Abstract
To determine the existence of associations between significance of age at first pregnancy and its effect on maternal and perinatal outcome.A prospective study conducted in the department of OBG on all 2100 primi gravida women admitted in labour ward and they were divided into three groups: adolescent (<19 years), elderly group (> 30years) and control group (20-29 years). The adolescent and elderly group were compared with the control group for the maternal and perinatal outcomes.Rate of abortions, gestational diabetes, gestational hypertension, hypothyroidism and still birth were more common in elderly group, preterm deliveries, IUGR, foetal malpresentations, IUD and neonatal death were common in adolescent group as compared to control group. There was statistical significant difference regarding APGAR scores and admission to neonatal intensive care unit.Maternal age has significant role in the pregnancy outcome. Adolescent and elderly maternal age is a risk factor for adverse pregnancy outcomes. Early booking, close supervision in the antenatal and intrapartum period, appropriately timed obstetric intervention may contribute to good maternal and perinatal outcome.
Highlights
Throughout the centuries maternal age has been an important factor in survival of mankind
In the period of 2013 to 2015, there were 5820 deliveries, out of which 2100(36.08%) women were primigravidae admitted in the labour ward
Adolescent and elderly subjects were compared with the age group 2029 years
Summary
Throughout the centuries maternal age has been an important factor in survival of mankind. Adolescence is transition from childhood to adulthood as defined by World Health Organization as a period between [10-19] years. This is the period when structural, functional and psychological development occurs to prepare the woman for assuming motherhood. The adolescent women require additional counselling and perinatal period should be utilized to provide perinatal and new born care education. In addition; there are some extrinsic factors such as inadequate prenatal care, illiteracy, poor socioeconomic conditions which affect the outcome of pregnancy in teenage girls. The number of adolescent pregnancies has increased because of increase in premarital sex, higher fertility rate for this age group and decreased age of menarche. 3 In addition; there are some extrinsic factors such as inadequate prenatal care, illiteracy, poor socioeconomic conditions which affect the outcome of pregnancy in teenage girls. 4
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