Prevalence of Teenage Deliveries, And The Subsequent Maternal and Neonatal Out Comes Among Women Delivering from Bwera Hospital, Kasese Uganda

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

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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

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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