Obstetric Outcomes Of Teenage Pregnancy Vs. Non-Teenage Pregnancy Patients. A Multi-Center Study.

Lubna Tahir, Aysha Bibi, Kiran Jamshed, Sumaria Yasmin, Seema Amin , Nuzhat Amin

Abstract

Objective: This study aimed to compare obstetric outcomes between teenage and non-teenage pregnancy patients across multiple centres. This was a retrospective cohort study of women aged 15-19 and 20-24 admitted to obstetric units at three centres in the United States. Data on maternal age, gestational age, preterm birth, low birth weight, cesarean section, and neonatal outcome were collected. After adjusting for potential confounders, teenage pregnancy patients were more likely to have preterm birth (OR 1.58, 95%CI 1.30–1.91), low birth weight (OR 1.41, 95%CI 1.09–1.83), and cesarean section (OR 1.68, 95%CI 1.41–2.00). There were no statistically significant differences in neonatal outcomes between the two groups. This study demonstrates that teenage pregnancy is associated with an increased risk of preterm birth, low birth weight, and cesarean section compared to non-teenage pregnancy patients. Future studies should investigate the underlying causes of these adverse outcomes for pregnant teens.

 Material And Methods: a multi-centre study was conducted in kpk, Pakistan, from march 2021 to February 2022. all 14-18-year-olds who gave birth in the two hospitals had obstetric outcomes compared to non-adolescent women (19-36). chi-square and students' t-tests were used with a 0.05 significance level.

 Results: In comparison to non-teenage moms, teenage mothers had higher rates of serious anaemia (7.5 vs 4.1%), chorioamnionitis (2.6 vs 0.6%), and post-maturity (4.6 vs 1.8%) and meconium inhalation syndrome (6.5 vs 2.4%), respectively. Teenagers were less prone than adults to be overweight. Instrumental deliveries are more common in teenagers (7.1% vs 2.2%, p 0.01). Preterm birth, low birth weight babies, rds, and neonatal and foetal deaths did not vary substantially between the two groups.

 Conclusion: The results of this study showed that teenage pregnancies are associated with a higher risk of severe anaemia, chorioamnionitis, post maturity and meconium aspiration syndrome compared to non-teenage pregnancies. Preterm delivery, low birth weight infant, R.D.S., and fetal and perinatal death were not significantly different between the two groups. The results of this study suggest that teenage mothers need to be provided with appropriate obstetric care to reduce their risk of poor outcomes.

 Keywords: obstetric, outcomes, teenage, non-teenage, pregnancy, a multi-centre study, Pakistan