Abstract:
The number of adolescent pregnancies has increased
throughout the world, and these pregnancies are reported in
association with a higher rate of maternal and fetal complications.
Objectives: The aim of this study was to compare obstetric outcome
among adolescents and none- adolescents primigravidae.
Methods: A prospective study was carried out during mid September
to mid December 2001 at Muhimbili National Hospital to compare
obstetric outcome of the first pregnancies of 190 adolescents with
that of 20-34years old primigravidae who delivered atthe same period
of the study.
Results: Poor antenatal supervision and low frequency of antenatal
check up were observed in adolescents. Adverse fetal outcome, like
prematurity, low birth weight and perinatal mortality were
significantly high in adolescents. Prolonged labor and premature
rupture of membranes were also significantly higher in adolescents.
Observed maternal complications in adolescents were anaemia,
preeclampsia and eclampsia.
Conclusion: The study findings show that young maternal age is
associated with an increased risk of unfavourable fetal and maternal
outcome. Thus adolescent pregnant mothers need improved prenatal
care and close monitoring and care during labor.
