Obstetric outcome of teenage pregnancies at a tertiary care hospital in Sokoto, Nigeria
AbstractContext: Maternal age is an important factor in determinant of obstetric outcome. Teenage pregnancy constitutes ahigh risk pregnancy associated with complications arising from adverse physiological, anatomical and socio economic factors.
Objective: To determine the obstetric outcome of adolescent pregnancies managed at Usman Danfodiyo University Teaching Hospital (UDUTH) Sokoto, Nigeria.
Methods: A retrospective review of teenage pregnancies seen at UDUTH, Sokoto, Nigeria over a 2 year period, 2002 to 2003 was carried out. The outcome was analysed and compared with the controls.
Results: Teenage pregnancies accounted for 11.8% of 4498 deliveries within the period. Majority of the teenagers (79.1%) were nullipara. Pregnancy induced hypertension, eclampsia, intrauterine fetal death, anaemia, cephalopelvic disproportion and preterm labour were the mains complications observed and were significantly higher in this group than in non- teenage mothers (P<0.001). Similarly the caesarean section and perinatal mortality rates were significantly higher in the former than latter (p<0-001).
Conclusion: Pregnant teenagers are at higher obstetric risk than their non-teenage counterparts. Female education, contraceptive services and antenatal care will help to reduce both the teenage pregnancy rate and its associated hazards.
Keywords: teenage pregnancy, risk, outcome
Tropical Journal of Obstetrics and Gynaecology Vol. 22(2) 2005: 168-170
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