Obstetrical outcome of teenage compared with adult pregnancies

Aim: to compare the obstetrical outcome of teenage pregnancies (13-19 years) with adult pregnancies (20-29 years) in tertiary care hospital. methods: this cohort study was carried out in the department of obstetrics and gynaecology,nishtar hospital,multan from august 2010 to february 2011. a total of 222 patients were included in the study. patients of age 13-19 years were labeled as group-a and those 20-29 years were labeled as group-b. each group had 111 patients. results: mean age of women was 17.83 + 0.10 vs 24.92 + 0.21 years in teenage and adult group respectively. there were 58.6% vs 73.9% booked women in teenage and adult group respectively. mean gestational age was 37.6 + 0.23 vs 38.95 + 0.14 weeks in teenage and adults. anemia was prevalent in 36% vs 17.1% women in teenage and adults. pregnancy induced hypertension was more frequent in teenage pregnancies 21.6%) as compared to adults (12.6%). teenage had 24.3%cases of preterm delivery while adult had 6.3% preterm deliveries. there were 18% vs 9% low birth weight babies in teenage and adults. normal vaginal delivery was 62.2% in teenagers and 79.3% in adults. caesarean delivery in 29.7% vs 14.4% and instrumental vaginal delivery in 8.1% vs 6.3% cases in teenagers and adults respectively. conclusion: teenage mothers had more risk of complications like anemia,preterm delivery,low birth weight babies,pregnancy induced hypertension,caesarean deliveries and instrumental deliveries than adult population.