TY  - JOUR
T1  - A Prospective Observational and Comparative Study on Social Determinants and Fetomaternal Outcome Between Teenage Primigravida and Adult Primigravida at Government Headquarters Hospital Cuddalore
AU - Kiruthiga, S. AU - Parameswari, M. AU - Priya, E.R. 
JO  - Research Journal of Medical Sciences
VL  - 18
IS  - 12
SP  - 820
EP  - 826
PY  - 2024
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2024.12.820.826
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2024.12.820.826
KW  - Primigravida
KW  - teenage pregnancy
KW  - fetomaternal outcomes
AB  - Pregnancy complications and unsafe abortions are the leading causes of
death among the adolescent girls. Teenage pregnancies are strongly
impacted by factors such as low socioeconomic level, poor education and
family type. In order to compare the mother and fetal outcomes of
teenage primigravida with those of adult primigravida, our study aims to
identify the societal factors that contribute to teenage pregnancy. This
study was a Prospective observational and comparative study conducted
among the Antenatal mothers who attended the outpatient and inpatient
in the Department of Obstetrics and Gynaecology, Government District
Head Quarters Hospital, Cuddalore who satisfied the inclusion and
exclusion criteria were enrolled. The maternal and fetal outcomes,
education level, and socioeconomic variables were collected and
analyzed. This study was carried out among 360 antenatal women,
categorized as Teenage and Adult Primigravida based on the age
group(p<0.001). The education status of the antenatal mothers in the
Teenage Primigravida group was comparatively less when compared to
the Adult Primigravida group(p=0.005). The married teenage primigravida
group had more frequent antenatal visits than married adult primigravida
group(p<0.007). The Antenatal complications were 1.75 times more
common in Teenage Primigravida group than Adult Primigravida group.
Teenage Primigravida group had 1.625 times higher prevalence of LBW
compared to Adult Primigravida group(p<0.001). According to our study,
the major factors that contribute to teenage pregnancy include
consanguinity, joint family structure, low socioeconomic position, early
age at marriage, inadequate education, and ignorance about
contraception. Teenage primigravida had a greater rate of vaginal
delivery than adult primigravida and the major maternal problems were
maternal anemia, hypertensive disorders of pregnancy, and premature
labor.
ER  -