RESUMO
PIP: Obstetrical outcome of a series of 226 primigravid Jamaican teenagers, less than 16 years old, was evaluated. All of the study subjects delivered at the University Hospital, Kingston, Jamaica, and their obstetrical outcomes were compared with the outcomes of older primigravidas delivering at the same institution. Incidence of preeclampsia was lower among the teenagers (8.4%) vs. older patients (9.8%). Incidence of antepartum hemorrhage was .9% in the teenage group vs. 3% among the older women. Spontaneous premature rupture also occurred less frequently among the teenagers (1.8%) vs. the older women (2.4%). 15.5% of older women suffered from anemia and so did the same percentage of teenagers. Postpartum hemorrhage had a higher incidence among the teenagers (12.8%) compared with the older women (9.3%). A low operative delivery rate was associated with a low incidence of fetal distress and babies with good Apgar scores among the teenagers. This overall good obstetrical performance is attributed to better antenatal care among the teenage mothers.^ieng