title: Mode of delivery and birthweight among teenage and adult primigravida Saudi women: A retrospective comparative study.
abstract: OBJECTIVE
  The aim of this study was to determine the mode of delivery and birthweight among teenagers in comparison to adult pregnant Saudi women.
  
  
  METHODS
  This was a retrospective comparative study. We included all primigravid teenage girls aged 19 years or younger and adult women aged 20-29 years with singleton term normal pregnancies who delivered at Hail Maternity Hospital during 1 January-31 December 2013.
  
  
  RESULTS
  Incidence of vaginal delivery among teenagers was higher than that in adults, at 105 (80.2%) and 588 (70.5%), respectively. There was a lower incidence of vacuum extraction and cesarean section among the teenage group compared to the adult group (1 [0.8%] vs 25 [3.0%], and 25 [19.1%] vs 221 [26.5%], respectively [P > 0.05]). Incidence of low birthweight among the teenage group was higher than that in adults (28 [21.4%] and 84 [10.1%], respectively [P < 0.05]).
  
  
  CONCLUSIONS
  Our study concluded that teenage pregnancy is associated with a high risk of low birthweight (P < 0.05). Adult mothers experienced more cesarean section and vacuum extraction deliveries (P > 0.05). Adequate antenatal care, community education and raising awareness might decrease the number of teenage pregnancies, which was 13.6% in our study.
authors.affiliation: Department of Obstetrics and Gynaecology - College of Medicine.
authors.forename: Abdelrahim Awadelkarim Abdelrahman
authors.initials: AA
authors.lastname: Mohamed
authors.affiliation: College of Medicine, Hail University.
authors.forename: Abdulrahman Ahmed Abdullah
authors.initials: AA
authors.lastname: Almalaq
authors.affiliation: College of Medicine, Hail University.
authors.forename: Raed Dawood Mohammed
authors.initials: RD
authors.lastname: Almansour
authors.affiliation: College of Medicine, Hail University.
authors.forename: Haitham Samer Abdulaziz
authors.initials: HS
authors.lastname: Alanazi
authors.affiliation: Hail Maternity Hospital, Hail, Kingdom of Saudi Arabia.
authors.forename: Mohammad Mosa
authors.initials: MM
authors.lastname: Al-Khamali
authors.affiliation: Department of House Economics - Faculty of Education.
authors.forename: Sohair Ali Mohammed
authors.initials: SA
authors.lastname: Shommo
mesh_terms: D000293:Adolescent; D000328:Adult; D001724:Birth Weight / Q000502:physiology*; D036861:Delivery, Obstetric / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011256:Pregnancy Outcome; D011253:Pregnancy in Adolescence; D012189:Retrospective Studies; D012529:Saudi Arabia; D055815:Young Adult
keywords: primigravida; singleton; teenage; vacuum extraction