Pregnancy Outcomes among Adolescents in Upper Egypt

Document Type : Original research articles

Authors

Obstetrics &Gynecology Department, Faculty of Medicine, South Valley University, Qena, Egypt

Abstract

Background: Teenage pregnancy is a social problem distributed worldwide, has many significant
implications on mother and her baby, specifically, in developing countries. The risk of adolescent
pregnancy and outcome remains a public health problem in both developed and undeveloped
countries, which leads to maternal and neonatal morbidity and mortality.
Patients and methods:
This is a prospective study that included 200 teenage pregnant mothers who admitted to normal
labor room for delivery or those who attended to outpatient obstetric clinic at Qena University
Hospital "between April 2019 to April 2020". Information about socio- demographic data, medical
history, reproductive history, current pregnancy and its complications and delivery and its outcomes
are btained. Clinical examinations, Laboratory and postoperative assessment of the mother for pospartum
hemorrhage was done, also assessment of newborns for Apgar score after 1 and 5 minutes
was done. Then follow up of mothers till the end of perperium and assess breast feeding.
Results: The results were analyzed using Chi-square(x2) test. P (predictive) value of <0.05 were
considered as a significant association between sociodemographic characteristics. Also there is
significant relationship between extended family and complications of pregnancy.
Conclusion: The study determined that the majority of the teenage pregnant mothers were illiterate,
housewives, moderate economic status, passive smokers, and without past medical diseases,
neglected the antenatal care. Risk of preeclampsia and low Apgar score were higher among teenage
pregnant mothers.
Recommendations: The study recommends that on pregnant teenager to have appropriate antenatal
care as well as social support to avoid medical problems during pregnancy.

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