Prevalence of teenage deliveries, and the subsequent maternal and neonatal out comes among women delivering from Bwera Hospital, Kasese Uganda

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Kampala International University, School of Allied Health Sciences
Background Globally, complications during pregnancy and child birth are the second leading cause of death among girls aged (15-19) years old (Banke-thomas, Banke-thomas, & Ameh, 2017). The teenage birth rates range from 8% in East Asia to 55% in sub-Saharan Africa (Garba, Adewale, Ayyuba, & Abubakar, 2016). In Uganda, 24% prevalence was reported by (Gideon, 2013) this increased in a study carried out from Mbarara Regional Referral Hospital, adolescent deliveries accounted for 23.4% of all the deliveries (Masembe, 2016). Thus Uganda has the hieghest prevalence in Sub-Saharan Africa. Delivery complications of teenage mothers include; increased risks to caesarean delivery, vaginal instrument delivery. Obstetric fistulae, episiotomies genital tears and PPH, (Florent Y et al., 2015). Teenage mother babies are at an increased risk of preterm delivery, low birth weight, dying as infants as compared to those born to (20-24) years old mothers(Banke-thomas et al., 2017). Aims and objectives. The study was carried out to determine the prevalence of teenage deliveries and the subsequent maternal and neonatal outcomes among women delivering in Bwera Hospital during the year 2016. Methods. A retrospective analysis of facility-based cross-sectional data from Bwera hospital records from January 2016 to December 2016 was carried out. Data was collected on structured proforma designed according to the specific objectives of the study. Relevant statistical analyses were carried out using SPSS, and the results were presented in form of frequency tables. Results. In 2016, Bwera Hospital registered 4220 deliveries, and 795(18.8%) were teenage deliveries. Many delivered by SVD 421(53.0%), and 374(47.0%) delivered by caesarean. The maternal complications were Perennial tear 139(31.2%), followed by PPH 95(21.3%), Hypertensive disorders 63(14.1%), Mal-presentation 54(12.1) Obstructed labour and Prolonged labour each presented with 23(5.2%), Maternal distress 43(9.6%) and Retained placenta 6(1.3%) were the least common there were 5 (0.62%) maternal deaths. Among the babies, 47(5.6%) had birth asphyxia, 33(4.2%) Fetal distress, 6(0.8%) neonatal death, macerated still births 25(3.1%) and 14(1.8) Fresh still births. 22.5% low APGAR score < 7 in five minutes, normal birth weight >2.5kg were 506(66.9%). Low birth weight was 179(23.7%) very low birth weight was 71(9.4%) Conclusion. Teenage deliveries are risky. It’s important to reduce the teenage pregnancy by improving the socio-economic condition, education, public awareness, strict implementation of law, good ANC care, nutrition, access to contraceptive services and sex education
A research report submitted to the School of Allied Health Sciences in partial fulfillment of award of a Diploma in Clinical Medicine and Community Health of Kampala International University
Teenage deliveries, Subsequent maternal, Neonatal out comes, Women delivering, Bwera Hospital, Kasese, Uganda