Outcome and Risk of Obstetric Complication in Teenage Pregnancy in Tertiary Center Hospital In Indonesia

KnE Medicine ◽  
2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Huthia Andriyana
Keyword(s):  
Junior High School ◽  
Teenage Pregnancy ◽  
Gestational Hypertension ◽  
Intrauterine Infection ◽  
Fetal Outcome ◽  
Teenage Mothers ◽  
Teenage Mother ◽  
Postterm Pregnancy ◽  
Tertiary Center ◽  
Physical Consequences

<p><strong>Background : </strong>Teenage pregnancy is a worldwide problem bearing serious social and medical implications relating to maternal and child health. Teenage pregnancy can have serious physical consequences and they are likely to be unmarried and uneducated. The objective of the study was to evaluate risk factors associated with teenage pregnancy and compare the obstetric and fetal outcome.<strong></strong></p><p><strong>Methods :</strong> This is a retrospective study performed over a period of 2 years (January 1, 2013 to December 31, 2014) in Dr. Cipto Mangunkusumo Hospital as tertiary center and teaching hospital in Indonesia where data was retrieved from the hospital records. Three hundred and fifty randomly selected teenage mothers (aged 12-18) who had delivery within the period were compared with 350 randomly selected deliveries in older primigravid mother (19-39 years) over the same period. Variables of interest were the demographic characteristics of the women, their obstetric complications and the outcome.</p><p><strong>Results :</strong> There were a total of 5449 deliveries during the study period, out which 372 (6.8%) were teenages. We compared 350 randomly selected teenage mothers (aged 12-18 years) with 350 randomly selected primigravid mothers (aged 19-39) over the same period. In teenage group, the mean of age was 17,3 years old, most of the teenage mother latest education were junior high school (78,3%), unemployed (55,1%), married &lt; 6 month (40,8%), unintended pregnancy (56,6%), labor husband occupation (56%).</p><p>The obstetrical complications of teenage mother were premature rupture of membrane (27,3%), preterm labor (20,9%), gestational hypertension, mild-severe preeclampsia (12,3%), intrauterine infection (10,3%), postterm pregnancy (5,7%), eclampsia (3,7%), fetal malpresentation (3,7%), labor dystocia (3,4%), HIV (0,9%) and condyloma (1,7%). Most of babies were delivered vaginally (61,3%) in gestational age under 36 weeks (57,7%) with  babies birth weight under 2500 grams (51,7%). Most of teenage mother were having IUD as contraception (78,9%).</p><strong>Conclusion :</strong> Teenage pregnancy in Indonesia is concentrated among women with less education, who are unemployed, unmarried and with inadequate antenatal care and obstetric risks for poor pregnancy outcome.

scholarly journals Postpartum Contraception in Indonesian Teenager

KnE Medicine ◽  
2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Merry Amelya
Keyword(s):  
Unintended Pregnancy ◽  
Adolescent Mothers ◽  
Contraceptive Method ◽  
Teenage Pregnancy ◽  
Transmitted Disease ◽  
Teenage Mothers ◽  
Teenage Mother ◽  
Postpartum Contraception ◽  
Unintended Pregnancies ◽  
Tertiary Center

<p><strong>Background : </strong>Teenage pregnancy is a worldwide problem bearing serious social and medical implications relating to maternal and child health. Postpartum contraception in Indonesia teenager still being controversy issue in  Indonesia, some opinion said contraception using in teenager will increase risk of sexual transmitted disease and against sociocultural. However, contraception is still important to prevent another unintended pregnancies. We aimed to evaluate the postpartum contraception preferences of teenagers.</p><p><strong>Methods : </strong>This is a cross sectional study performed over a period of 2 Years (January 1, 2013 to December 31, 2014) in Dr. Cipto Mangunkusumo Hospital as tertiary center and teaching hospital in Indonesia, 350 randomly selected teenage mothers (aged 12-19) were compared with 350 randomly adult primigravida mothers (20-39 years). Variables of interest were the demographic characteristics of the women, their obstetric complications and the outcome compare with contraception preferences.</p><p><strong>Results :</strong> There were a total of 5449 deliveries during the study period, out which 372 (6.8%) were teenagers. In teenage group, the mean of age was 17,3 years old, most of the teenage mother latest education were junior high school (78,3%), unemployed (55,1%), married &lt; 6 month (40,8%), unintended pregnancy (56,6%), labor husband occupation (56%). The most commonly used postpartum contraceptive method was IUD (78,9%), DMPA injection (10%), implant (0,3%), and some of adolescent mothers did not use contraception (10,9%). There is significantly different contraception preferences between teenage mothers and adult primigravida mothers (p=0.009). Post partum contraception preferences in teenage mothers were significantly correlate with mother occupation (p=0.002), marital status (p=0.000), marriage age (p=0.000), unintended pregnancy (p=0.004), husband occupation (p=0.000), complications during pregnancy and delivery (p=0.000), gestational age (p=0.000), and babies birth weight (p=0.000). Teenage mother were given information about contraception by doctor after she came at delivery room. The doctor offered several postpartum contraception that can be used after delivery. Teenagers select a contraceptive method with consider the benefits and risks.</p><p><strong>Conclusion</strong> <strong>:</strong> Providing adequate postpartum contraceptive education is therefore important for teenage mother.</p>

scholarly journals Término del embarazo de las adolescentes atendidas en el Hospital Verdi Cevallos Balda

