CHAPTER ONE
INTRODUCTION
Background of the study
The number of teenagers giving birth each year in Nigeria is increasing. Babies are seen dumped in toilet places, bushes and road sides. These babies who are dumped are in most cases, given birth to by teenagers who are unwed. Some of these teenage mothers cannot identify the fathers of their babies because they have multiple sex partners so they feel the best option is to dump such babies.
Some teenage girls become mothers, because they cannot meet some life goals. Being a teenage mother is not accidental for some girls but intentional. This is because such girls see no better option in life other than being a mother. That is the reason most current sex and pregnancy preventive education efforts are ineffective at preventing teenage motherhood. There is a public concern over the rate at which the number of teenage mothers is increasing. The resolution to become a teenage mother by these young girls has triggered both political debate and academic inquiry.
Teen childbearing is associated with negative outcomes for teen parents, their children, and society. The vast majority of all pregnancies among teenagers are unintended that-is, they were either unwanted or they occurred outside marriage (Ohonsi 2010). Teen birth rate in Katsina is the highest when compared to those of other states including Oyo and Edo. (Ogbu 2013).These teenage mothers face a variety of difficult decisions. For the unmarried ones, they must decide whether to raise the born child or to place the baby for adoption. For the married ones, they must make decision with their husbands about mode of delivery, are they going for normal delivery, cesarean section or go for an abortion?
This particular thought may come due to under development of pelvis. Other critical decision about school, work, house chores, and how to care for the new born among others, need to be made. In Kano, many teenage mothers experience obstructed labour due to poor development of pelvis. This always resulted in serious maternal morbidity, for example, Vessico Virginal Fistula (VVF) or maternal mortality. Age of marriage has traditionally been low in kinship-based societies and economies. In such areas, most girls married soon after menarche; fertility was high and consequently many children were born from teenage mothers. This was not considered to be a problem. The teenage mother receive good family and community supports. Timely quality antenatal care and deliveries were by Traditional Birth Attendants (TBAs).
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