Document Detail


Adverse effects of teenage pregnancy.
MedLine Citation:
PMID:  16252576     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE: Recent studies have suggested that teenage pregnancies are not as hazardous as thought to be earlier. OBJECTIVE: To compare the sociodemographic data, obstetric complications and attitudes towards family planning in teenagers and older women. DESIGN AND SETTING: A prospective cohort study at the University Obstetrics Unit, Teaching Hospital, Galle. SUBJECTS AND METHOD: Sociodemographic data, details of antenatal care and family support, antenatal complications, gestation at delivery, mode of delivery, the proportion of unplanned pregnancies, and the possible effects of contraceptive counselling, in two groups of pregnant teenagers (13-16 years, n = 95 and 17-19 years, n = 250) were compared with a control group of pregnant women (20-24 years, n = 275). RESULTS: The teenagers were from lower socioeconomic strata and the younger teenagers were significantly less educated than the controls. Teenagers had a significantly higher risk of anaemia (Odds Ratio (OR) = 2.3, 95%CI = 1.7-3.3, p < 0.001). The younger teenagers had a significantly higher risk of gestational hypertension (OR = 4.8, 95%CI = 1.8-13.0, p < 0.001) and pre-eclampsia (OR = 5.0, 95%CI = 1-27, p = 0.03). The older teenagers had a significantly higher risk of delivery before 34 weeks of gestation (OR = 13.6, 95%CI = 1.8-287, p = 0.001). There were no significant differences in the mode of delivery. The younger teenagers had a much higher proportion (54%) of unplanned pregnancies compared to the controls (16 %). A significantly higher proportion of younger teenagers (48%) and older teenagers (25 %), if counselled, would have delayed their pregnancies compared to the controls (10 %). CONCLUSION: Teenage pregnancies, especially those below 17 years of age have a significantly higher risk of adverse outcomes. A large proportion of these pregnancies is unplanned and could be prevented by counselling.
Authors:
I M R Goonewardene; R P K Deeyagaha Waduge
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Ceylon medical journal     Volume:  50     ISSN:  0009-0875     ISO Abbreviation:  Ceylon Med J     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-10-28     Completed Date:  2005-12-01     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  1264702     Medline TA:  Ceylon Med J     Country:  Sri Lanka    
Other Details:
Languages:  eng     Pagination:  116-20     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Ruhuna, Sri Lanka. malikg@eureka.lk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anemia / epidemiology*,  etiology
Cohort Studies
Female
Follow-Up Studies
Humans
Hypertension, Pregnancy-Induced / diagnosis,  epidemiology
Obstetric Labor, Premature*
Pregnancy
Pregnancy Complications, Cardiovascular / diagnosis,  epidemiology*
Pregnancy Outcome*
Pregnancy in Adolescence*
Pregnancy, Unplanned
Prenatal Care
Prevalence
Prospective Studies
Risk Assessment
Socioeconomic Factors
Sri Lanka / epidemiology

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