Teenage motherhood : maternal and fetal complications

الملخص EN

Background Teenage pregnancy, which is a determinable to the health of the mother & child, is a common public health problem worldwide.

It is a problem that affect nearly every society- developed & developing a like.

There is a growing awareness that early child bearing has multiple consequences in term of maternal health, child health & overall wellbeing of society.

Aim of the study Objective : to assess the magnitude of the problem of teenage pregnancy & it’s complication.

Also to evaluate risk factors associated with teenage pregnancy & compare the obstetric& fetal outcome to older parturient.

Patients & methods A case-control study was undertaken to compare the different sociodemographic characteristics & perinatal outcome of teenage mothers with those adult one in Babylon Teaching Hospital for maternity & pediatrics from September 2012 to June 2013.

The study comprised of (100) teenage mothers between 15-19 years old with (100) randomlyselected deliveries in the older age group (control group of pregnant women between 20-29 years old).

Data were collected through interviews& by observations using a pretested & predesigned schedule.

Data included demographic variable, available medical report, maternal complications : anemia ,preterm labor ,preeclampsia.

eclampsia, sepsis, postpartum hemorrhage , maternal death, mode of delivery.

Also include fetal complications Such as miscarriage, low birth weight, birth defect & neonatal death.

Result : Result revealed that the teenage mothers had a higher incidence of anemia 29 (29 %), pre eclampsia 5 (5 %) & cesarean section 20 (21.97 %) compared to 16 (16 %), 2 (2 %)& 11(11.57 %) respectively in older mothers.

Also the result revealed that the teenage mothers had a higher proportion of preterm deliveries11(11 %) compared to 6 (6 %) in the adult mothers& had low birth- weight babies 8(8% versus 4 (4 %) in control group.

Neonatal death was also higher in teenage deliveries 5 (5.49 %) versus 3 ( 3.16 %) in older mothers