MORBIDITY AND OUTCOME OF LOW BIRTHWEIGHT BABIES OF ADOLESCENT MOTHERS AT KENYATTA NATIONAL HOSPITAL, NAIROBI

Abstract

Objective: To compare the morbidity and outcome of low birthweight babies (birthweight
< 2000gm) of adolescent (age < 20 years) and older mothers.
Design: Cross sectional descriptive study.
Setting: The newborn Unit of the Kenyatta National Hospital.
Main outcome measures: All babies weighing less than 2000gm at birth whose mothers
consented to the study had their gestational age verified using the Dubowitz scoring
system. They were then followed up by daily clinical assessment untill discharge, death
or up to one month in the ward. The babies were divided into two groups according
to their mother's age and then compared with respect to episodes of illness, duration
of hospital stay, and overall outcome.
Results: One hundred and forty two babies were studied. Of these, 64 were born to
adolescent mothers. Babies of the adolescent mothers tended to be more premature
(p=0.0174), be lower in weight (p=0.0078), had more occurrences of respiratory distress
and anaemia (probably reflecting their increased prematurity) and had frequent multiple
morbidity events. They also had longer hospital stay and they were more likely to die
(57.7% compared to 42.3% of babies of older mothers).
Conclusion: Low birthweight babies of the adolescent mothers were found to be more
likely to have increased morbidity and adverse outcome compared to similar babies
of older mothers.