Complications during Pregnancy and Delivery of Primigravid Adolescent

Résumé

Introduction: Adolescent girls face considerable healthrisks during pregnancy and childbirth, accounting for 15%of the global burden disease (GBD) for maternal situationsand 13% of all maternal deaths. Complications of labourand delivery are highly dependent on the quality ofprenatal care. Pre-eclampsia, hyperemesis gravidarum,eclampsia are more common in the first pregnancy, occursmore frequently among adolescent women. The purpose ofthe study was to find out the risk factors related toadolescent pregnancy. Methods & Materials: Thisdescriptive cross-sectional study was conducted at thedepartment of obstetrics and Gynaecology, Dhaka MedicalCollege Hospital, Dhaka from April 2020 to September2021. A total of 105 participants were included in thestudy. The sampling procedure was a purposive technique.After taking written consent from the patient, thorough history taking, clinical examination &relevant investigations were done. Completed data forms were reviewed, edited, andprocessed for computer data entry. Result: Among the study population (N=53), inadolescent pregnancy, obstructed labour 17.6%, prolonged labour 17.6%, preeclampsia11.8%, eclampsia 5.9%, CPD 11.8%, and foetal distress 11.8% were the main indication forcaesarean section. Hypermesis gravidarum 13.2%, preeclampsia 9.4%, prolonged labour11.3%, and oligohydramnios 11.3% were the most common complications during deliveryand after delivery was postpartum eclampsia 13.2%, followed by wound infection 9.4%,postpartum haemorrhage 7.5%. Conclusion: In this study, a significant percentage of thepatients underwent caesarean section, initially due to complications during labor and atdelivery. Hyperemesis gravidarum, prolonged labor, and oligohydramnios were the most common complications observed during delivery.