Sabreena Barkat1, Afroza Akhter2, Kazi Muhammad Mehmudul Hasan3
1. Assistant Professor, Dept. of Obs & Gynae, Monno Medical College, Manikganj, Dhaka
2. Assistant Professor, Dept. of Obs & Gynae, Bhuiya Medical College, Munshiganj, Dhaka
3. Assistant Professor, Dept. of Anesthesia, Monno Medical College, Manikganj, Dhaka
Abstract
Medical college hospital primarily conducts the deliveries of its registered and supervised antenatal cases. It also receives cases that had no antenatal supervision coming in emergencies as normal or abnormal labour, and labour complications like prolonged labour, obstructed labour and ruptured uterus. This study conducted to assess the lack of supervised antenatal care on the fetal and obstetrical outcome in teenage pregnancy. It was a descriptive type of cross sectional study conducted in Monno Medical College Hospital. Manikganj, Bangladesh over a period of 1 year (Jan 2017 – Dec 2017). Relevant history was taken and data were collected using a standard questionnaire containing all the variables of interest. Unbooked teenage mothers constituted 18 % of the total deliveries conducted within the study period. Most teenagers were aged from 17-18 years and got admitted with pregnancy complications (60%). Unbooked teens had a significant higher incidence of hypertensive disorders of pregnancy (26%) and delivered by vaginal delivery (48%) and by caesarean section (32%). Pregnancy in teenagers was associated with significantly increased Low Birth Weight babies (68%), low APGAR score at 1 min (76%), at 5 min (12%) and stillbirth (4%). The study showed a positive correlation between lack of proper antenatal care and adverse pregnancy outcome in unbooked teenagers. Improving the availability and accessibility of quality antenatal and delivery care services will improve pregnancy outcome.
Key Words: Teenage pregnancy, Fetamaternal out come, Unbooked pregnancy.