Maternal Complications of Teenage Pregnancy in Two Teaching Hospitals in Baghdad

Abstract

AbstractBackground: Adolescent pregnancy is considered as one of the most important social and public health problems all over the world. Early marriage is the contributing factors to high maternal morbidity and mortality. Aim of the study: To evaluate the complications of teenage pregnancies in comparison with adult pregnancy.Methodology: A comparative cross sectional study was carried out during the period from February through June 2018. A convenient sample was collected from the consultation clinics of obstetrics and gynecology in AL-Yarmouk Teaching Hospital and AL-Kadhimiya Teaching Hospital in Baghdad city. The study group composed of 200 pregnant teenagers in the third trimester aged between 15-19 years and the comparable group composed of 200 pregnant women in the third trimester aged between 20-29 years. The data were collected by direct interview using a well-constructed questionnaire, the questionnaire focused on the sociodemographic characteristics, history of present pregnancy, history of using family planning methods, and complications during current pregnancy.Result:The educational level of teenage pregnant women was primary level 62.5%. The study found that 48.5% of teenage group had adequate antenatal care visit as compared to high percentage of adequate antenatal care visit (81.0%) of adult group. Higher rate of pregnancy complications among teenage pregnant women in comparison with adult pregnant women including anemia, urinary tract infection, gestational hypertension, and gestational diabetes.Conclusion:The study concludes that there was a higher rate of maternal complications among the teenage pregnant women, which represent an important health problem with social and medical impact.