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Teenage Pregnancies: Obstetric Outcomes and their Socio Economic Determinants a Descriptive Study at Teaching Hospital Kandy

Authors:

C.D. Ekanayake ,

Teaching Hospital Kandy, LK
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S.U.B. Tennakoon,

Department of Community Medicine, University of Peradeniya, LK
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S Hemapriya

Teaching Hospital Kandy, LK
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Abstract

Introduction: Teenage pregnancies account for approximately 6.1% of total pregnancies in Sri Lanka. The objectives of the study were to assess obstetric and psychological outcomes and socioeconomic determinants of teenage pregnancy.

Method: A cross-sectional descriptive study carried out on 182 pregnant teenagers for a period of seven months. The validated translation of the Edinburgh Postnatal Depression Scale (EPDS), questions on socioeconomic status and obstetric outcomes were recorded.

Results: Teenage pregnancy rates for Singhalese, Tamil and Muslim were 87.4%, 8.2% and 4.4% respectively. The social support was adequate as 177(97%) were living with partners or parents. Unwanted pregnancies accounted for 13(7.1%) of teenage pregnancies at term. Outcomes were; birth weight 2.69 kg (2.57-2.81kg), pre-term labour 17(9.7%), hypertensive disorders 20(11.1%) and perinatal depression 30(16.5%). 75(42.9%) of pregnant teenagers were separated from one or both parents for more than six months in their childhood. There were no pregnant teenagers from upper social class, while 69(46.6%) were from middle and 79(53.4%) were from lower social class. Disruption to family structure and parental educational level of primary school less had 2.32 times and 2.78 times higher risk of perinatal depression in pregnant teenagers respectively.

Conclusion: Teenage pregnancies in Sri Lanka are unique compared to other countries as they did not appear to be related to ethnicity and had good social support. Disruption to family structure and socioeconomic background of the parents were risk factors for adolescent pregnancy. Although the majority were wanted pregnancies there was a significant amount of unwanted pregnancies at term.

Sri Lanka Journal of Obstetrics and Gynaecology Vol.37(3) 2015: 47-53

DOI: http://doi.org/10.4038/sljog.v37i3.7764
How to Cite: Ekanayake, C.D., Tennakoon, S.U.B. & Hemapriya, S., (2016). Teenage Pregnancies: Obstetric Outcomes and their Socio Economic Determinants a Descriptive Study at Teaching Hospital Kandy. Sri Lanka Journal of Obstetrics and Gynaecology. 37(3), pp.47–53. DOI: http://doi.org/10.4038/sljog.v37i3.7764
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Published on 22 Feb 2016.
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