Understanding the burden of teenage pregnancy: A five-year analysis at a tertiary care center of northern Karnataka in India

Ashiwini Raju S, Saraswathi Karelal, Suvarna Makam, Raghavendra R Huchchannavar
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Abstract

: The present study was planned to comprehensively investigate the epidemiological aspects and clinical feto-maternal outcomes associated with teenage pregnancy, to provide a holistic understanding of teenage pregnancy and the possible solutions. : This is retrospective record-based research conducted over a five-year period, spanning from January 2018 to December 2022, in the department of Obstetrics and Gynaecology of a tertiary care centre in northern part of Karnataka, India. The teenage pregnancy was considered as all pregnancies that occurred in women aged between 13 to 19 years who visited the institute for delivery during the study period. A comprehensive analysis was conducted, encompassing various facets of their antenatal experiences, delivery methods, postpartum complications, as well as the well-being of the new-borns. : A total of deliveries 52,715 deliveries had been recorded in our institute during the study period. Among these deliveries, 1,754 were among teenagers, resulting in a prevalence rate of 3.33%. Nearly one-fifth (19.16%) of teenage mothers were short stature whereas only 7.02% of adult mothers were short stature. The relatively higher proportion of teenage mothers were underweight. Maternal and fetal complication were comparatively higher among teenage mothers whereas caesarean sections were relatively more among adult mothers. : The present study emphasizes the importance of targeted healthcare interventions, including improved prenatal care, nutritional support, and education for teenage mothers, to mitigate these risks and improve the overall health and well-being of both mothers and their infants.
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了解少女怀孕的负担:印度卡纳塔克邦北部一家三级医疗中心的五年分析
:本研究计划全面调查与少女怀孕相关的流行病学方面和临床胎儿-产妇结局,以提供对少女怀孕的整体认识和可能的解决方案。 本研究是一项基于记录的回顾性研究,在印度卡纳塔克邦北部地区一家三级医疗中心的妇产科进行,研究时间跨度为 2018 年 1 月至 2022 年 12 月,为期五年。少女怀孕被视为在研究期间到该机构分娩的 13 至 19 岁女性的所有怀孕。我们对她们的产前经历、分娩方式、产后并发症以及新生儿的健康状况等各方面进行了全面分析。 研究结果:在研究期间,我们医院共记录了 52715 例分娩。在这些产妇中,有 1 754 名青少年,患病率为 3.33%。近五分之一(19.16%)的未成年母亲身材矮小,而只有 7.02%的成年母亲身材矮小。体重不足的未成年母亲比例相对较高。未成年母亲的产妇和胎儿并发症相对较高,而成年母亲的剖腹产率相对较高。 本研究强调,必须采取有针对性的医疗保健干预措施,包括改善未成年母亲的产前护理、营养支持和教育,以降低这些风险,改善母亲及其婴儿的整体健康和福祉。
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