Teenage Pregnancy; condition of ramified risk
Adolescent pregnancy and early child bearing is not uncommon in Nepal. Despite the law forbidding early marriage ,society tends to ignore the marriage law and expects their married daughter to enter into childbearing .Family pressure and possible fear of becoming childless and being discarded by the spouse or the in-laws, compel young married adolescent girls to become mothers. According to the Nepal Demographic and Health Survey (NDHS 2004),21% of married adolescent girls aged 15-19 years are already mothers or pregnant with their first child. At the age of 19, two fifth (40%) of the married adolescent girls would have already begun child bearing.
Adolescent childbearing is a phenomenon that has significant ramifications of personal, societal and global levels. Early child baring has many health and social implications for adolescent girls and can shape her entire future .Child bearing marks the end of education and limits a women’s opportunity of employment as well as the potentials for acquiring skills to deal with a wide range of experiences in the outside world.
Although child bearing at any age involves some risk, young women who have not reached full physical and psychological maturity are almost three times as likely to die of complications in child birth as older women .Some complications are more common in adolescents than in older women. Hypertensive disorders of pregnancy, if untreated can lead to eclampsia which is often fatal. Obstructed labor may result if pregnancy occurs soon after menarche when the pelvis is not developed or if the young girls have not received adequate nutrition during her adolescent growth spurt resulting in stunted growth. If skilled assistance is not available both the mother and baby may die .In addition to this women who get pregnant during adolescence are likely to get pregnant again sooner than women who bear their first child when they are in their twenties .Each year 132 million babies are born worldwide with almost 90% if the births occurring in the developing world and 76% million in Asia.