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Adolescent pregnancy in Grenada

V K Kondamudi1, A Bhattacharyya, P K Noah

  • 1Department of Obstetrics, Gynecology, General Hospital, Grenada.

Annals of Tropical Paediatrics
|January 1, 1993
PubMed
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Adolescent pregnancy is common in Grenada, with one in five deliveries involving teens. Young adolescents under 16 face significantly higher risks for poor birth outcomes and perinatal mortality.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Perinatal Medicine

Background:

  • Adolescent pregnancy presents unique health challenges.
  • Understanding regional prevalence and outcomes is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of adolescent deliveries in Grenada.
  • To compare reproductive outcomes between adolescent mothers and adult mothers (20-30 years).
  • To identify specific risks associated with different adolescent age groups.

Main Methods:

  • Retrospective review of delivery records and hospital medical records from 1987-1988.
  • Comparison of adolescent mothers (12-19 years) with a control group of adult mothers (20-30 years).
  • Statistical analysis using chi-squared and Fisher's exact tests.
Keywords:
Adolescent PregnancyAdolescentsAdolescents, FemaleAge FactorsAmericasBiologyCaribbeanDemographic FactorsDeveloping CountriesDiseasesFertilityGrenadaMeasurementNorth AmericaPopulationPopulation CharacteristicsPopulation DynamicsPregnancyPregnancy ComplicationsPregnancy OutcomesPrevalenceReproductionReproductive BehaviorRetrospective StudiesRisk FactorsStudiesYouth

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Main Results:

  • Adolescents accounted for 20% (613/3203) of deliveries.
  • Younger adolescents (<16 years) had increased risks of preterm labor, operative delivery, prematurity, SGA infants, asphyxia, and perinatal mortality.
  • Older adolescents (16-19 years) showed a higher risk of pregnancy-induced hypertension but otherwise comparable outcomes to the control group.

Conclusions:

  • Adolescent pregnancy is highly prevalent in Grenada.
  • Younger adolescents (<16 years) experience significantly poorer reproductive outcomes.
  • Public health strategies should focus on mitigating risks for this vulnerable population.