%0 Journal Article
%T Maternal and Neonatal Outcome of Teenage Pregnancy at Al-Galaa Maternity Teaching Hospital, Cairo, Egypt
%A Azza M. Alyamani
%A Hanan A. Elewa
%A Fatma A. Newira
%J Open Journal of Obstetrics and Gynecology
%P 591-601
%@ 2160-8806
%D 2021
%I Scientific Research Publishing
%R 10.4236/ojog.2021.115055
%X Backgrounds: Teenage pregnancies are generally considered as a
high-risk however, sufficient data is lacking in the area, Cairo Egypt. We
attempted to determine whether teenage
pregnancies show poorer outcomes than adult-age pregnancies. Objectives: Finding out the
prevalence of teenage pregnancy and its maternal and fetal outcome in
comparison. Subjects and methods: A retrospective analytical case-control study was conducted on patients who had
attended for delivery at Al-Galaa Maternity Teaching Hospital during the period
of one year from March 2015 to February 2016. A total of included 538 patients
aged 16 - 19 years as study group and adult age group: included 609 patients
aged 25 - 29 years as the control group. The only primigravid was enrolled. The
study records were retrieved for review. Comparisons were made between the two
groups regarding maternal demographics, socioeconomic status, medical
disorders, major antenatal complications, the outcome of labor, mode of
delivery, and perinatal complications. Results: The prevalence of teenage pregnancy, was 46.9%. Teenage group, compared with
the adult group, P-value < 0.05 was considered the significant prevalence of
teenage pregnancy, was 46.9%. Teenage group, compared with the adult group,
P-value < 0.05 was considered significant. Teenagers had a lower antenatal
care attendance (63.8% vs 76.7%; P = 0.001), a higher incidence of Eclampsia
(2.1% vs 0%; P = 0.000), vaginal deliveries (70.1% vs 51.9%; P = 0.000). And a
higher maternal ICU admission (1.4% vs 0.0.7%), and maternal death (0.5% vs
0%),especially in low socioeconomic. On the other hand, the adult group
pregnancies had a higher incidence of gestational hypertension, gestational
diabetes, and cesarean delivery. Conclusions