Department of Nursing Science, Faculty of Health Sciences, University of Fort Hare, South Africa.
Department of Public Health, University of Fort Hare, East London, South Africa.
Afr J Reprod Health. 2020 Dec;24(4):138-146. doi: 10.29063/ajrh2020/v24i4.15.
Teenage pregnancy has become a common global public health issue, associated with increased risk of obstetric complications and adverse neonatal outcomes. Teenagers are more prone to obstetric complications compared to older women. This study examined the maternal and neonatal adverse outcomes among teenagers, and compared them with older pregnant women. This study extracted maternal and neonatal adverse outcomes from 196 medical records of women delivered at Fort Beaufort Hospital from April 2017 to March 2018. Teenagers developed anaemia (13%) and pre-eclampsia (2.1%) during pregnancy as compared to older pregnant women. Most of the women delivered through normal vertex, although the teenagers had the highest percentage of caesarean section (27%) compared to the older women. Few proportions of women developed complications during delivery, however, obstructed labour (14.7%), prolonged labour (11.5%), foetal distress (14.8%) was more prevalent in teenagers. Most neonates were delivered at preterm birth and were alive across all age groups. However, few of the preterm births (23.2%) and very premature neonates (7.4%) occurred among the teenager mothers compared to older women. Few neonates had an Apgar score of less than 7 in 1 minute across all age groups. The risk of obstructed labour, prolonged labour, and foetal distress was predominant among teenagers compared to the older women. There was high incidence of vaginal deliveries, preterm babies and low Apgar score among teenagers compared to the older women. The findings of this study revealed that the teenagers start booking at the second trimester, which may impose the risk of complications if not observed at an early stage. There was high incidence of vaginal deliveries, preterm babies and low Apgar score among teenagers compared to the older women. Programmes to support early antenatal bookings for teenagers are important to address adverse maternal complications associated with late antenatal bookings.
青少年妊娠已成为一个常见的全球公共卫生问题，与产科并发症和不良新生儿结局的风险增加有关。与年长女性相比，青少年更容易发生产科并发症。本研究调查了青少年产妇和新生儿的不良结局，并将其与年长孕妇进行了比较。本研究从 2017 年 4 月至 2018 年 3 月在 Fort Beaufort 医院分娩的 196 名妇女的病历中提取了产妇和新生儿不良结局的数据。与年长孕妇相比，青少年在怀孕期间更容易出现贫血（13%）和子痫前期（2.1%）。大多数妇女通过正常的顶点分娩，尽管青少年的剖宫产率（27%）最高，高于年长妇女。分娩过程中只有少数妇女出现并发症，但在青少年中，梗阻性分娩（14.7%）、产程延长（11.5%）、胎儿窘迫（14.8%）更为常见。大多数新生儿在所有年龄组中均早产且存活。然而，与年长妇女相比，青少年母亲中只有少数早产儿（23.2%）和极早产儿（7.4%）。在所有年龄组中，只有少数新生儿在 1 分钟时的 Apgar 评分为 7 分以下。与年长妇女相比，青少年中梗阻性分娩、产程延长和胎儿窘迫的风险更为突出。与年长妇女相比，青少年的阴道分娩、早产儿和低 Apgar 评分发生率较高。本研究的结果表明，青少年在妊娠中期开始预约，这可能会增加并发症的风险，如果不能在早期发现。与年长妇女相比，青少年的阴道分娩、早产儿和低 Apgar 评分发生率较高。为青少年提供支持早期产前预约的计划非常重要，以解决与晚期产前预约相关的不良产妇并发症。
