Outcome of Teenage Pregnancy at Federal Medical Centre, Katsina: A FiveYear Review

Abstract

Background: Teenage pregnancy is a high-risk obstetric event. Pregnancy in this transitional stage is associated with adverse obstetric and neonatal outcomes and remains a major contributor to maternal and neonatal morbidity and mortality. Objective: To determine the prevalence, socioeconomic variables as well as obstetric outcomes among teenage mothers in FMC Katsina. Study design: A five-year retrospective study, conducted at Obstetrics and Gynaecology department of Federal Medical Centre, Katsina from 1st January 2010 to 31st December 2014. Results: Teenage delivery accounts for 723 out of 10,391 cases, with a prevalence of 6.95% (69.5 per 1000 births). The mean age was 18.03±0.99 years. Five Hundred and Ninety One (95.6%) were married with 47.4% having secondary level of education. Of the 60.5% of them that booked, 33% was in third trimester. Majority (74.1%) delivered at term. Caesarean section was the mode of delivery in 14.2% of cases, mainly due to Eclampsia (69%) and Cephalopelvic disproportion (12.5%). Anaemia (33.5%) and Preterm delivery (9.5%) were the leading maternal and fetal morbidities. There were 3 maternal deaths (0.5%). Babies born to unbooked mothers were more likely to be of low birth weight. P value < 0.01. Conclusion: Teenage pregnancy is high and is associated with late booking and increased incidence of Caesarean section. Anaemia and preterm deliveries were the leading morbidities. Non- booking is associated with low birth weight babies.