scholarly journals Prevalence and cesarean rates of immigrant adolescent pregnancies

Author(s):  
Özer Birge ◽  
Aliye Nigar Serin ◽  
İlkan Kayar

Background: aim of this study was to compare Syrian migrant adolescent pregnancies and Turkish adolescent pregnancies, who gave birth in Osmaniye State Hospital.Methods: 22,724 women who gave birth at the Osmaniye State Hospital obstetrics and gynecology department between January 2013 and January 2020 were screened retrospectively. 868 Turkish adolescent pregnant women and 522 Syrian migrant adolescent pregnant women were compared. Whether the differences between Turkish and Syrian adolescents were noteworthy (95% confidence interval) was determined using the independent samples t test and Pearson Chi-Square test with statistical software Minitab (version 16.0, USA).Results: A total of 22,724 births, including 15,883 Turkish and 6841 Syrian immigrants, were analyzed. The number of Turkish adolescent pregnant women was 868 (5.5%), the number of Syrian adolescent pregnant women was 522 (7.6%), the rate of Syrian adolescent pregnancy was higher. The cesarean rate was observed 36.7% in Turkish adolescent pregnancies and 20.1% in Syrian adolescent pregnants, cesarean rates were significantly higher in Turkish adolescent pregnants (p<0.001). When the total of 1390 (6.1%) adolescent pregnancies were evaluated in Osmaniye, where there were intense migrants and Syrian camp, the cesarean rate was found to be 30.5%, and the birth rate of low birth weight below 2500 gm was 11.1%.Conclusions: Maternal and fetal complications increase in adolescent pregnancies. War and migration are associated with poor obstetric outcomes in pregnancies. With Syrian immigration, an increase in adolescent pregnancy rate, cesarean rate, and low birth weight rate was observed in the region. For these reasons, studies should be done to prevent Syrian adolescent pregnancies. Social and education support, regular follow-up should be done to improve pregnancy outcomes. Adolescent pregnant women are more likely to have vaginal delivery. Therefore, normal vaginal delivery should be followed unless there is an emergency cesarean indication.

2019 ◽  
Vol 27 (1) ◽  
pp. 12
Author(s):  
Kanda Izzatul Aini Ardelia ◽  
Gatut Hardianto ◽  
Djohar Nuswantoro

Objectives: to analyze the relationship between passive smoker of pregnant women with low birth weight (LBW).Materials and Methods: This study is an observational analytic research with case control design, which is LBW as case group and normal birth weight as control group. The location is in Wonokusumo Health Centre, Surabaya, period January 2016 – December 2017. Study sample was 68, consisting of 34 cases and 34 controls. The dependent variable is LBW, while the inde-pendent variable is passive smoking of pregnant women. Sample was excluded multiple births and congenital defects. To determine a significant level, the data collected will be tested with the statistical test Chi-square at significance level ?=0.05.Results: The results showed that a majority (61.5%) of passive smoker of pregnant women are cases. After Chi-square test obtained by value p=0.027 (p?0,05) and OR analysis obtained by 3.04 (CI 95% 1.117 – 8.274), which means there is a relationship between passive smoker of pregnant women with LBW.Conclusion: Passive smoker of pregnant women is relationship with decreased birth weight.


2021 ◽  
Vol 2 (1) ◽  
pp. 27-35
Author(s):  
KHartina Burhan ◽  
Dahliah Dahliah ◽  
Nevi Sulvita Karsa

In 2011, there were 32.4 million pregnant women aged 15-49 years in the world experiencing anemia. Data (WHO 2011) shows that around (30%) pregnant women in Indonesia experience anemia. This figure is higher compared to some other countries in Southeast Asia such as Malaysia (27%), Singapore (28%), and Vietnam (23%). This study aims to determine the relationship of anemia in pregnant women with the incidence of low birth weight babies (LBW) in the Mother and Child Hospital Sitti Khadijah 1 Makassar in 2018. Research conducted is descriptive analytic using cross sectional method in which a study, variables including risk factors and variables including effects are observed at once at the same time. Based on data from 70 pregnant women who have anemia, there are 66 pregnant women classified as mild anemia (94.3%) and 4 pregnant women with moderate anemia category (5.7%). Of the 23 pregnant women who gave birth to LBW babies were categorized into mild anemia as many as 22 (31.4%) and moderate anemia as much as 1 (1.42%). Based on the chi-square statistical test results obtained p value> 0.05 (p = 0.601) which means there is no significant relationship between anemia in pregnant women with the incidence of low birth weight in the Mother and Child Hospital Sitti Khadijah 1 Makassar in 2018.


