Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Teenage pregnancy outcome(Sri Lanka College of Obstetricians and Gynaecologists, 2007) Herath, H.M.R.P.; Dias, T.D.; Amarasinghe, W.L.INTRODUCTION: Teenage pregnancy is universal in all known societies past and present. Controversy exists \vhether poor obstetric performance of teenagers is related to age or quality of care received.. The study was conducted to assess the antenatal care received and to assess the pregnancy outcome in teenage mothers. OBJECTIVES: To describe the reception of antenatal care provided, pregnancy complications and out corne in teenage pregnant mothers delivering at teaching hospital Peradeniya. METHOD: A prospective descriptive study, using interviewer administered questionnaire was done on teenage mothers who delivered at teaching hospital Peradeniya from 1st of April 2005 to 31st of March, 2006. Data was collected with regard to the demographic characteristics, booking antenatal visits, pregnancy complications and pregnancy outcomes. RESULTS: There were 190 teenage mothers delivered during the study period. Data were collected from 186 of them. Only 5.2% of the population was booked at any antenatal clinic before 12 weeks of period of amenorrhoea (POA), while the mean POA of booking was 24 weeks. Ninety five (51.1%) has had 5 or more antenatal clinic visits. Number of clinic visits and folk acid intake during first trimester was not related to the age of teenage mother. Anaemia was the commonest complication noted, accounting to 19.4%, while PIH was seen in 5.45 % of cases. LSCS was the mode of delivery in 16.7% of cases while instrumental deliveries contributed to 8.6%. In 26.9% of babies, birth weight was less than 2500grams, while 17.7 % of babies needed to be admitted to SBU. DISCUSSION: Teenage pregnant mothers are less likely to have received early and adequate antenatal care. More attention is needed to identify teenage pregnancies at early stage with subsequent referral to an antenatal clinic.Item Do teenager prefer contraception or termination?(Sri Lanka College of Obstetricians and Gynaecologists, 2007) Herath, H.M.R.P.; Dias, T.D.; Amarasinghe, W.L.INTRODUCTION: Teenage pregnancy is universal in all known societies past and present. One in four girls in the world becomes a mother before the age of 19 years. In Sri Lanka, 22.2% of maternal deaths due to illegal abortions were in this age group during 1996. Lack of knowledge regarding contraceptive methods is thought to be the main reason for not practicing proper contraception. On the other hand information about domestic violence in families with teenage mother is scares. OBJECTIVES: To describe the use of contraception, attempted pregnancy terminations and violence against women during the pregnancy among teenage mothers delivered at Teaching Hospital Peradeniya. METHOD: A prospective descriptive study was done on teenage mothers who delivered at teaching hospital Peradeniya from 1st of April 2005 to 31st of March, 2006, using interviewer administered questionnaire. RESULTS: There were 190 teenage mothers delivered during the study period. Data was collected from 186 of them. Among these teenage mothers Only 3(1.6%) has studied above GCE ordinary level. Only 28% ofwomen of the group have used any form of contraception, and of which 64% has used barrier methods of contraception. 80 (43%) of teenage mothers had thought of future contraception before they were discharged from the hospital. Termination of the pregnancy has been attempted by 9.1% of the study population. Of those who had'attempted termination 82.4% had not used any form of contraception. Male partners have assaulted 16.1% of teenage mothers during the pregnancy. CONCLUSION: The teenage pregnant mothers have poor educational background. The contraceptive use in the population was very low leading to unnecessary pregnancies and termination of pregnancies. Domestic violence in this population is fairly common.