Maternal and Neonatal Outcome of Teenage Pregnancy

Sivamanju, (2021) Maternal and Neonatal Outcome of Teenage Pregnancy. Masters thesis, Government Dharmapuri Medical College, Dharmapuri.

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Abstract

The incidence of teenage pregnancy during the study period in GDMCH was 6.74%. • In this present study most of the mothers belonged to 18-19 years (88%) while less than 15 years were only 10 mothers in our study group. 93% were between 17 and 19 years and 7% were in the age group. • Majority of the population i.e 263 mothers (88%) belonged to lower middle socioeconomic class and rest 12 % (n=37) belonged to upper middle class. • In our study 100 percent of mothers were immunised, booked and married. • Majority of mothers in our study group had non consanguineous marriage. 73 percent in our study group has no history of consanguinity while 54 (18%) had first degree consanguinity and 26 (9%) had second degree consanguinity. • Around 102 mothers (34%) had some prior knowledge about pregnancy and its consequences. • Among our study group 80 (27%) mothers had their first antenatal visit in 1st trimester, most of the mothers, around 65 percent had first visit in 2nd trimester. While 24 mothers had their first visit in only 3rd trimester. • Anaemia is an important complication in the present study where 53 percent of mothers expressed some level of anaemia • Incidence of Gestational hypertension is high in teenage pregnancy because of improper care, in our study 55 mothers (18%) had some sort of hypertension. • Cephalic was the most common presentation in our study group, breech was seen in 13 deliveries, oblique in 4 and transverse lie in 2 mothers. • In our study, 34 (11%) mothers had preterm delivery, while rest had term delivery. • In our study some sort of antenatal complication was seen in 119 patients which is around 40%. • In the present study, there was lower number of normal vaginal deliveries (42%) in teenage when compared to caesarean deliveries (48%). • The most common indication for LSCS in our study was foetal distress followed by CPD. • In our study 28 had instrumental delivery among which outlet forceps was used in 16 mothers and vacuum was used in 12 mothers. • Postpartum complications were seen in 63 mothers, post op fever was seen in 14 mothers, local sepsis was seen in 13 teenage mothers UTI in 15 and mastitis in 18 mothers, while septicemia was seen in 3 mothers. • In our study group knowledge about breastfeeding was present in 122 mothers (41%), 178 mothers didn’t have any knowledge about breastfeeding in our study group. • In our study group knowledge about contraception was present in 105 mothers (35%). • In our study population 10 percent were very low birth weight babies, and 32 percent were low birth weight babies • Neonatal complications was seen in 146 babies among which respiratory distress (n=79) is the commonest followed by prematurity (n=20) and IUGR (n=17). • Among our study group 152(51%) babies born to teenage mothers require NICU admission. • 8 babies (3%) delivered to teenage mothers died in our study group.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Maternal and Neonatal Outcome, Teenage Pregnancy.
Subjects: MEDICAL > Obstetrics and Gynaecology
Depositing User: Subramani R
Date Deposited: 21 Jun 2021 02:51
Last Modified: 03 Oct 2021 12:07
URI: http://repository-tnmgrmu.ac.in/id/eprint/17456

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