FREQUENCY AND OUTCOME OF ADOLESCENT PREGNANCY IN POPULATION OF PESHAWAR

Abstract

Objective: To determine the frequency of adolescent pregnancy and its related maternal and fetal complications. Study Design: Cross-sectional descriptive study Place and Duration of Study: Outpatient Departments of Tertiary Care Hospitals of Peshawar from 1st January to 31st December 2016. Patients and Methods: A total of 200 pregnant women (booked or unbooked) of age of 13-19 years, delivered at tertiary care hospital were included. All pregnant females of 13-19 years including primary or multiparous had any other medical illness except pregnancy associated problems were excluded. Results: 41% adolescent mothers were primigravida and 59% were multigravida of the same group. Adolescent pregnant females were 21% between 13-15 years, 28% between 16-17 years and 51% between 18-19 years of adolescent mothers. Among ethnic groups adolescent pregnancy in Pashtuns were 48.5%, Hindko were 10%, Punjabi were 10.5%, Muhajirs were 20.5% and others were 10.5%. Maternal complications in adolescent mothers were anaemia 72%, caesarean section 7.5%, pregnancy induced hypertension 8%, post-partum haemorrhages 6.5% and instrumental delivery 6%. Foetal complications includes low birth weight 54.5%,pre-mature births 13%,still birth 9%, birth trauma 8.5%, respiratory infections 15%. Conclusion: Adolescent pregnancies are quite prevalent in the District Peshawar. Most prevalent age group of adolescent mothers was 18-19 years. Most frequent maternal complication among adolescent mothers were anemia, while low birth weight was more frequent among fetal complications.