Vol. 6, Issue 1, Part A (2024)

Introduction: Adolescent pregnancy is defined as pregnancy of teen- agers at the age of 10–19 years. About 11% of new-borns worldwide are delivered by adolescent women, the pregnancy complications of adolescent women account for 23% of women of all ages, and more than 90% of them occur in developing countries.

Objective: To assess the Adolescent pregnancy of maternal and perinatal in a Tertiary Centre in Bangladesh.

Methods: This was cross sectional study was contact at Obst & Gynas Department, Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh from January to June 2023. A total of 100 Adolescent (Age 15 to 19 yrs.) pregnant cases. Patients who were admitted in the emergency or out- patient department, with an adolescent pregnancy were included in this study. An interview based questionnaire was used to collect information from the patients or his/her relatives, regarding age, socio-demographic characteristics, educational level, clinical presentation, risk factors, complications during ante natal period, delivery outcome and perinatal outcome etc. after taking an informed written consent.

Results: Total 100 patients were selected for the study, which fulfill the inclusion criteria. In this series, the maximum number of teenage patients 44 (44.0%) were 18 years of age group, next 31 (31.0%) were the age group of 19 years. Among 36 (36%) teenage mothers come from rural, 57 (57%) from urban slum and 7 (7%) from urban non slum areas. Maximum numbers of patients were in primary level of education58 (58.0%). Illiterate had 31 (31.0%) and can sign only 10(10.0%). The maximum number of patients 74 (74.0%) was primigravid and Multi gravid were 26(26.0%). In this series, the maximum number of patients 40 (40%) suffered from anemia, 10(10%) developed eclampsia and 6 (6%) developed IUGR. 32(32%) teenage mother developed no complication. Among the adolescent pregnant cases majority of the adolescent delivered normal vaginal delivery 68(68.0%), LUCS have 32(32.0%). No vaccum or forcep has done. The most common overall indication for caesarean section was fetal distress (about 34.2%), followed by eclamsia (22.8%). Shows that 5(5.0%) of teenage mothers suffered from PPH, 4(4.0%) had PPE, 3(3.0%) had wound infection and 7(7.0%) had partial breast feeding.

 Study showed 16 (16.0%) of the babies developed birth asphyxia, 9 (9.0%) had prematurity, 6 (6.0%) jaundice. We observed low birth weight is a key predictor for fetal complication and child mortality. It may be due to babies born to adolescent mothers are likely to be premature, and hence, the incidence of low birth weight is higher in them CORE.

Conclusion: Bangladesh is a developing country and her health budget is minimum. Strokes are causing a great burden for the family, society, community as well as the nation. So, we should think about known modifiable risk factors of stroke, proper control of which plays an important role in the primary prevention of the disease.