Comparison of first parturition outcome between mothers aged 15-19 and 20-24 years
AbstractContext: Comparative data on pregnancy, labour and delivery outcomes of nulliparae aged 15-19 and 20-24 years are limited.
Objectives: To compare the pregnancy, labour and delivery outcomes of nulliparae aged 15-19 and 20-24 years.
Study Design, Settings and Subjects: A retrospective comparative study conducted at Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. Nulliparae aged 15-19 years (study group) and 20-24 years (control group) were compared with respect to height, haematocrit levels at booking and 48 hours after delivery, mode of delivery, birth weight, and antenatal, intrapartum and postpartum complications.
Results: The study group booked with significantly lower haematocrit (p<0.002) and had a significant drop in the haematocrit level after delivery (p<0.001) than the control group. There were no significant differences between the two groups with respect to maternal height, birth weight, mode of delivery and Apgar scores at one and five minutes. The frequency of prolonged labour from cephalo-pelvic disproportion was similar between the study and control groups.
Conclusion: There were not much differences in the obstetric performance of the two groups presumably because the bulk of the study group were aged 18 and 19 years when the pelvis had attained maximum growth as in the control group.
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