Obstetric Outcomes of Teenage Primigravidae Women Versus Older-Age Ones
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- Category: Vol. 83, March 2015
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Obstetric Outcomes of Teenage Primigravidae Women Versus Older-Age Ones, HAZEM S. ELDENE, MAMDOUH M. SHAABAN, MAHMOUD ZAKHERAH and SAMERA EL-KHULAIDE
Abstract
Objectives: (1) To determine whether teenage pregnancy is associated with increased rates of adverse perinatal outcome. (2) To compare obstetric outcome of teenage with adult pregnancy. (3) To determine whether different pregnancy outcomes are the result of biologic immaturity or socio-demographic confounder.
Study Design: This study included prospective and retro-spective parts of two groups, one was teenage women (19 years and younger) and the other was the older women (more than 19 years). The study population consisted of 2060 and 1200 primigrairdae women studied during the year 2008 and 2009 respectively; all women were delivered at Women’s Health Center of the department of Obstetric and Gynecology Assiut University Hospital, Assiut, Egypt. Essentially there were no differences between the two parts of the study allowing compiling the data of the two years into 3260 subject study.
Results: (1) The incidence of teenage parturients that attended University Hospital for delivery was 26%. (2) Women who didn’t work outside their home and residing in rural areas were significantly higher in teenagers. (3) Teenage pregnancies had higher incidence of pre-eclampsia, preterm labour, vaginal delivery with and without episiotomy, lower Apgar scare and neonatal reference to the pediatric Intensive Care Unite (PICU). (4) Pregnancy in women under the age of 16 was associated with higher incidence of abortion, preterm labour, low birth weight and lower Apgar score at 5 minutes. (5) Older group pregnancies had higher incidence of gestational hypertension, mean gestational age, caesarean section, longer hospital stay (hours), maternal mortality, more neonatal birth weight and higher Apgar score.
Conclusions: The major consequences of teenage preg-nancy, however, may be related to the social and economic impact of teenage pregnancy and secondly upon the incidence of medical complications within the pregnancy itself.