Table of Contents
ISRN Obstetrics and Gynecology
Volume 2012 (2012), Article ID 246983, 5 pages
http://dx.doi.org/10.5402/2012/246983
Clinical Study

Perinatal Outcome in Unbooked Teenage Pregnancies in the University of Calabar Teaching Hospital, Calabar, Nigeria

1Department of Obstetrics and Gynaecology, University of Calabar, PMB 1115, Calabar, Nigeria
2Department of Obstetrics and Gynaecology, University of Calabar Teaching Hospital, PMB 1278, Calabar, Nigeria

Received 17 November 2011; Accepted 15 December 2011

Academic Editor: E. Ginsburg

Copyright © 2012 C. U. Iklaki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Teenage pregnancy being a high risk condition requires skilled attention for good outcome. Objectives. To determine the influence of antenatal care on perinatal outcome in teenage pregnancies in Calabar. Materials and Methods. A review of patient records in Calabar was conducted between 1st January, 2006 and 31st December, 2010, to determine perinatal outcome in teenage pregnancy. Results. Teenage pregnancy accounted for 644 (6.5%) of the total deliveries with 245 (38.0%) booked while 399 (62.0%) were unbooked. Teenage mothers contributed significantly to the proportion of women who were delivered without prior antenatal care ( πœ’ 2 = 6 . 3 6 0 ; 𝑃 < 0 . 0 5 ). The mean duration of labour in booked teenagers was 1 0 . 8 5 Β± 4 . 2 hours, while unbooked teenagers was 2 3 . 3 1 Β± 3 . 6 hours (t-value   = 7 7 . 1 0 3 9 ; 𝑃 < 0 . 0 5 ). There was statistically more caesarean sections among unbooked teenage pregnancies than booked ( πœ’ 2 = 3 6 . 7 5 ; 𝑃 < 0 . 0 5 ). Stillbirth was statistically significant ( πœ’ 2 = 2 7 . 0 9 6 ; 𝑃 < 0 . 0 5 ) among unbooked teenagers than booked. However, early neonatal death was not significantly different between booked and unbooked teenage pregnancies( πœ’ 2 = 0 . 5 1 2 ; 𝑃 < 0 . 0 5 ). Conclusion. Unbooked teenage pregnancies were significantly associated with increased operative intervention and poor perinatal outcome.