Pregnancy outcomes amongst adolescents/young adults at tertiary-care hospital in low-middle-income country: ten-year retrospective record-review Authors Azra Amerjee Department of Obstetrics and Gynecology, Aga Khan University, Karachi, Pakistan Dur-e-Shahwar Aga Khan University, Karachi, Pakistan Sana Sheikh Aga Khan University, Karachi, Pakistan Iffat Ahmed Department of Obstetrics and Gynecology, Aga Khan University, Karachi, Pakistan Nuruddin Mohammed Department of Obstetrics and Gynecology, Aga Khan University, Karachi, Pakistan Ifrah Ali Baig Fourth Year Medical Student, Aga Khan University, Karachi, Pakistan Raima Hashmi Fourth Year Medical Student, Aga Khan University, Karachi, Pakistan DOI: https://doi.org/10.47391/JPMA.1181 Abstract Abstract Objective: Adolescent pregnancies are known to be associated with adverse outcomes. Our objective was to compare pregnancy outcomes amongst adolescents (young adolescents YA: 15-17 years; older adolescents OA: 18-19 years) and young adults (20 to 25 years) Methods: Study was conducted at Aga Khan University Hospital, Karachi. Ten-year retrospective record review was done through convenience sampling. Data was collected on predesigned proforma. Participants were 396 primiparous adolescents (15-19 years) with singleton low-risk pregnancy. Reference-group included 410 primiparous, low-risk, young adults. Pregnancies complicated with preexisting diabetes mellitus, chronic hypertension, renal disorders or cardiac diseases were excluded. Maternal /neonatal outcomes were compared amongst groups. Results: Out of 806 charts reviewed, 75 (9.3%) were YA, 321 (39.8%) were OA and 410 (50.9%) were 20-25 years old young adults. Most of the un-booked cases were in young adolescents; 17 (22.7% YA), 41 (12.8% OA) and 33 (8.0% reference -group) (p-value 0.001). This group also booked at a later gestational age; YA (19.6±10.4 weeks), OA (17.2±9.3 weeks) and controls (15.5n±8.8 weeks) (p-value 0.002). Gestational age at delivery was not significantly different among the groups. Adolescents had a decreased likelihood of cesarean section with youngest group having 29% less chance of cesarean delivery (OR 95% CI 0.41, 0.2) compared to women of 20-25 years of age. Difference in maternal/neonatal outcomes remained insignificant between groups at univariate and multivariate analysis. ............................................................. Additional Files PDF Published 2020-09-28 How to Cite Azra Amerjee, Dur-e-Shahwar, Sana Sheikh, Iffat Ahmed, Nuruddin Mohammed, Ifrah Ali Baig, & Raima Hashmi. (2020). Pregnancy outcomes amongst adolescents/young adults at tertiary-care hospital in low-middle-income country: ten-year retrospective record-review. Journal of the Pakistan Medical Association, 1–18. https://doi.org/10.47391/JPMA.1181 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue A Head of Print Section Research Article