.94. Conclusion: Our study concluded that teenage pregnancy was associated with a high risk of miscarriage, low birth weight, premature babies and preterm birth. Proper antenatal care, health education and elevation of community awareness might reduce the number of teenage pregnancies and their complications. Key words: Primigravid mothers, teenage, adults.

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