Title: Teenage Pregnancy – An Unsafe Journey towards the Risky Destiny
Authors: N.Spandana, K.Mounika Reddy, Aradhana Giri
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.58
Adolescence is defined as the period between 10 & 19 years by world health organisation. Adolescence is a critical period of biological & physiological changes. In India 4.3% of female deaths in this age group are related to pregnancy & child birth. Adolescent pregnancy is associated with its increased risk of obstetric & medical complications. Due to biological immaturity of adolescent, the body is ill prepared to sustain pregnancy &to provide safe delivery of the infant. MATERIAL & METHODS: All pregnant girls between the age group 13-19 years are includes .Pregnant teenage girls with any systemic disease and who do not want to continue the pregnancy are excluded. RESULTS: Anaemia was the most common complication(64%) followed by preeclampsia (10%) & intra uterine growth retardation (8%).Preterm labour was the most common complication seen in 32% followed by premature rupture of membranes (8%). Placenta previa was the least common complication (1%). Neonatal morbidity was observed in 29% of babies born to adolescent mothers. Infected Episiotomy was the most common complication(5%) followed by infected abdominal wound(3%),urinary tract infection(2%) & post partum Pyrexia(2%). CONCLUSION: Adolescent pregnant women are more prone to complication during pregnancy and delivery, despite of good antenatal, intra partum and perinatal care. The incidence of meternal and neonatal morbidity and motality remains higher among the adolescent pregnant mothers. KEYWORDS: Adolescence, anaemia, preeclampsia, preterm labour, placenta previa. 1. LernerRM , SteinbergL , editors. Handbook of Adolescencent psychology. 2nded , R.M. Hoboken , NJ : Wiley ; 2004. 2. SiskCL , Foster DL .The neural basis of puberty and adolescence. NatNeurosci.2004 ; 7 : 1040-1047. 3. DornLD. Measuring puberty. J.Adolesc Health. 2006;39:625-626. 4. SpearLP.The adolescent brain and age – related behavioural manifestations. Neurosci Biobehav Rev. 2000 ; 24:417-463. 5. Ventura, S.J.,Mathews , T.J. , and Curtin , S.C.(1999). Declines in teenage birth rates , 1991-1998 : Update of national and state trends. National Vital Statistics Report , 47 (26) , 5-10. 6. Lenders C.M , Mc Elrath T.F , Scholl T.O. Nutrition in adolescent pregnancy. Current opinion in paediatrics. 2000;12:291-296. 7. Malamitisi – PunchnerA, BoutsikouT 2nd Department Obstetrics and Gynaecology , University of Athens , Athens , Greece. Malamitisi @ aias.gr 8. Rah JE , Christian P , Shamin AA , Arjun UT, Labrique AB, Rashid M. Pregnancy and lactation, hinder growth and nutritional status of adolescent girls in rural Bangladesh. J Nut 2008 ; 138 : 1505 -1511. 9. Agustin Condi – AgudeloMD , MPH , José M. Belizan MD , PhD , Cristina Lammers MD , MPH : American Journal of Obstetrics and Gynaecology. February 2005 , vol. 192 (2) : 342-349 , dpi : 10.1016/j.ajog.2. 10. Condi – AgudeloA ,Belizan JM , Lambert C. Maternal – Perinatal morbidity and mortality associated with adolescent pregnancy in Latin America : Cross – sectional study . AmJobstatGynecol .2005 ; 192 : 342-349. 11. Jolly MC ,Sebire N , Harris J , Robinson S , Regan L. Obstetric risks of pregnancy in women less than 18 years old . ObstetGynecol . 2000 ; 96 : 962-9 12. M.D., M.P.H. Helen M. DuPlessis , Ph.D.RobertBell,Ph.D. Toni Richards. Journal of Adolescent Health ;March 1997 , volt. 20(3): 187-197 , dpi:10.1016/31054-139x. 13. AgarwalN , Reddaiah VP. Factors affecting birth weight in a suburban community . Health PopulPerspect Issue 2005;28:189-96. 14. World Health Organisation. Towards adulthood: exploring the sexual and reproductive health of adolescents in South Asia . Geneva: World Health Organisation; 2003. Abstract
References