Thapa P, Thapa P, Shrestha DB, Budhathoki P, Karki B, Mahat B. Teenage pregnancy and the sociodemographic attributes as a major contributor: Findings from an urban referral center in Nepal. World J Obstet Gynecol 2021; 10(2): 16-25 [DOI: 10.5317/wjog.v10.i2.16]
Corresponding Author of This Article
Dhan Bahadur Shrestha, MD, Doctor, Department of Internal Medicine, Mount Sinai Hospital, 1500 South Fairfield Ave, Chicago, IL 60608, United States. med-han75@gmail.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Clinical and Translational Research
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Puja Thapa, Department of Anesthesiology, Nepalese Army Institute of Health Sciences (NAIHS), Shree Birendra Hospital, Chhauni, Kathmandu 44600, Nepal
Pukar Thapa, Hepatology Unit (Internal Medicine), National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu 44600, Nepal
Dhan Bahadur Shrestha, Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL 60608, United States
Pravash Budhathoki, Department of Internal Medicine, Bronxcare Health System, Bronx, NY 10457, United States
Binod Karki, Gastroenterology Unit, Internal Medicine, National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu 44600, Nepal
Bimita Mahat, Department of Obstetrics and Gynecology, Kathmandu Medical College, Sinamangal, Kathmandu 44600, Nepal
Author contributions: Thapa P, Thapa P, Karki B, and Mahat B contributed to the conception and design of the study, literature search, and data collection; Shrestha DB and Budhathoki P analyzed and interpreted the data and drafted the manuscript; All authors were involved in revising the manuscript, and have read and approved the manuscript for further processing and publication.
Institutional review board statement: The study protocol was approved by Ethical Review Board of Nepalese Health Research Council and conducted in accordance with the protocol.
Informed consent statement: Informed consent was taken from all respondents meeting inclusion criteria before they were enrolled in the study.
Conflict-of-interest statement: Dr Puja Thapa received financial support from Letten Foundation, Norway for this study. Other authors have nothing to disclose.
Data sharing statement: All available data is analyzed and presented in the study as appropriate.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dhan Bahadur Shrestha, MD, Doctor, Department of Internal Medicine, Mount Sinai Hospital, 1500 South Fairfield Ave, Chicago, IL 60608, United States. med-han75@gmail.com
Received: February 25, 2021 Peer-review started: February 25, 2021 First decision: May 14, 2021 Revised: May 16, 2021 Accepted: August 25, 2021 Article in press: August 25, 2021 Published online: September 30, 2021 Processing time: 214 Days and 18.9 Hours
Abstract
BACKGROUND
Teenage pregnancy is a challenging issue worldwide. Yet, despite the increased health risk and socioeconomic impact of teenage pregnancy, the numbers remain high in Nepal.
AIM
To determine the prevalence and sociodemographic factors associated with teenage pregnancy in Nepal.
METHODS
A hospital-based cross-sectional study was conducted in the Paropakar Maternity and Women’s Hospital from April to August 2017. A total of 1359 mothers were assessed and interviewed regarding their reproductive history and sociodemographic attributes. Ethical approval from the Nepal Health Research Council, permission from the concerned hospital, and consent from study subjects were obtained.
RESULTS
Of the 5526 deliveries, 679 (12.3%) were teenage pregnancy deliveries. The majority (85.1%) of mothers (out of 1359) were married at < 20 years of age, with a mean age of marriage of 17.57 years (± 1.994, range: 12-25 years). Marriage age was a significant determinant of teenage pregnancy (odds ratio [OR] 2.423 [2.262-2.596]; P < 0.001). Likewise, a love marriage (OR: 2.018 [1.585-2.570]; P < 0.001) and first teenage pregnancy (OR: 3.622 [3.265-4.017]; P < 0.001) were significant determinants for subsequent teen pregnancies. Knowledge of family planning methods (OR: 0.474; 0.288-0.779; P = 0.003) and use of any methods of family planning utilization (OR: 0.345; 0.248-0.479; P = 0.000) significantly lowered the chance of teenage pregnancy.
CONCLUSION
Teenage pregnancy occupies a substantial proportion of total deliveries in the Nepalese maternity hospital. In addition, early pregnancy was significantly associated with age and type of marriage, education level, knowledge, and practice of contraceptive methods.
Core Tip: This study evaluated the prevalence and sociodemographic factors associated with teenage pregnancy in Nepal. Teenage pregnancy carries a significant proportion of total deliveries in a Nepalese maternity hospital. Early pregnancy was significantly associated with age at marriage, education level, type of marriage, and contraceptive practice.
