Bratati Banerjee, GK Pandey,1 Debashis Dutt,2 Bhaswati Sengupta,2 Maitrayei Mondal,2 and Sila Deb Department of Community Medicine, Maulana Azad Medical College, New Delhi, India 1Department of Epidemiology, All India Institute of Hygiene and Public Health, Kolkata, India 2Department of Public Health Administration, All India Institute of Hygiene and Public Health, Kolkata, India Address for correspondence: Dr. Bratati Banerjee, Department of Community Medicine, Maulana Azad Medical College, 2, Bahadur Shah Zafar Marg, New Delhi – 110 002, India. E-mail: firstname.lastname@example.org Received March 19, 2008; Accepted December 1, 2008.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. * Other Sections▼
* Materials and Methods
Early marriage and confinement are contributing factors to high maternal and perinatal mortality and morbidity. Objective:
To assess the magnitude of the problem of teenage pregnancy and its complications. Materials and Methods:
A hospital-based cohort study was undertaken over 4 months among women admitted to a rural hospital in West Bengal. The study cohort comprised of teenage mothers between 15-19 years old and a control cohort of mothers between 20-24 years old. Data included demographic variables, available medical records, and complications viz. anemia, preterm delivery, and low birth weight. Anemia was defined as a hemoglobin level below 10 gm% during the last trimester of pregnancy, preterm delivery was defined as occurring within 37 weeks of gestation, and low birth weight was defined as babies weighing less than 2500 grams at birth. Result:
Teenage pregnancy comprised 24.17% of total pregnancies occurring in the hospital during the study period. The study group had 58 subjects and the control group had 91 subjects. The prevalence of anemia was significantly higher (P<0.05) in the women in the teenage group (62.96%) than in the women in the control group (43.59%). However, severe anemia with a hemoglobin level below 8 gm% was only found in the control group. Preterm delivery occurred significantly more (P<0.001) in the study group (51.72%) than in the control group (25.88%). The incidence of low birth weight was significantly higher (P<0.0001) among the group of teenagers (65.52%) than among the women in the control group (26.37%). Not a single newborn was above 3 kg in the study group, while none were below 1.5 kg in the control group. The mean birth weight was 2.36 kg in the study group and 2.74 kg in the control group; the difference was strongly significant (P<0.001). Conclusion:
The study shows that anemia, preterm delivery, and low birth weight were more prevalent among teenagers than among women who were 20-24 years old. This indicates the need for enhancing family welfare measures to delay the age at first pregnancy, thereby reducing the multiple complications that may occur in the young mother and her newborn baby. Keywords: Anemia, complications, low birth weight, preterm delivery, teen pregnancy * Other Sections▼
* Materials and Methods
Health, in addition to its biomedical determinants, is influenced by many social and cultural factors. This influence is often negative with a resultant increase in the number of social hazards, which finally aggravate the already poor health status of the developing societies. One such social hazard of serious consequences on the nation as a whole is pregnancy in an adolescent girl, who herself is yet to attain her full...