"It is a pathetic state particularly for girls who are less than 15 years of age," said Dyalchand, head of the Institute of Health Management Pachod, a public health organization serving marginalized communities in central India. "The complications, the morbidity and the mortality are much higher in girls under 15 than girls 16 to 19 although 16 to 19 has a mortality twice as high as women 20 and above."
One critical health issue these young mothers face is that their pelvis is too small to birth even a small fetus.
Dr. Mary Jane Minkin, a board-certified OB/GYN at Yale University School of Medicine, and a member of PEOPLE's Health Squad, tells PEOPLE that there are multiple physical and psychological issues that can arise.
"Physically she is nowhere near reaching adulthood — the pelvis is not fully grown and the incidence of requiring a Cesarean section is significantly higher in the very young women," she explains, noting that typically the baby is too big to get out. "And then she may need future Cesarean sections."
"You have a child herself dealing with a pregnancy. Her own body, which had been experiencing all sorts of changes, is now experiencing even more changes and she is nowhere near emotionally competent to deal with the psychological issues of normal adolescence on top of all the new issues of pregnancy," Minkin adds. "Pregnancy can be tough to deal with for a 24 or 34-year-old woman, let alone a 10-year-old child."