A Comparative Study on Fetomaternal Outcome of Pregnancy Between Adolescent and Adult Women

Nusrat Sharmin, Jahanara Begum, Md Raihan Ali, Asif Raihan
Introduction: Over 13 million adolescent girls (10-19 years old) give birth yearly, with 9 out of 10 births in underdeveloped countries. Pregnancy and delivery complications kill most young women in developing countries. This study aims to investigate adverse obstetric outcomes in adolescents compared with adult pregnancy in a tertiary-level hospital located in Dinajpur, Bangladesh.
Methods: The investigation included all pregnant patients delivered at M. Abdur Rahim Medical College Hospital, Dinajpur, from June 2018 to November 2018. The study group was divided into adolescent and adult women. The data were collected through a primary survey using a semi-structured questionnaire.
Results: The results indicated that pregnant teenage women have a lower literacy rate than adults, which was statistically significant. It was statistically significant that more adolescent mothers (87.2%) come from rural regions than adults (77%). This study shows that lower socioeconomic groups have higher teenage pregnancies, although the result was insignificant. In adolescents and adults, the incidence of convulsion was 33.3% and 31.1%, respectively though the result was not significant. The occurrence of infants with low birth weight was higher among teenagers (74.4%) than among adults (67.2%), although the result was insignificant. In addition, the findings demonstrate that pregnant adolescents are at a greater risk for anemia, convulsion, and low birth weight. In addition, they are more likely to give birth vaginally than older primigravida, although the result was insignificant.
Conclusion: This study suggests that raising the age of matrimony and motherhood and providing appropriate antenatal care for girls may improve their health and nutrition and reduce their newborns’ health risks.  
Adolescent, Obstetrical Outcome, Pregnancy, Primigravida, Health

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A Comparative Study on Fetomaternal Outcome of Pregnancy Between Adolescent and Adult Women