Teenage Pregnancies in Nepal – The Problem Status and Socio-Legal Concerns

  • Samata Nepal Devdaha Medical College, Rupandehi, Nepal.
  • Alok Atreya Devdaha Medical College, Rupandehi, Nepal. https://orcid.org/0000-0001-6657-7871
  • Tanuj Kanchan Devdaha Medical College, Rupandehi, Nepal.
Keywords: Nepal, Patriarchal society, Pregnancy, Teenagers


Introduction: Teenage pregnancy is an issue that needs to be addressed for a better health of the women and the society. The present analysis is undertaken to find out the incidence of teenage mothers who have had hospital delivery and focuses upon the various reasons for teenage pregnancy with a brief discussion upon the associated medicolegal and social aspects.

Methods: A cross sectional study was carried out in a tertiary hospital in western region of Nepal. The delivery case register were reviewed for teenage pregnancies and the relevant data was captured in a data sheet and analysed.

Results: During the study period, a total of sixty-nine teenage pregnancies culminated into delivery/ childbirth. The mean age of teenage mother was 18.16±0.99 years. Majority of the teenage mothers had not completed their secondary education and were of low socioeconomic strata. Mode of delivery was caesarean section in thirty four cases, whereas vaginal delivery was conducted in thirty five cases. Live births accounted for 67 deliveries, a still birth case was of anencephalic foetus while the other one was a preterm which was spontaneously delivered at the 23rd weeks of gestation.

Conclusions: Education and awareness in the form of campaign, advertisements, road shows, television or radio programmes are suggested for a decline in the rate of teenage marriages and teenage pregnancies in Nepal in the days to come.


1. World Health Organization. World health statistics 2014. Geneva: World Health Organization, 2014. [Full Text]
2. Muluki Ain. [Full Text]
3. Smith S. Too much too young? In Nepal more a case of too little, too young. Int J Epidemiol. 2002; 31:557–8. [PubMed]
4. Sharma AK, Verma K, Khatri S, Kannan AT. Determinants of pregnancy in Adolescents in Nepal. Indian J Pediatr. 2002; 69(1):19-22. [PubMed]
5. Yadav S, Choudhary D, Narayan KC, Mandal RK, Sharma A, Chauhan SS et al. Adverse Reproductive Outcomes Associated With Teenage Pregnancy. Mcgill J Med. 2008; 11(2):141-4. [PubMed]
6. Malabarey OT, Balayla J, Klam SL, Shrim A, Abenhaim HA. Pregnancies in young adolescent mothers: a population-based study on 37 million births. J Pediatr Adolesc Gynecol. 2012; 25: 98-102. [PubMed]
7. Paranjothy S, Broughton H, Adappa R, Fone D. Teenage pregnancy: who suffers? Arch Dis Child. 2009; 94: 239–45. [PubMed]
8. Cunnington AJ. What’s so bad about teenage pregnancy? The Journal of Family Planning and Reproductive Health Care. 2001; 27:36–41. [PubMed]
9. Ghosh A, Ghosh T. Modification of Kuppuswamy’s Socioeconomic Status Scale in context to Nepal. Indian Pediatr. 2009; 46: 1104-5. [PubMed]
10. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 6th ed. New York, NY: Oxford University Press; 2009. [NLM]
11. Chen CK, Ward C, Williams K, Abdullah A. Investigating Risk Factors Affecting Teenage Pregnancy Rates in the United States. European Intl J Sci Tech. 2013; 2:41-51. [Full Text]
12. Arnold F, Choe MK, Roy TK. Son preference, the family-building process and child mortality in India. Popul Stud. 1998;52: 301-15. [Full Text | DOI]
13. Glasier A, Gülmezoglu AM, Schmid GP, Moreno CG, Van Look PF. Sexual and reproductive health: a matter of life and death. Lancet. 2006; 368(9547):1595-607. [PubMed]
14. de Matos MG, Gaspar T, Simons-Morton B, Reis M, Ramiro L. Communication and Information About "Safer Sex:" Intervention Issues Within Communities of African Migrants Living in Poorer Neighbourhoods in Portugal. J Poverty. 2008; 12(3):333-350. [PubMed]
15. Loeber O. Sexual and reproductive health issues of Turkish immigrants in the Netherlands. Eur J Contracept Reprod Health Care. 2008; 13:330-338. [PubMed]
16. Goonewardene IM, Deeyagaha Waduge RP. Adverse effects of teenage pregnancy. Ceylon Med J. 2005; 50(3):116-20. [PubMed]
17. Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. N Engl J Med. 1995; 332:1113–17. [PubMed]
18. Markovitz BP, Cook R, Flick LH, Leet TL. Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths? BMC Public Health. 2005;5:79. [PubMed]
19. Atreya A, Shrestha M, Acharya J. Inter-caste lovers' suicide pact - Case report from Nepal. Med Leg J. 2017 [Epub ahead of print]. [PubMed]
20. Rosenthal SL, Von Ranson KM, Cotton S, Biro FM, Mills L, Succop PA. Sexual initiation: predictors and developmental trends. Sex Transm Dis. 2001; 28(9):527-32. [PubMed]
21. Tan LH, Quinlivan JA. Domestic violence, single parenthood, and fathers in the setting of teenage pregnancy. J Adolesc Health. 2006;38:201-7. [PubMed]
22. Quinlivan JA, Evans SF. A prospective cohort study of the impact of domestic violence on young teenage pregnancy outcomes. J Pediatr Adolesc Gynecol. 2001;14:17-23. [PubMed]
How to Cite
Nepal, S., Atreya, A., & Kanchan, T. (2018). Teenage Pregnancies in Nepal – The Problem Status and Socio-Legal Concerns. Journal of Nepal Medical Association, 56(211), 678-682. https://doi.org/10.31729/jnma.3571
Original Article