Document Detail


Obstetric complications, intervention rates and maternofetal outcome in teenage nullipara in Benin City, Nigeria.
MedLine Citation:
PMID:  17540084     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An audit to determine the incidence of births to teenage nullipara, pregnancy complications, obstetric intervention rates, maternal and fetal outcomes in 114 teenage nullipara compared with 700 randomly selected older nullipara (age 20-29 years), was undertaken in a tertiary Institution. Births to teenage nullipara contributed 1.7% of all deliveries. Teenagers were significantly more likely to be unbooked for antenatal care (P < 0.0001), book late (P < 0.0001) and be single mothers (P < 0.0001). Teenagers were also significantly more likely to have primary education (P < 0.0001), secondary education (P < 0.001) or be apprentices (P < 0.0001). Teenagers had a significantly higher incidence of caesarean sections (P = 0.0002). There were no significant differences in the incidence of pregnancy complications, induction or augmentation of labour, preterm delivery, instrumental deliveries and fetal outcome. The maternal mortality ratio for teenagers was 1835 per 100,000 live births. There were no deaths among the older nullipara. It is concluded that the differences in obstetric intervention rates and maternal outcome are due to poor utilization of antenatal care and other social disparity.
Authors:
Peter N Ebeigbe; Etedafe P Gharoro
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical doctor     Volume:  37     ISSN:  0049-4755     ISO Abbreviation:  Trop Doct     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-06-01     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  England    
Other Details:
Languages:  eng     Pagination:  79-83     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, Benin City, Nigeria. petedidi2000@yahoo.co.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Health Services
Adult
Case-Control Studies
Female
Humans
Incidence
Medical Audit
Medically Underserved Area
Nigeria / epidemiology
Parity
Pregnancy
Pregnancy Complications / epidemiology*,  etiology,  prevention & control*
Pregnancy Outcome
Pregnancy in Adolescence*
Prenatal Care / utilization*
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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