Aimen Sarwar, Tallat Iftikhar.
Comparative Study of Obstetrical Outcomes of Teenager and Older Primigravida.
Ann Pak Inst Med Sci Jan ;12(2):85-8.

Objective: To compare the obstetric outcome in terms of anemia, pregnancy induced hypertension, preterm delivery, mode of delivery and birth weight between teenage primigravida and older primigravida. Study Design: Case control study Place and Duration of Study: Department of Obstetrics and Gynaecology, Benazir Bhutto Hospital, Rawalpindi, from January 2012 to December 2012. Methodology: Three hundred and ninety one women presenting to Department of Obstetrics and Gynaecology of Benazir Bhutto Hospital, Rawalpindi, having singleton pregnancy, including 60 teenagers(<19 years) and 331 older primiparas (>20 years) were studied. Obstetric outcome in terms of anemia, pregnancy induced hypertension, gestational age at delivery, vaginal delivery rate and low birth weight was compared between the two groups. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 16. Results: Younger mothers were more likely to develop anemia (58% vs. 43%) pregnancy induced hypertension (10% vs. 3%), preterm delivery (20% vs. 10.5%) and low birth weight babies(23% vs. 10.5%). More teenager mothers delivered vaginally (80% vs. 75%), however caesarean section rate was similar between the two groups. Conclusion: This study showed that adolescent primigravida have significantly higher risk of adverse pregnancy outcomes such as anemia, pregnancy induced hypertension, preterm delivery and low birth weight babies as compared to older primiparas.

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