Naima Sharmin Hoque
Z H Sikder Women’s Medical College & Hospital, BangladeshPresentation Title:
Is low birth weight the sequelae of adolescent pregnancy? Adolescent pregnancy and the perinatal outcome
Abstract
Bangladesh has one of the highest adolescent pregnancy rates in South Asia, with approximately 25-28% of girls aged 15-19 initiating childbearing. Driven by high rates of child marriage, poverty, and limited sexual education, this crisis leads to significant health risks for young mothers—including anemia, maternal morbidity, and high infant mortality. Delivery of Low birth weight baby has been observed in several adolescent pregnancies. This observational study was conducted in patients admitted in a private medical college. Among 104 cases of adolescent pregnancy 93.27% belongs to 18-19 years and only 6.7% to 16-17 years age group. 67% cases were in regular antenatal checkup. 75.95% cases were admitted for delivery by 37 weeks of gestation and minimum 6.7% cases were post dated adolescent pregnancy. 40.38% cases were suffering from malnutrition. Severe pre-eclampsia and GDM were found in 16.35% and 11.53% cases respectively. 9.6% cases were hypothyroid and 2% cases were thalassemia trait group. 52.88%, 30.77% and 16.35% cases were sufferer from mild, moderate and severe anaemia and they were treated by oral hematinics, parenteral iron therapy and blood transfusion respectively. 58.65% cases were delivered out by NVD and 41.34% cases underwent for lower segment caesarean section. Maximum 14.4% cases were taken surgery due to Cephalopelvic disproportion. Prolonged labour, obstructed labour, fetal distress and PROM were the cause in 8.6%, 3%, 8.5% and 4.8% cases respectively. 58.65% babies were born with birth weight <2.5 kg and 41.4% babies birth weight were >2.5 kg. 20.19% of newborns required NICU support and 67% neonates were suffered from neonatal jaundice.
Conclusion: Low birth weight baby and increased neonatal morbidity is closely seen as adolescent pregnancy outcome. Social awareness to be improved to prevent adolescent pregnancies.
Biography
Naima Sharmin Hoque has completed MBBS in 2007 from Comilla Medical College (Bangladesh). She has passed FCPS (Obstetrics and Gynaecology) at the age of 30 years in 2014 from BCPS. She is also Fellow of Indian Academy of Obstetrics and Gynaecology from 2018 and has succesfully completed her Fellowship in Endoscopic Surgery from India. Currently she is working as Professor (OBGYN) in Z H Sikder Women’s Medical College and Hospital (A well Reputated Private Medical College of Bangladesh) which has its glory of 33 years. She has total 18 publications including Internatinal ones. She has special interest in high risk pregnancy cases management with a hope of successful pregnancy outcome.