Author(s):  
Monjurul Hoque ◽  
Shahnaz Hoque

Background: Teenage pregnancy is a known risk factor for a negative pregnancy outcome and poses a health risk to teenagers; it is thus considered a public health problem. It is also an indicator of problems with the sexual and reproductive health of a country’s young population. In South Africa, most of the adolescent pregnancies are to be found within the context of unstable relationships with the father of the baby and are unplanned or unwanted.Objectives: This study estimates and compares the incidence of adverse obstetric and perinatal outcomes of teenage women with older women, to identify specific health needs of teenage mothers during pregnancy and delivery.Methods:A retrospective cohort study targeted pregnant women who delivered at Empangeni Hospital from April to December 2005, whilst comparing the obstetric and perinatal outcomes of all teenage (ages < 19 years) pregnant women with those of older pregnant women (ages ≥ 19 years) for this study period. Data were collected from the labour ward delivery registry. Pearson’s chi-square test was performed to measure the level of significance (alpha = 0.05) for association amongst variables. The student t-test was used to find the significance difference between two proportions and the binary logistic regression method was employed to find the significant predictor for outcome variables.Results:There were 7836 deliveries over the study period, of which 1236 (16%) were teenage mothers.The rate of gestational age at delivery (e.g. pre-term delivery of 12%), vaginal and forceps deliveries,foetal presentation at birth, multiple pregnancies, low birth-weight and live births deliveries and mean Apgar scores were similar for both groups. The caesarean delivery rate (20%) and macerated stillbirth rate (1.1%) were significantly lower (p < 0.05) for teenagers than for older women.Conclusion: Although there was a higher rate of teenage pregnancy, it did not appear that it was associated with extra perinatal negative outcome such as preterm delivery, low birth-weight delivery and stillbirth. However, strategies are urgently needed to delay conception and improve the socio-economic development of teenage girls.


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Sri Aminingsih ◽  
Nadiya Istiqomah

Background: Smoking affects blood circulation and makes mothers and babies exposedto hazardous chemicals. Every time a mother smokes, her baby gets less oxygen.Nicotine in cigarettes decreases blood flow to the placenta. At the same time carbonmonoxide (CO) lowers the amount of oxygen carried by blood. In addition, there are toxicchemicals that usually interfere the development of infants (Rahmalia, 2009). Apreliminary study conducted by the author at the Maternity House of Sri Panuntun, PedanKlaten District, there were 30 babies born in August to September 2017, revealed thatthere were 6 babies suffered from low birth weight, while 24 babies have normal birthweight.The purpose: Describing the relationship of pregnant women passive smokers with theincidence of Low Birth Weight was the aim of this study.The subjects : The population in this study was all mothers who gave birth at MaternityMother Sri Panuntun Klaten in January-March 2018 accounted for 55 respondents.The results: The result of this research by using Pearson Chi-Square correlation testobtained p = 0.000.The conclusion: There was a positive correlation between pregnant women who arepassive smokers with the incidence of low birth weight babies.Keywords: Pregnant women, Passive smokers, Low birth weight babies.


2017 ◽  
Vol 2 (1) ◽  
pp. 56
Author(s):  
Iriyani K

Babies of low birth weight is a baby who weighed less than 2500 grams. Low birth weight is caused by several factors i.e. a premature birth, small size baby, and IUGR (intra-uterine growth retardation). The purpose of this study was to determine the correlation between supplemental iron (Fe) in pregnant women and low birth weight. The design research is quantitative method with Case Control approach using 116 samples from 58 cases and 58 control groups with a ratio of 1:1 for both sexes. The sampling method is purposive Sampling. Dana analyzed using Chi Square correlation test with CI 95% at value of α of 5%. The results showed that there was a correlations between supplemental Fe in pregnant women (ρ value = 0,001 with OR = 8.25) with low birth weight.  To reduce the high incidence of low birth weight, pregnant women are suggested to take Fe supplements or taking high content Fe meal everyday.


