The morbidity outcomes of teenage pregnancy at rural Netrakona in Bangladesh
Objective: To examined the maternal and newborn morbidity outcomes of teenage pregnancy in different phases of child birth process.
Methods: A cross-sectional study was conducted among them whose current age was below 30 years and who became pregnant during 13-19 years of age. Data were collected from April 2009 to July 2009. Chi-square test was done to see the association between dependent and independent variables.
Results: Out of 132 respondents, 25.0%, 15.9% and 16.7% faced health problems during pregnancy, delivery and post-natal period respectively. During pregnancy, convulsion (14.3%), APH (28.6%), abortion (14.3%) and high fever (14.3%) was significantly more among early age group 14-15 years whereas hypertension (4.2%) and oedema (18.8%) was more among 16-17 years and those who were between 18-19 years of age faced significantly less health problems (p<0.001). During delivery and post natal period, the early and middle age group mothers significantly faced more health problems than comparatively higher age group (18-19 years). Around 30% mothers had current health problems as the long term consequences. Among neonates, 27.3% faced health problems who borne from early aged mothers. The mean age at marriage and pregnancy was 16.3 and 17.7 years respectively and 46.2%, 16.7% and 92% received ANC, PNC and home delivery respectively. However, 93%, 4%, 1.5% and 1.5% had normal delivery, caesarian section, episiotomy and assisted vaginal delivery respectively.
Conclusion: Women in rural Bangladesh reports substantial morbidity. Improve awareness, family planning services, delayed pregnancy age, adequate ANC and PNC can significantly reduce maternal and neonatal health problems.
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