RESUMEN
A retrospective review of adolescent deliveries (maternal ages 12 - 19 years) at the Maternity Unit of the main General Hospital, Grenada, was done by inspecting medical records. These patients were compared with women who delivered during the same period but were aged 20-30 years. Of 3,203 deliveries which occurred during the study period, 613 (20 per cent) involved adolescents, formimg a prevalence rate of 1 in 5 pregnancies. Chi Square analyses revealed that pregnancies occurring in younger adolescents (age less than 16 years, N=58) carried an increased risk of preterm labour, operative delivery, prematurity, small-for-gestational-age-infants, asphyxia and perinatal mortality when compared to the `Optimum reproductive age-group'. Older adolescents (16-19 years, N=555) had higher risk for pregnancy induced hypertension but otherwise compared well with the `Optimum reproductive age-group'. Adolescent pregnancy is highly prevalent in Grenada, and the reproductive outcome for young adolescents (<16 years) is relatively poor (AU)