2014 ◽  
Vol 6 (2) ◽  
pp. 71-74
Author(s):  
Bhavna Kumare ◽  
Nikita Vijay

ABSTRACT Objective To determine the prevalence of pica during pregnancy, maternal hemoglobin levels at delivery and the association of pica with low birth weight and preterm birth. Study design A descriptive cross-sectional study. Subjects/setting Two hundred pregnant women aged 18 to 35 years admitted in labor room of Department of Obstetrics and Gynecology, NKPSIMS. Study duration 1 March 2012 to 28 February 2013. Main outcome measures — maternal hemoglobin at delivery, mean birth weight and mean gestational age were compared in pica and no pica group. Statistical analysis Mean, percentage and chi-square test (for paired data). Results Seventeen percent of these pregnant women practiced pica. The most common pica substance that was consumed was chalk (44.1%) and clay (38.2%). Women in pica group had lower hemoglobin levels 8.63 ± 1.12 gm% (mean ± SD) at delivery than women who did not report pica (10.03 ± 0.96 gm%). There was no difference in mean birth weight and gestational age of neonates born to women with pica group and no pica group. Conclusion The findings suggest that pica practices are associated with significantly lower maternal hemoglobin levels at delivery, but are not associated with low birth weight and preterm birth. How to cite this article Kumare B, Somalwar S, Vijay N. Pica in Rural Obstetric Population: An Underestimated Nutritional Mystery. J South Asian Feder Obst Gynae 2014;6(2):71-74.


Author(s):  
Gayathrie Devi ◽  
Kayalvizhi . ◽  
Poovathi M.

Background: The objective is to study the fetomaternal outcome in teenage pregnancy at MGMGH for the study period of 6 months from April 2018 to September 2018. Teenage pregnancy is a worldwide health problem. WHO defined adolescence as the period from 10-19 years. It is a serious health problem in a developing country like India. Teenage pregnancy is associated with high risk of prematurity, low birthweight, preeclampsia and anaemia. The NHFS IV 2015 -2016 estimates that overall teenage pregnancy in India 7.9%.Methods: It is a retrospective study conducted in a tertiary care hospital at MGMGH, Trichy over a period of 6 months.251 teenage pregnant women delivered at our institution were selected for the study out of 4508 total deliveries during the study period. Parameters including incidence, age, parity, booking status, educational and socioeconomic status, medical disorders, antepartum, intrapartum, postpartum complications, mode of delivery and neonatal outcome were studied.Results: Study showed the incidence of teenage pregnancy at our MGMGH is 5.56%. Among these teenage pregnant women 47.1% had anaemia, 23.1% had gestational hypertension,4.8% of women had eclampsia, 22.3% % had preterm delivery. Lscs rate was 27.1%,70.29 % had Normal vaginal delivery,1.6% had instrumental deliveries, 31.5% had low birth weight babies,28.2 % NICU admissions, 2.9% perinatal deaths.Conclusions: Teenage pregnancy is associated with increased incidence of anaemia, pre-eclampsia, eclampsia, preterm delivery, instrumental delivery, low birth weight and perinatal death. By improving socio economic status, education, nutrition, good antenatal care, public awareness, institutional delivery and postnatal care help in reducing maternal and perinatal morbidity and mortality in adolescent pregnancy.


