The Perinatal outcomes of high risk teenage pregnancies at Tygerberg Hospital

Fry, Samantha (2018-12)

Thesis (MMed)--Stellenbosch University, 2018.


ENGLISH ABSTRACT: Teenage pregnancy is associated with an increased risk in adverse maternal and neonatal outcomes. With an increase in the incidence of teenage pregnancy in South Africa, the aim of this study is to describe the perinatal outcomes of newborns, born to teenage women, requiring admission at a central hospital in the Western Cape. Results: Teenage pregnancy accounted for 8% of the total deliveries at Tygerberg Hospital during a 6-month study period and 34% of these newborns were admitted for in-patient health care. Low birth weight and prematurity was commonly found in the teenage mother group with an incidence of 83% and 82% respectively. The two major reasons for newborn admission to the acute care ward were respiratory and neurological conditions, respectively 44% and 14%, while 5 newborns were admitted to the neonatal intensive care unit. A third of the newborns admitted, were discharged to their teenage mothers during or by the end of the perinatal period. Early neonatal death occurred in 2% of babies born to teenage mothers. Conclusion: Of note was the high incidence of prematurity in infants born to teenage mothers, with more than a third admitted for respiratory conditions. This study indicates the need for further investigation into an association between teenage pregnancies and increased neonatal morbidity.


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