Lama L, Shrestha S, Sharma A, Upadhyay S, Pathak M R
Nepal Med Coll J. 2013 Jun;15(2):117-21.
Pregnancy in teenage period of life is often associated with maternal complications as well as preterm delivery, low birth weight babies and small for date babies. The purpose of this study was to know the immediate outcome of neonates delivered by adolescent pregnant mother at Nepal Medical College Teaching Hospital (NMCTH), Attarkhel, Kathmandu. A retrospective comparative study was carried out in 350 adolescent pregnant mother who had delivered newborn at NMCTH from April 2005 to February 2009. Data were obtained from the case record register from Archive. Prevalence of adolescent pregnancy was 11.1%. Majority of adolescent mother were aged between 17-19 years, belonging to Mongolian ethnicity, Hindu by belief and residing within Kathmandu Valley. More than 90.0% mothers were primigravida and 85.4% had complete antenatal check up (ANC). Normal vaginal delivery was the predominant mode of delivery in both group (84.6% vs 80.0%), followed by lower section caesarean section (LSCS) (14.0% vs 18.8%) and instrumental delivery (1.1% Vs 1.2%). In newborn, male outnumbered female (59.7% vs 40.3%). A reasonable number of preterm (10.9% Vs 6.3% p = 0.029), low birth weight (12.3% vs 9.1% P = 0.259) and small for gestational age babies (7.4% vs 5.1% p = 0.318)) and birth asphyxia (10.3% Vs 5.1% p = 0.009%) were found in this study. These newborns are often associated with high morbidity and mortality. Therefore, it is imperative to prevent teenage pregnancy by providing adequate access to health facilities and raising awareness about the sex and reproductive health amongst this population.
青少年时期怀孕往往与母亲并发症以及早产、低体重儿和小于胎龄儿有关。本研究的目的是了解在加德满都阿塔尔凯尔的尼泊尔医学院教学医院（NMCTH）由青春期怀孕母亲分娩的新生儿的即时结局。对2005年4月至2009年2月在NMCTH分娩新生儿的350名青春期怀孕母亲进行了一项回顾性比较研究。数据从档案中的病例记录登记册获取。青少年怀孕的患病率为11.1%。大多数青少年母亲年龄在17 - 19岁之间，属于蒙古人种，信仰印度教，居住在加德满都谷地。超过90.0%的母亲为初产妇，85.4%进行了完整的产前检查（ANC）。两组中正常阴道分娩都是主要的分娩方式（84.6%对80.0%），其次是低位剖宫产（LSCS）（14.0%对18.8%）和器械助产（1.1%对1.2%）。在新生儿中，男性多于女性（59.7%对40.3%）。本研究中发现了相当数量的早产儿（10.9%对6.3%，p = 0.029）、低体重儿（12.3%对9.1%，P = 0.259）、小于胎龄儿（7.4%对5.1%，p = 0.318）以及出生窒息（10.3%对5.1%，p = 0.009%）。这些新生儿往往伴随着高发病率和高死亡率。因此，必须通过提供充足的医疗设施以及提高这一人群对性健康和生殖健康的认识来预防青少年怀孕。