2020 ◽  
Vol 4 (4) ◽  
pp. 313
Author(s):  
Septiana Dwi Wuryaningtyas

Background: Iron tablets have many benefits such as reducing the risk of death during bleeding, preventing anemia, and increasing nutritional intake in the fetus. Pregnant women with adolescence are at higher risk of anemia and death than pregnant women of sufficient age. One impact that occurs due to the low consumption of iron tablets in teenage pregnant women is babies born with conditions such as low birth weight, normal weight, and overweight babies born.Objectives: This study to analyze the correlation between iron consumption tablets of adolescent pregnant women with the weight of new born.Methods: This research is a quantitative study that uses secondary data in the form of data from the 2017 IDHS. There are 692 teenage pregnant female respondents with variable consumption of iron tablets and birth weight of babies. Data analysis in the study used the Chi-Square test.Results: Teenage pregnant women who consume iron tablets by 70.8% and those who do not consume 29.2%. The category of babies born mostly at the weight of normal-born babies is 84.8%. While the low infant weight category is 10.7% with a fairly high amount. Chi-Square statistical test results showed a p value of 0.019 (p = 0.019 <0.05) and the Contingency Coefficient showed a value of 0.107.Conclusions: There was correlation  between consumption of iron tablets in adolescent pregnant women with the weight of new born with the category of low birth weight babies, babies born normally and more babies born in Indonesia.Keywords: Iron tablets (Fe), teenage pregnant women, the weight of new born


2021 ◽  
Vol 3 (1) ◽  
pp. 39-46
Author(s):  
Ida Royani ◽  
Nasrudin Andi Mappaware ◽  
Sidrah Darma ◽  
Nurfadhillah Khalid ◽  
Dian Fahmi Utami

Introduction: The nutritional status of pregnant women has a significant impact on the fetus's health and development. Low birth weight can be caused by womb growth problems. Research in Nepal shows that babies with low birth weight have a higher risk of becoming stunted. West Sulawesi is the most populous province in Central Indonesia, with a population of 39.7%. In Mamuju District, West Sulawesi, the relationship between stunted babies and maternal nutritional status during pregnancy was investigated. Methods: Cross sectional analytic survey with a retrospective approach. Data processing using the chi square test. The population in this study was 20.039 people. Total sampling was used to collect nutritional status data of children under the age of five in West Sulawesi province from February to June 2020. In this study, 88 people were sampled, all of whom were mothers of stunted children aged 2 to 5 Years old and who had a KIA book during pregnancy. Results: The results of statistical tests showed that the p value of nutritional status with BMI and LILA 0.000 and the p value of HB levels 0.066. There was a link between pregnant women's nutritional status and LILA, but not between HB levels and stunting. Conclusion: The conclusion of this study is that there is a relationship between the nutritional status of pregnant women based on BMI and LILA and the incidence of stunting in Mamuju Regency, West Sulawesi Province.


Author(s):  
Ceren Golbasi ◽  
Tayfun Vural ◽  
Burak Bayraktar ◽  
Hakan Golbasi ◽  
Alkim Gulsah Sahingoz Yildirim

OBJECTIVE: In this study, we aim to compare the maternal and obstetric outcomes between local adolescent Turkish citizens and adolescent Syrian refugees admitted to a tertiary care center in Turkey. STUDY DESIGN: Between January 2014 and December 2019, a total of 57,049 births were performed in our hospital. The study included a total of 6,021 patients aged 19 years or younger pregnancy who gave birth at our hospital. Of this number, 5,164 (1,792 Syrian adolescent refugee cases and 3,372 local adolescent Turkish cases) were live singleton pregnancies. Our primary aim was to compare the maternal and obstetric outcomes between the two groups. RESULTS: In the pregnant refugee women, the maternal age was younger (p<0.001). Hemoglobin and hematocrit levels are significantly lower in Syrian pregnant women (p<0.001 and p<0.001, respectively). Anemia was significantly higher in Syrian refugee pregnant women (p<0.001). The double screening test and triple screening test were significantly lower in Syrian pregnant women (p<0.001 and p<0.001, respectively). Preterm birth rates and late preterm delivery prevalence (34-37 gestational weeks) were significantly higher in the adolescent Syrian immigrants' compared to the adolescent Turkish locals (p<0.001 and p<0.001, respectively). The average birth weight of the Syrian refugees was lower but the number of low birth weight babies was higher Turkish locals (p=0.010 and p=0.014, respectively). The preterm birth ratio and low birth weight ratio in Syrian adolescents has decreased over the years. CONCLUSION: Syrian adolescent refugees are particularly at risk of early pregnancy, high fertility rate, preterm birth, low birth weight, and anemia. Immigrant women should be provided with fertility, family planning, and training on behavior that protects reproductive health. Syrian pregnant women should be supported to receive services.


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