Youth pregnancy and its outcome in maternity hospital Thapathali.
SUMMARY: Nearly half of all people in the world are under 25 years of age. Over a billion are youth (15-24years), the parents of the next generation. Their discussions about education, sexual relationship, marriage and child-bearing will have an enormous impact on their lives and, in turn, on their...
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| Format: | Unknown |
| Language: | English |
| Published: |
c2005.
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| Online Access: | Visit NHRC Library |
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| Summary: | SUMMARY: Nearly half of all people in the world are under 25 years of age. Over a billion are youth (15-24years), the parents of the next generation. Their discussions about education, sexual relationship, marriage and child-bearing will have an enormous impact on their lives and, in turn, on their communities and nation. Maternal age influences the outcome of pregnancy. Ten to fifteen percent of all births in the world occur to the teenage mothers. In Nepal, marriage and child-bearing for many women still occurs at earlier age than the legal age of marriage. More than one-third of 15-19 years youth girls are married (census, 2001). A low health service coverage as well as poor pregnancy outcome is more common to the teenage mothers. It is documented that when a woman is in teenage, pregnancy can be dangerous for both mother and infant compared to the women who delay child bearing. These risks are reported higher among teenage mothers not only because of biological factors, but also socio-economics factors including poverty, malnutrition, lack of education, lack of access to ante-natal care and obstetric care further increase a teenage women's risks of poor pregnancy outcomes. This study was focused on the outcomes of youth pregnancy delivered in propakar Shre Panch Indra Rajya Laxmi Devi Prasuti Griha, Thapathali. The youth (15-24years) primiparous mothers were divided into two strata (15-19 years referred to as teenage and 20-24 years referred to as young mothers) for compartative purpose in this study. The general objective of the study was to compare the maternal and neonatal outcome of the teenage mothers with that of the young mothers delivering their first baby at the Maternity Hospital, Thapathali. It was a cross-sectional comparative study done on 128 teenage and 152 young primiparous mothers. These mothers were selected from the above age brackets who delivered in Maternity Hospital between 17th -31st of December 2004. The mothers with chronic diseases and those who delivered still birth and twin baby were excluded from the study. The outcome measures included in the study were birth weight, gestational age at birth and mode of delivery. The descriptive statics (percentage, mean, proportion, standard deviation) and inferential statistics (Chi square and Z tests) were used to determine the difference between two groups. A p-value of less than 0.05 was considered statistically significant. The prevalence of low birth weight was found significantly higher (p<0.05) among teenage mothers as compared to young mothers. Similarly, maternal illiteracy was significantly associated with low birth weight (p<0.05). There was higher prevalence of pre-term births among teenage mothers compared with young mothers, but the difference was not statistically significant. This study found no significant difference for the mode of delivery among the two age groups. In conclusion, this study has shown that the low birth weight is significantly higher among teenage mothers. Maternal education also plays important role to reduce the prevalence of low birth weight. There was no significant difference for gestational age at birth and mode of delivery in the both age groups. Based on the findings and conclusions of this study, it is recommended that the focus need to be given to raise the public awareness regarding consequences of early marriage and child-bearing, Emphasize need to be given to the general education for girl. |
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| Item Description: | Thesis Report. |
| Physical Description: | viii, 49p. : |