Publication: Outcomes Of Adolescent Pregnancy at Kathmandu University Hospital, Dhulikhel, Kavre
Date
2011
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Adolescence Pregnancy is a social problem worldwide with serious implication
of maternal and child health. This study purposed to compare the maternal and
neonatal outcome of the teenage mothers (15- 19 years) with that of the young
mothers (20-24 years) to determine if adolescent pregnancies have increased risk of
adverse outcomes.
Objectives
This st udy aims to find out the outcomes of adolescent pregnancy at Kathmandu
Univeristy Hospital, Dhulikhel Hospital, KAvre.
Methods
Descriptive cross sectional study was done. The study included all primiparous
mothers of age 15-19 (n=168) and 20-24 (n=401) recorded in the delivery record
book of Dhulikhel Hospital from June 2007 to May 2008. Chi-square test and relative
risk (RR) for subgroups of study population was examined using the SPSS version
10.0.
Results
The low birth weight baby among teenage mothers and young mothers were 28%
and 26.7% respectively (p=0.572). The Relative risk of low birth weight among
adolescent is 1.1 (0.75-1.684) times to that of young mothers at 95% confidence
interval. Preterm birth was not associated with adolescence pregnancy (7% Vs. 11.5%,
p=0.141). Normal delivery was the common mode of delivery among both groups
(77.4% Vs. 74.6%). Among the neonatal complication, newborns of adolescents
had greater neonatal complications than newborns of the young mothers (17.2%
Vs 16.7%). Maternal complication like antepartum hemorrhage (2.4% Vs. 1.7%) and
postpartum hemorrhage (0.6% Vs. 0.2%) was higher among adolescents.
Conclusions
Low birth weight, common neonatal complication, antepartum hemorrhage and
postpartum hemorrhage are found more in adolescent group, however statistically
insignificant.
KEY WORDS
Adolescent, Outcome of pregnancy, primiparous, teenage mothers, Young mothers
Description
Pun KD,1 Chauhan M2
1 Nursing Program, 2 B Sc in Nursing Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kavrepalanchowk, Nepal.