Back to Journals » Adolescent Health, Medicine and Therapeutics » Volume 7

Adverse obstetrical and perinatal outcome in adolescent mothers associated with first birth: a hospital-based case-control study in a tertiary care hospital in North-East India

Authors Medhi R, Das B, Das A, Ahmed M, Bawri S, Rai S

Received 6 July 2015

Accepted for publication 8 September 2015

Published 1 April 2016 Volume 2016:7 Pages 37—42

DOI https://doi.org/10.2147/AHMT.S91853

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Prof. Dr. Gianluca Serafini

Peer reviewer comments 2

Editor who approved publication: Professor Steven Youngentob

Robin Medhi, Banani Das, Arpana Das, Mansur Ahmed, Sonika Bawri, Suditi Rai

Department of Obstetrics and Gynaecology, Silchar Medical College and Hospital, Silchar, Assam, India

Purpose: To analyze the adverse obstetrical and perinatal outcome of adolescent mothers associated with first birth.
Patients and methods: This prospective case-control study was conducted in a tertiary care teaching hospital of North-East India between January 2014 and December 2014. All adolescent primigravidae completing 28 weeks of gestation with singleton pregnancy and delivered at our institution were included in the study group. Primigravidae aged between 20 and 25 years were taken as a control group. Mothers having pregnancy complicated with diabetes mellitus, renal disorder, thyroid disorders, and cardiac diseases were excluded from the study. Demographic data, maternal complications like severe anemia, pre-eclampsia, eclampsia, gestational age at delivery, mode of delivery, and postpartum complications were compared. Among fetal complications, low-birth weight, preterm birth, neonatal intensive care unit admission, still birth, and early neonatal death were compared. All the patients were interviewed regarding contraceptive knowledge and its use preceding the pregnancy.
Results: Quality antenatal care was received by 80.6% of adolescent mothers. The adolescent mothers had a higher incidence of pre-eclampsia (odds ratio [OR] 2.017 95% confidence interval [CI]: 1.045–3.894, P=0.03), preterm deliveries (OR: 1.655, 95% CI: 1.039–2.636, P=0.03). Among fetal outcomes, the low- birth weight babies (OR: 1.59, 95% CI: 1.016–2.478), low mean birth weight (2,544.4±622.09 g versus 2,701.6±582.51 g), and higher admission to neonatal intensive care unit (OR: 1.957, 95% CI: 1.120–3.417) were significantly associated with adolescent mothers. There was no significant difference found regarding the mode of delivery, still birth, and early neonatal death. Moreover, contraceptive knowledge and its use were found to be poor among adolescent mothers.
Conclusion: With quality antenatal, intranatal, and postnatal care, the obstetric risk of childbirth in adolescent mothers may not be as serious as perceived to be.

Keywords: teenage, primigravidae, childbirth outcome, contraceptive

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Readers of this article also read:

Management of chronic pain in osteoporosis: challenges and solutions

Paolucci T, Saraceni VM, Piccinini G

Journal of Pain Research 2016, 9:177-186

Published Date: 1 April 2016

Gelatin-methacrylamide gel loaded with microspheres to deliver GDNF in bilayer collagen conduit promoting sciatic nerve growth

Zhuang H, Bu SS, Hua L, Darabi MA, Cao XJ, Xing M

International Journal of Nanomedicine 2016, 11:1383-1394

Published Date: 1 April 2016

Demographic variables, clinical aspects, and medicolegal implications in a population of patients with adjustment disorder

Anastasia A, Colletti C, Cuoco V, Quartini A, Urso S, Rinaldi R, Bersani G

Neuropsychiatric Disease and Treatment 2016, 12:737-743

Published Date: 1 April 2016

Comparison of Scheimpflug imaging parameters between steep and keratoconic corneas of Caucasian eyes

Huseynova T, Abdulaliyeva F, Lanza M

Clinical Ophthalmology 2016, 10:603-608

Published Date: 1 April 2016

Impact of corneal cross-linking combined with photorefractive keratectomy on blurring strength

Labiris G, Sideroudi H, Angelonias D, Georgantzoglou K, Kozobolis VP

Clinical Ophthalmology 2016, 10:571-576

Published Date: 1 April 2016

Theranostic multimodular potential of zinc-doped ferrite-saturated metal-binding protein-loaded novel nanocapsules in cancers

Kamalapuram SK, Kanwar RK, Roy K, Chaudhary R, Sehgal R, Kanwar JR

International Journal of Nanomedicine 2016, 11:1349-1366

Published Date: 1 April 2016

Assessment and monitoring of biologic drug adverse events in patients with psoriasis

Hanley T, Handford M, Lavery D, Yiu ZZN

Psoriasis: Targets and Therapy 2016, 6:41-54

Published Date: 1 April 2016