Khooshideh Maryam, Shahriari Ali.
Pregnancy outcome in teenagers in East Sauterne of Iran.
J Pak Med Assoc Jan ;58(10):541-4.

Objective: To compare pregnancy outcomes among teenagers in comparison with women of older age groups. Methods: A retrospective cohort study was carried out, comparing pirimiparous pregnant teenager women aged 13-19 years, arranged in to two groups: low teens (< 16 years old ) and high teens (17-19 years old), with pirimiparous women aged 20-29 years from January 2003 through January 2005 in Ali-ebne Abitaleb hospital of Zahedan, Iran. Frequency of prenatal care and perinatal outcome (newborn`s weight and gestational age at delivery), mode of delivery and any maternal complications were recorded. Results: Proportions of intrauterine growth retardation (IUGR) and preterm birth were highest among the infants of mothers aged 19 years or less compared with women aged 20-29 years (P<0.001). Also IUGR and preterm births were highest among the infants of low teen mothers than high teen mothers (P<0.001) . The incidence of caesarean section in low teens was higher than high teens (P=0.001), but caesarean was not higher among mothers aged 19 years or less compared with women aged 20-29 years. There was no significant difference in pre eclampsia and placental abruption between all three groups, while frequency of placenta previa was higher in teenage group than older gravidas (P=0.001). Conclusion: In this homogenous population, preterm delivery, IUGR and placenta previa were higher in teenagers than older gravidas despite of good prenatal care (JPMA 58:541; 2008).

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