Abstract Detail

Abstract

Introduction Numerous factors can affect how pregnancies and births turn out. One of these is adolescent pregnancy, which is a worldwide issue with known causes, harmful impacts on both the mother's and the child's health, as well as various negative social and economic consequences. Objective The study was carried out to compare the maternal and neonatal outcome between adolescents and adult pregnancy. Methods This retrospective hospital-based cohort study was conducted at Madan Bhandari Academy of Health of Health Sciences, Hetauda hospital at Makwanpur. Study Population was pregnant women who delivered at selected hospital within 1 year study period from 2079 Shrawan (July 2022) to 2080 Ashad (June 2023). Total 479 mothers aged 20-30 years and 53 mothers aged 15-19 years were study participants and they were selected using simple random sampling lottery method. Data were collected from the hospital’s electronic database and the register maintained at maternity ward and neonatal ward. Result The findings indicate that 6.51% of the 3273 mothers who gave birth in a single year were in the adolescent age range. When comparing the two mother groups, more adult mothers than teenage mothers skipped the complete antenatal checkup. Compared to adult mothers, the mothers of adolescents were found to be underweight and to have less iron and folic acid supplement intake. Anaemia, UTI, and placental abnormalities during pregnancy have been reported by a greater percentage of teenage mothers than adult mothers with p=0.032, p=0.025, and p=0.041, respectively. When compared to adult pregnancies, vaginal delivery and complicated delivery were both shown to be more common in teenage pregnancies (p=0.001 and p=0.012, respectively). Adolescent pregnancies were associated with higher rates of NICU admission (p=0.037), low birth weight (p=0.034), premature birth (p=0.001), and fetal deaths (p=0.024) than adult pregnancies. Conclusion According to this study, there are some notable variations in obstetric and neonatal outcomes, by age of mother. It was discovered that there were a considerable number of adverse effects on adolescent mothers both during their pregnancies and after giving birth. Need for strategic planning in preventing adolescent females from getting pregnant is recommended.

Biography

Ms Laxmi Paudyal is currently working as Lecturer at Madan Bhandari Academy of Health Sciences (MBAHS). She had completed her Masters in Nursing in Pediatric Nursing from Rajiv Gandhi University of Health science in 2017 AD, Master in Sociology from Tribhuwan university in 2020 AD. She has some 11 years of progressive experience in the field of health and more than 8 years of academic experience as well as on health and development research, monitoring and evaluation sector and have work experience on various national level heath policy making projects. Currently she also works as a member of hospital board management MBAHS, member of Examination Board of MBAHS, member of Research Committee of MBAHS member of Proctorial committee and member secretary of anesthesia training committee. She has various publications of research articles in different journals and books and book chapter.