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Related Experiment Videos

Adolescent pregnancies--is the outcome different?

D S Weerasekera1

  • 1General Hospital, Anuradhapura, Sri Lanka.

The Ceylon Medical Journal
|March 1, 1997
PubMed
Summary

Adolescent pregnancies show higher rates of low birth weight and normal vaginal delivery. However, adolescent women face no increased risk for pregnancy-induced hypertension, stillbirth, or breech presentation compared to older mothers.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health

Background:

  • Adolescent pregnancy remains a significant global health concern.
  • Understanding obstetric risks in teenage mothers is crucial for targeted interventions.
  • Previous studies show mixed results regarding complications in adolescent pregnancies.

Purpose of the Study:

  • To compare obstetric complications and delivery modes in adolescent pregnancies versus those in women over 20 years.
  • To identify specific risks associated with teenage childbearing.

Main Methods:

  • A prospective study conducted over two years at General Hospital, Anuradhapura.
  • Involved 1600 pregnant adolescents and 14699 pregnant women over 20 years.
  • Compared rates of pregnancy-induced hypertension, stillbirth, breech presentation, low birth weight, and delivery modes.

Main Results:

  • Adolescent pregnancies constituted 9.8% of total deliveries.
  • No significant difference in pregnancy-induced hypertension, stillbirth, or breech presentation rates between groups.
  • Significantly higher incidence of low birth weight (33.6% vs. 22.7%) and normal vaginal delivery among adolescents.
  • Lower caesarean section rate (7% vs. 11.4%) in adolescents, though forceps delivery rate was similar (2.3% vs. 2.0%).

Conclusions:

  • Adolescent women are not at increased risk for pregnancy-induced hypertension, stillbirth, or breech presentation.
  • Low birth weight and normal vaginal delivery are significantly more common in adolescent pregnancies.
  • Findings suggest a need for focused antenatal care for adolescents, particularly regarding fetal growth and delivery support.

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