Authors : Ahmed Abdulmalik Ahmed Alamin; Lina ShihabEldin Ibrahim; Noon Abdelbassit Ibrahim Ahmed; Nouf Munzir Ahmed; Omar Abdullah Omar Abdullah; Sara Ibrahim Abdelaziz Taha; Waad El Waleed Abdallah Mohamed; Zuhal Nadir Mahmoud Abdalla; Dr. Kamil Mirghani

Volume/Issue : Volume 8 - 2023, Issue 12 - December

Google Scholar : http://tinyurl.com/6w3fvdju

Scribd : http://tinyurl.com/2j4sbkcf

DOI : https://doi.org/10.5281/zenodo.10464375

Abstract : Objectives: To investigate the outcomes of teenage pregnancies regarding the aspects of maternal and neonatal health. To determine the neonatal health factors affected. To determine the maternal physical health factors affected. To determine the maternal mental health factors affected. To investigate the relationship between the maternal social status and teenage pregnancies. To determine the frequency of teenage pregnancy and its associated maternal and perinatal outcomes.  Methods: This study was done as a descriptive, retrospective cross-sectional study. A questionnaire was designed and conducted in four hospitals in the state of Khartoum. The hospitals we conducted our research in are Bahri Teaching Hospital, Banjadeed Teaching Hospital, Dayat Maternal Hospital and Ibrahim Malik Teaching Hospital. Participants were interviewed according to their age which needed to be between the ages of 13 to 19. 160 participants took part in this research.  Results: With 84.4% of the participants, the majority did not have an abortion or a miscarriage. However, 15.6% did. 84% of the participants that have experienced an abortion/misscariage have only experienced it once while the rest (16%) have experienced multiple. The newborns were full-term in 67.5% of the cases. However, in 32.5% of the cases, the infants were born before the 37-week point and did not mature to their full potential. 70.6% of the babies had a normal average weight, while 28.1% of babies were underweight and 1.25% were overweight. 81.8% of newborns had no difficulties and were in perfect health. However, 18.1% of the infants required additional care and were admitted to the NICU. While 27.5% of the participants underwent a cesarean section, 72.5% experienced a typical vaginal birth. 94.3% of newborns did not have IUGR, whereas 5.7% of them did. 92.5% of babies did not experience IUFD while 7.5% sadly underwent IUFD. Neonatal jaundice only affected 5% of newborns born to adolescent mothers, while the other 95% were unaffected.Only 5% of babies suffered sepsis while the remaining 95% did not. 5% of babies suffered from birth asphyxia while the remaining 95% did not. Only 5% of the patients were reported to have experienced a premature rupture of the member, compared to 95% of the patients who did not. 85% of the patients had not suffered from anemia and 15% of the participants had. 22.5% of the participants were found to have induced hypertension, while 77.5% of the participants were found to have neither. 55.6% of the participants had not suffered from UTIs while 44.3% did. participants who had not experienced eclampsia made up 92.5% of the participants population, while those who had experienced it made up 7.5%. 9.4% of the participants actually had preeclampsia, compared to 90.6% of the participants who had not. Only 6.3% of the participants suffered from postpartum hemorrhage.  Conclusion: Teenage pregnancies are associated with both adverse fetal and maternal outcomes. Teenagers are more liable to complications due to their underdeveloped stature. Complications may rise due to having a narrow pelvis. However, complications like anemia, UTIs, induced hypertension are as common as any other age group.  Recommendation: Spreading awareness about the complications of teenage pregnancies so they would stop marrying at such a young age making them vulnerable to avoidable complications.

Keywords : Teenage Pregnancy, Perinatal, Maternal.