Background: Teenage pregnancy constitutes a high-risk pregnancy due to possible
physical, psychological, socio-economic and increased obstetric risks
associated with it. These risks though equally present in the older pregnant
women are probably less when compared with teenagers. Thus perinatal outcome of
pregnancies in these groups of patients varies. Objective: To compare
the socio-demographic characteristics, pattern of pregnancy complications and
perinatal outcome of pregnancy among primigravid teenagers and older
primigravid women. Method: A comparative study was carried out among 58
primigravid teenagers and equal numbers of adult primigravidae at Federal
Teaching Hospital, Ido Ekiti, Nigeria over five year period between January
2008 and December, 2012. Their socio-demographic characteristics, booking
status, pregnancy complications, estimated gestational age at delivery, mode of
delivery, post-partum morbidities, neonatal birth weight and perinatal
mortalities were obtained from their case notes. Results: Deliveries by
teenagers accounted for 2.48% of all deliveries during the period under review.
Teenage age was significantly associated with unmarried status (P < 0.001).
Two-third (67.2%) of the teenagers were unbooked for antenatal care whereas
less than one-quarter of the adult were unbooked. Pregnancy related
complications such as, hypertensive disorders of pregnancy, cephalopelvic
disproportion/obstructed labour and anaemia were more among the teenagers
compared with the older women. There were also more preterm deliveries among
the teenagers compared with the older women (17.2% VS 5.2%). Perinatal
mortality rate was 155/1000 birth among the teenagers. The incidence of Low
birth weight and perinatal mortality were significantly higher among the
teenage mothers (P < 0.05). However, there was no statistical difference in
the occurrence of morbidity and maternal
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