Pregnancy outcome in adolescent with anaemia.

Thesis Report.

ABSTRACT: This study was conducted in the Maternity Hospital. Thapathali in the year 1999. Objective: The main objective was to study pregnancy outcome of anemic adolescent after 28 weeks of Gestation in labour. Methodology : A prospective hospital based cross-sectional study was carried out in 200 pregnant adolescent in labor. Based on WHO classification of anemia in pregnancy the study population was divided in two groups, Non-anemic (Hb> 11g/dl) - 50 cases, and anemic (Hb<11g/di) -150 cases. Pregnancy outcome was compared. Outcome measures: Maternal outcomes: Incidence of adolescent pregnancy, anemia in adolescent pregnancy, mode of delivery, indication of intervention, pregnancy Induced Hypertension, postpartum haemorrhage. Blood transfusion, puerperal complications and hospitals stay. Perinatal outcomes: preterm birth, low birth weight, Apgar score SCBU admission, perinatal deacth. Factors associated with anemia such as socio-economic status, ANC attendance, Residence, and Worm infestation. Results: Incidence of adolescent pregnancy was 16.86%. Incidence of anemia in adolescent pregnancy was 41.4% if Hb <10g/dl was taken and 70.9% for Hb11g/di. 88% of the anaemic adolescents hadmild anaemia, 11.3% had moderate and 0.7% had severe anaemia. Mean age of marriage was 16.74 years and 93% were primigravide. Rural residence, inadequate ANC, lower socio-economic status and worm infestation were significantly associated with anaeima. Preterm birth, babies with low birth weight and perinatal mortality rate were significantly higher in anemic adolescents than non-pregnancy-inducted hypertension and puerperal complications was higher in anaemic adolescents than non-anaemic Both perinatal and Maternal outcome was poor in moderate and severely anaemic adolescents. Conclusion: Anemia is very common problem in adolescent pregnancy. Moderate and severe anemia adversely affects the pregnancy outcome.