INCIDENCE & COMPLICATIONS OF DELVERY IN WOMEN UNDER 20 YEARS IN ELSAUDI TEACHING HOSPITAL 2021

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Date
2021
Authors
ROMISAA ELHADI NOURELDAIUM
OLA AWAD MAGZOUB
RANIA ESMAIL MOHAMED
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Napata College
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Background: Maternal age is a determining factor for pregnancy outcomes. The impact of maternal age on obstetric and neonatal outcomes was evaluated by several studies from many settings, especially among early teenagers.. Objective: To estimate the incidence and complication of delivery women under 20 years. Methods: This was a cross sectional hospital based study,. The sample size was 120 women aged less than 20 years. The data was collected using a questionnaire filled with women after taking informed consent. Results: During the study period the total number of deliveries in the study area was 12387, of them 120 were aged less than 20 years, accordingly the incidence of delivery women under 20 years in Al-Saudi Maternity Hospital 2021 was found 9.7%. Participants aged 16 – 19 years were 105(87.5%) and who aged 13 – 14 years were 15(12.5%). The mode of delivery under 20 years, results showed that the mode of delivery was vaginal 77(64.2%), emergency cesarean section 23(19.1%) and elective cesarean section 20(16.7%). The type of vaginal delivery (n=77) was spontaneous 62(80.5%), induced 13(16.9%) and instrumental 2(2.6%). Majority of the participants 88(73.3%) had no complications. Maternal complications were postpartum hemorrhage 21(17.5%), perineal tear 9(7.5%) and uterine complications 2(1.7%). The majority of fetus 105(87.5%) were alive, 13(10.9%) had congenital anomalies, 1(0.8%) macerated stillbirth and fresh stillbirth 1(0.8%). Conclusion: The study revealed that delivery of women under 20 years was 9.7% , 80% of deliveries were preterm , 19.1% were under went emergency c/s >and associated with maternal complications PPH in 17.5 % and 10.9 % with congenital anomalies So we recommend Child health program at Federal Ministry of Health( adolescent health Reproductive health program at Federal Ministry of Health should be activated.
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