Subedi Shanti Sunuwar, Sharma Sajjan, Yadav Munjal
Department of Obstetrics and Gynaecology, Nobel Medical College, Biratnagar, Nepal.
JNMA J Nepal Med Assoc. 2019 Jul-Aug;57(218):248-251. doi: 10.31729/jnma.4573.
WHO defines adolescent pregnancy as any pregnancy from a girl who is 10-19 years of age, the age being defined as her age at the time the baby is born. Globally, adolescent birth rate is 44 per 1000 women aged 15-19 years whereas 33 per 1000 in South East Asian region. The main objective of the study is to find the prevalence of adolescent pregnancy in a tertiary care hospital.
A descriptive cross-sectional study was conducted in Department of Obstetrics and Gynecology, Nobel Medical College and Teaching Hospital, Biratnagar over a period of six months from 1st January 2018 to 30th June 2018. Using the convenient sampling technique, 2688 samples were studied and the descriptive statistical analysis was done.
The prevalence of teenage pregnancy was found to be among 143 (5.3%) [5.3%±0.85% at 95% Confidence Interval]. Maximum adolescents of 95 (66.4%) presented at gestational age between 37 to 40 weeks. Regarding contraception, only 2 (1.4%) of teenage mothers had used Injectable Depo Provera.
Adolescent pregnancy in developed countries is usually outside of marriage and carries a social stigma but in the context of developing countries it usually happens within marriage and half of them are planned reflecting educational status and contraception knowledge. Effective interventions need to be developed like strict enforcement of laws prohibiting teenage marriage.
世界卫生组织将青少年怀孕定义为10至19岁女孩的任何怀孕情况，该年龄定义为婴儿出生时她的年龄。在全球范围内，15至19岁女性的青少年生育率为每1000人中有44例，而在东南亚地区为每1000人中有33例。本研究的主要目的是在一家三级护理医院中找出青少年怀孕的患病率。
于2018年1月1日至2018年6月30日期间，在比拉特纳格尔诺贝尔医学院及教学医院的妇产科进行了一项描述性横断面研究。采用便利抽样技术，研究了2688个样本并进行了描述性统计分析。
发现青少年怀孕的患病率为143例（5.3%）[95%置信区间为5.3%±0.85%]。最多的95名青少年（66.4%）在孕龄37至40周时就诊。关于避孕措施，只有2名（1.4%）青少年母亲使用过注射用醋酸甲羟孕酮。
发达国家的青少年怀孕通常是非婚怀孕且带有社会耻辱感，但在发展中国家的背景下，这种情况通常发生在婚内，其中一半是有计划的，这反映了教育状况和避孕知识。需要制定有效的干预措施，如严格执行禁止青少年结婚的法律。
