Nepal Samata, Atreya Alok, Kanchhan Tanuj
Department of Forensic Medicine, Devdaha Medical College, Rupandehi, Nepal.
JNMA J Nepal Med Assoc. 2018 Mar-Apr;56(211):678-682.
Teenage pregnancy is an issue that needs to be addressed for a better health of the women and the society. The present analysis is undertaken to find out the incidence of teenage mothers who have had hospital delivery and focuses upon the various reasons for teenage pregnancy with a brief discussion upon the associated medicolegal and social aspects.
A cross sectional study was carried out in a tertiary hospital in western region of Nepal. The delivery case register were reviewed for teenage pregnancies and the relevant data was captured in a data sheet and analysed.
During the study period, a total of sixty-nine teenage pregnancies culminated into delivery/ childbirth. The mean age of teenage mother was 18.16±0.99 years. Majority of the teenage mothers had not completed their secondary education and were of low socioeconomic strata. Mode of delivery was caesarean section in thirty four cases, whereas vaginal delivery was conducted in thirty five cases. Live births accounted for 67 deliveries, a still birth case was of anencephalic foetus while the other one was a preterm which was spontaneously delivered at the 23rd weeks of gestation.
Education and awareness in the form of campaign, advertisements, road shows, television or radio programmes are suggested for a decline in the rate of teenage marriages and teenage pregnancies in Nepal in the days to come.
青少年怀孕是一个需要解决的问题,以促进女性健康和社会福祉。本分析旨在查明在医院分娩的青少年母亲的发生率,并着重探讨青少年怀孕的各种原因,同时简要讨论相关的法医学和社会问题。
在尼泊尔西部地区的一家三级医院开展了一项横断面研究。查阅分娩病例登记册以获取青少年怀孕情况,并将相关数据记录在数据表中进行分析。
在研究期间,共有69例青少年怀孕最终分娩。青少年母亲的平均年龄为18.16±0.99岁。大多数青少年母亲未完成中等教育,且社会经济地位较低。34例采用剖宫产分娩,35例采用阴道分娩。活产67例,死产1例为无脑儿,另1例为早产,于妊娠23周自然分娩。
建议通过开展宣传活动、广告、路演、电视或广播节目等形式进行教育和提高认识,以期在未来降低尼泊尔青少年婚姻和青少年怀孕的发生率。