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Year : 2018  |  Volume : 23  |  Issue : 1  |  Page : 32-36

The presentation and pregnancy outcome among teenage parturients in state specialist hospital, Asubiaro, Osogbo, Southwestern, Nigeria

Department of Obstetrics and Gynaecology, State Specialist Hospital, Asubiaro, Osogbo, Osun State, Nigeria

Correspondence Address:
Dr. Olalekan Olugbenga Awolola
Department of Obstetrics and Gynaecology, State Specialist Hospital, Asubiaro, Osogbo, Osun State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmgims.jmgims_28_16

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Background: Teenage pregnancies are pregnancies between the age group of 13 and 19 years. Such pregnancies are categorized as high-risk pregnancies worldwide. This makes monitoring during the antenatal, intrapartum, and puerperal periods highly important. Objectives: The aim of this study is to determine the incidence, the mode of presentation, and the materno-fetal outcome in teenage parturients and compare with a control group. Materials and Methods: this prospective case–control study, recruited 63 teenage parturients who presented in labor ward in active phase labour between February 2013 and January 2015. These teenage parturients were matched with a control group in terms of parity and cervical dilatation of not less than or more than 1 cm (+1 cm), but are of age, 22–30 years. Thus, a total number of 126 parturients were studied. The mothers and their babies were followed up until the first 7th day postpartum. Results: In this study, 39 (61.90%) and 24 (38.10%) were married and unmarried, respectively, among the teenage parturients, whereas 60 (95.24%) and 3 (4.7%) were married and unmarried among the control group. Majority of the teenage parturients, 57 (90.47%) had only primary and secondary education, while 59 (93.47%) among the controls had secondary and tertiary levels of education. There were statistically significant differences in the incidences of genital lacerations (9 [14.28%] and 2 [3.18%]: P < 0.05), and the incidences of anemia in pregnancy (9 [14.28%] vs. 2 [3.18%]: P < 0.05) in the teenage and the older parturients. The other outcome measures in the two groups were similar. Conclusion: This study showed that teenage pregnancies with good antenatal, intrapartum, and neonatal care, gives almost the same materno-fetal outcomes as the control group. The determining factors for poor maternal and fetal outcomes are poor socioeconomic status and lack or poor quality of antenatal, intrapartum, and puerperal care.

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