title: Comparision of obstetric outcome among teenage and non-teenage mothers from three tertiary care hospitals of Sindh, Pakistan.
abstract: OBJECTIVE
  To compare the obstetric outcome of teenage pregnancies with that of non teenage pregnancies.
  
  
  METHODS
  A prospective case-control study was conducted in three tertiary care hospitals of Sindh, Pakistan from September 2008 to November 2008. The data regarding obstetric outcome of all teenagers (13-19 years) delivering in the three hospitals was compared with that of selected non teenage women (20 to 35 years) taken as controls. Chi-square and students' t-test were applied with 0.05 as level of significance.
  
  
  RESULTS
  Teenage mothers were more likely to suffer from severe anaemia (8% versus 4.3%; p = 0.03) and chorioamnionitis (2.8% vs 0.8%, p = 0.01) and their infants were more likely to suffer from post maturity (4.6% vs 1.8%, P = 0.02) and meconium aspiration syndrome (6.5% vs 2.4%, p < 0.01) compared to non-teenage mothers. On the other hand they were less likely to be overweight than the non-teenagers. Teenagers had instrumental deliveries more often than non-teenagers (7.1% vs 2.2%, p < 0.01). The risk of preterm delivery, low birth weight infant, respiratory distress syndrome, foetal and perinatal death was not significantly different in the two groups.
  
  
  CONCLUSIONS
  Teenage mothers are at a higher risk of developing severe anaemia and chorioamnionitis. They are more likely to have an instrumental delivery than non-teenagers. Post maturity and meconium aspiration syndrome are the neonatal complications seen in infants born to teenage mothers.
authors.affiliation: Department of Obstetrics & Gynecology, Civil Hospital, Karachi.
authors.forename: Nusrat
authors.initials: N
authors.lastname: Shah
authors.forename: Dileep Kumar
authors.initials: DK
authors.lastname: Rohra
authors.forename: Samia
authors.initials: S
authors.lastname: Shuja
authors.forename: Nagina Fatima
authors.initials: NF
authors.lastname: Liaqat
authors.forename: Nazir Ahmad
authors.initials: NA
authors.lastname: Solangi
authors.forename: Kelash
authors.initials: K
authors.lastname: Kumar
authors.forename: Kapil
authors.initials: K
authors.lastname: Kumar
authors.forename: Kanya Lal
authors.initials: KL
authors.lastname: Ahuja
authors.forename: Syed Iqbal
authors.initials: SI
authors.lastname: Azam
authors.forename: Nusrat
authors.initials: N
authors.lastname: Khan
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000740:Anemia / Q000453:epidemiology*; D016022:Case-Control Studies; D002821:Chorioamnionitis / Q000453:epidemiology*; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D007233:Infant, Postmature; D008423:Maternal Age; D008471:Meconium Aspiration Syndrome / Q000453:epidemiology*; D010154:Pakistan / Q000453:epidemiology; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000453:epidemiology*; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D055815:Young Adult