By Gloria Acan | Project Leader
Pregnancy is occurring at younger ages than it has in the past and continues to increase in frequency. Uganda has the highest rate of teen pregnancy in the sub-Saharan Africa, with 24% being pregnant before the age of 18. This means that 1 in every 10 pregnant women in Uganda is under age 18. This places them at a greater risk for complications during pregnancy, before and even after; risks increase substantially for those less than 15 years. Not only are they at risk for premature, obstructed or prolonged labor, but their infants are at greater risk for low birth weight and prematurity; death being an even more serious risk for both mother and child.
Due to the developmental stages of puberty the adolescent/teen body is not yet equipped for the birthing process. Having smaller and narrower pelvises creates for a dangerous delivery process. Infants may not be able to fit through the birth canal and may suffer from asphyxiation due to prolonged labor. Furthermore mothers are likely to experience hemorrhagic bleeding, leading to death, due to obstructed labor, bones being broken through delivery of infants. The birth canal is much smaller the first 3 years after menarche and it does not increase in size until late adolescence, more so at the age of 18 and beyond. The teens and adolescents are also at risk for lack in prenatal care, less likely to finish school and sometimes lack in support; whether it be their family, their partner or the partner’s family.
When Charlotte, a 16-year-old teen, came to the center, I immediately paid close attention to her because of her age and also because she expressed the lack of support from her partner’s family because of the pregnancy. Luckily she has the support and compassion of her family, who brought her there to center, who I also sat with and counseled. I came to find out that her partner is also a young teen of 15 years old, Jack. Her parents told me as well that due to the nature of ages in the situation local authorities had become involved, which created for them a stressful dynamic to a new and delicate experience. She has now been directed to receive care and services at Unyama, one of KCIU’s health centers. I cannot help but think that had these two teens known of the risks that could come with pregnancy at a young age they may have sought out guidance on what they should do. Or if they felt empowered enough to speak about sexual activity or engage in family planning counseling they may have been exposed to various lines of contraceptives and how to practice safe sex. She will continue to receive counsel throughout her entire pregnancy and even after. She has the support and care of myself and the Karin team and will continue to be educated at each step she takes.
Karin Community Initiatives-Uganda seeks not only to bridge the gap in education surrounding pregnancy, contraceptive use and family planning but also in the case when adolescent/teen pregnancy does occur that the entire family is taken care of, particularly the mother and child. Both health centers are in the process of developing a youth friendly service program. That prenatal care is provided, and patients are followed closely throughout the entire pregnancy through delivery and after, postnatal, in order to prevent, intervene and ameliorate any complications.
We are able to accomplish all that we do because of the support of our gracious donors. Your support enables teens like Charlotte to be able to get youth friendly services where they can access vital reproductive health information.
Look out more for our youth friendly service program outcomes.
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By hope okeny | project leader
By hope okeny | Project Leader
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