Table of Contents
DECLARATION: ........................................................................................................................................2
SUPERVISOR’S APPROVAL........................................................................................................................3
DEDICATION............................................................................................................................................4
ACKNOWLEDGEMENT .............................................................................................................................5
LIST OF ACRYNOMS: ................................................................................................................................6
DEFINATION OF TERMS: ..........................................................................................................................7
Table of Contents....................................................................................................................................8
ABSTRACT ............................................................................................................................................. 11
CHAPTER ONE: ...................................................................................................................................... 12
INTRODUCTION..................................................................................................................................... 12
1.1 BACKGROUND ............................................................................................................................. 12
1.2 PROBLEM STATEMENT................................................................................................................. 14
1.3 OBJECTIVES.................................................................................................................................. 14
1.3.1 Broad objective..................................................................................................................... 14
1.3.2 Specific objectives................................................................................................................. 14
1.4 Research Questions ..................................................................................................................... 15
1.5 JUSTIFICATION AND SIGNIFICANCE OF THE STUDY ....................................................................... 15
1.5.1 Justification of The Study .......................................................................................................... 15
1.5.2 Significance of The Study....................................................................................................... 15
1.6 SCOPE OF THE STUDY................................................................................................................... 16
1.6.1 Content Scope....................................................................................................................... 16
1.6.2 Time Scope ........................................................................................................................... 16
1.6.3 Geographical Scope............................................................................................................... 16
1.7 Conceptual framework ................................................................................................................ 17
Figure 1. Conceptual framework .................................................................................................... 17
CHAPTER TWO ...................................................................................................................................... 18
2.0 LITERATURE REVIEW........................................................................................................................ 18
2.1 INTRODUCTION: .......................................................................................................................... 18
2.2 Prevalence of teenage deliveries:................................................................................................. 18
2.3 MATERNAL OUTCOMES ............................................................................................................... 20
2.4 NEONATAL OUTCOMES:............................................................................................................... 24
CHAPTER THREE: ................................................................................................................................... 26
9
METHODOLOGY: ................................................................................................................................... 26
3.1 Introduction:................................................................................................................................ 26
3.2 Study Design:............................................................................................................................... 26
3.3 Study Area: .................................................................................................................................. 26
3.4 Study Population: ........................................................................................................................ 26
3.5 Sample Size Determination: ......................................................................................................... 26
3.6 SELECTION CRITERIA: ................................................................................................................... 27
3.6.1 Inclusion criteria: .................................................................................................................. 27
3.6.2 Exclusion criteria:.................................................................................................................. 27
3.7 Data Collection Methods and Tools:............................................................................................. 27
3.8 Data Analysis, Recording.............................................................................................................. 27
3.9 Dissemination of results............................................................................................................... 27
3.10 ETHICAL CONSIDERATION .......................................................................................................... 27
3.10.1 Informed consent................................................................................................................ 27
3.10.2 Risk and benefit .................................................................................................................. 27
3.10.3 Autonomy ........................................................................................................................... 28
3.10.4 Confidentiality..................................................................................................................... 28
CHAPTER FOUR ..................................................................................................................................... 28
RESULTS ................................................................................................................................................ 28
4.0 introduction................................................................................................................................. 28
4.1 PREVALENCE OF TEENAGE DELIVERIES ......................................................................................... 28
Figure 1: Total deliveries................................................................................................................ 28
4.2. Characteristics of the study population ....................................................................................... 29
4.2.1Age ........................................................................................................................................ 29
Table 2: Age distribution of teenage mothers ................................................................................ 29
4.2.2 Preterm labour by Gestation age........................................................................................... 29
Table 3: Gestation age ................................................................................................................... 29
4.3 MATERNAL OUTCOMES ............................................................................................................... 29
4.3.1 Mode of delivery....................................................................................................................... 29
4.3.2 Maternal complications during teenage deliveries................................................................. 30
Table 5. Presence of complication...................................................................................................... 30
4.3.3 Common maternal complications during teenage deliveries. .................................................... 30
Table 6: Common maternal complications during teenage deliveries (n=446) ................................ 31
10
4.5 Maternal adverse outcomes in teenage deliveries.................................................................... 31
Table 7. Adverse Maternal outcome .............................................................................................. 31
4.6 NEONATAL OUTCOMES................................................................................................................ 32
4.6.1 Neonatal/fetal birth outcomes.................................................................................................. 32
Table 8: Neonatal/fetal birth outcomes ......................................................................................... 32
4.6.2 APGAR score. ............................................................................................................................ 32
Table 9a. APGAR score................................................................................................................... 32
Table 9b. APGAR score per age group ............................................................................................ 33
4.6.2 Birth weight. ......................................................................................................................... 33
CHAPTER FIVE........................................................................................................................................ 34
DISCUSSION........................................................................................................................................... 34
5.0 Introduction................................................................................................................................. 34
5.1 Prevalence of teenage deliveries.................................................................................................. 34
5.2 Mode of delivery.......................................................................................................................... 35
5.3 Complications in teenage deliveries............................................................................................. 36
5.3.1 Maternal complications......................................................................................................... 36
5.3.2 Neonatal outcome ................................................................................................................ 37
5.4 CONCLUSION ............................................................................................................................... 39
5.6 RECOMENDATIONS...................................................................................................................... 40
5.7 Areas of further research ............................................................................................................. 40
REFERENCES.......................................................................................................................................... 41
APPENDIX I. DATA COLLECTION CHECK LIST ...................................................................................... 48
Appendix II: MAP OF KASESE SHOWING BWERA. .............................................................................. 49
Appendix III: MAP OF UGANDA SOWING KASESE DISTRICT. ............................................................... 50
appendix IV: Approval latter………………………………………………………………………………………………………………..51
ABSTRACT 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%)
JOSEPH, T (2022). Prevalence of Teenage Deliveries, And The Subsequent Maternal and Neonatal Out Comes Among Women Delivering from Bwera Hospital, Kasese Uganda. Afribary. Retrieved from https://afribary.com/works/prevalence-of-teenage-deliveries-and-the-subsequent-maternal-and-neonatal-out-comes-among-women-delivering-from-bwera-hospital-kasese-uganda
JOSEPH, TABULA "Prevalence of Teenage Deliveries, And The Subsequent Maternal and Neonatal Out Comes Among Women Delivering from Bwera Hospital, Kasese Uganda" Afribary. Afribary, 11 Aug. 2022, https://afribary.com/works/prevalence-of-teenage-deliveries-and-the-subsequent-maternal-and-neonatal-out-comes-among-women-delivering-from-bwera-hospital-kasese-uganda. Accessed 19 Apr. 2024.
JOSEPH, TABULA . "Prevalence of Teenage Deliveries, And The Subsequent Maternal and Neonatal Out Comes Among Women Delivering from Bwera Hospital, Kasese Uganda". Afribary, Afribary, 11 Aug. 2022. Web. 19 Apr. 2024. < https://afribary.com/works/prevalence-of-teenage-deliveries-and-the-subsequent-maternal-and-neonatal-out-comes-among-women-delivering-from-bwera-hospital-kasese-uganda >.
JOSEPH, TABULA . "Prevalence of Teenage Deliveries, And The Subsequent Maternal and Neonatal Out Comes Among Women Delivering from Bwera Hospital, Kasese Uganda" Afribary (2022). Accessed April 19, 2024. https://afribary.com/works/prevalence-of-teenage-deliveries-and-the-subsequent-maternal-and-neonatal-out-comes-among-women-delivering-from-bwera-hospital-kasese-uganda