2019 ◽  
Vol 3 (3) ◽  
pp. 12
Author(s):  
Betzabhé Pico Franco ◽  
Olga Pamela Cadena Orellana ◽  
Víctor Miguel Castro Bravo ◽  
Nicole Elizabeth Puga Miranda ◽  
Gustavo Iván Zambrano Intriago ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Teenage Pregnancy ◽  
Public Health Problem ◽  
Global Public Health ◽  
Cephalopelvic Disproportion ◽  
Postterm Pregnancy ◽  
Palabras Clave ◽  
First Time ◽  
The City ◽  
Global Public Health Problem

  El embarazo en adolescentes es un problema de salud pública mundial que altera la salud física, emocional, la condición educativa y económica de los futuros padres; asimismo, frecuentemente se afecta también al producto de la gestación. La investigación fue de tipo retrospectiva, correlacional y cuantitativa. La muestra fue 461 embarazadas adolescentes atendidas en el Hospital “Verdi Cevallos Balda” de la ciudad de Portoviejo durante el 2016. Los resultados de este estudio mostraron que la mayor tasa de embarazo en adolescentes se produjo en primigestas (88,72 %) de 18 años. La desproporción céfalo-pélvica fue el factor materno-fetal que ocupó el primer lugar como causa de cesárea, seguida de factores fetales como distocia de presentación y ruptura prematura de membranas.   Palabras clave: Parto espontáneo, cesárea, pretérmino, postérmino, embarazo.   Abstract Teenage pregnancy is a global public health problem that alters the physical, emotional, educational and economic condition of future parents; likewise, the gestation product is frequently affected. The research was retrospective, correlational and quantitative. The sample was 461 adolescent pregnant women treated at the Hospital "Verdi Cevallos Balda" of the city of Portoviejo during 2016. The results of this study showed that the highest rate of adolescent pregnancy occurred in first-time pregnant women (88.72 %) of 18 years. Cephalopelvic disproportion was the maternal-fetal factor that ranked first as a cause of caesarean section, followed by fetal factors such as presenting dystocia and premature rupture of membranes.   Keywords: Spontaneous delivery, cesarean section, preterm, postterm, pregnancy.

scholarly journals The impact of maternal obesity on maternal and fetal outcome

2019 ◽  
Vol 9 (1) ◽  
pp. 104
Author(s):  
Esther Kamalarani A. ◽  
Ramyajothi . ◽  
Ramalakshmi S.
Keyword(s):  
Developing Countries ◽  
Adverse Effects ◽  
Maternal Obesity ◽  
Gestational Hypertension ◽  
Developed Countries ◽  
Fetal Outcome ◽  
Health Concern ◽  
The Past ◽  
Group 2 ◽  
The Impact

Background: Obesity continues to be a global health concern. Although the increasing obesity rates in developed countries has slowed down in the past 10 years, obesity rates in developing countries continue to increase, as much as three times in some developing countries over the past 30 years. The aim of the study was to determine the adverse effects of obesity in pregnancy and maternal and fetal outcome.Methods: In all patients, a detailed history was taken and examinations and investigations were carried out.  Based on BMI (body mass index), patients were divided into 2 groups. Group 1 = patients with BMI >30 kg/m2 and Group 2 = patients with BMI <30 kg /m2.Results: In our study, comparing pregnant mothers with BMI >30 kg/m2 and normal BMI, authors found that the prevalence of maternal and fetal complications was higher in the obese group. Prevalence of antenatal complications like gestational hypertension, preeclampsia, imminent eclampsia and gestational diabetes mellitus requiring control with insulin was higher in obese women.Conclusions: Obesity is associated with increased adverse effects on pregnancy and its outcome.

Why we measure teenage pregnancy but do not count teenage mothers?

2007 ◽  
Vol 17 (4) ◽  
pp. 311-316 ◽  
Author(s):  
Mary E. Shaw ◽  
Debbie A. Lawlor
Keyword(s):  
Teenage Pregnancy ◽  
Teenage Mothers

scholarly journals Serum magnesium at 18-20 weeks of gestation: can it be a predictor of gestational hypertension and fetomaternal outcome?

2020 ◽  
Vol 9 (4) ◽  
pp. 1402
Author(s):  
Sasikala Kathiresan ◽  
Agalya Angelina Sanjevrajah ◽  
Jeyashree Kathiresan
Keyword(s):  
Pregnant Women ◽  
Gestational Hypertension ◽  
Serum Magnesium ◽  
Colorimetric Method ◽  
Fetal Outcome ◽  
Mean Value ◽  
Term Birth ◽  
Study Results ◽  
Study Participants

Background: Hypertensive disorders of pregnancy (HDP) is a major cause of maternal, fetal morbidity and mortality complicating 10% of all gestations. As effective treatments are very limited, prediction of HDP occurrence is most importance. Though many biomarkers have shown relationship with HDP, serum magnesium (Mg) has shown better predictor as involved in maintaining vascular contractility, tone. This study is intended to analyse incidence of GHT and fetomaternal outcome in pregnant women with normal and low serum magnesium level measured at mid trimester (18-20 weeks).Methods: A total of 105 consecutive singleton pregnant women in between 18-20 weeks of gestation attending OBG outpatient department were enrolled. After obtaining the informed consent, structured proforma was used to collect demographic, clinical details. Serum magnesium was measured by the colorimetric method and study participants were divided into two groups based on Mg cut off 1.5 mg/dl and followed up throughout pregnancy for fetomaternal outcome.Results: This study results revealed that 35.2% (37/105) pregnant women had serum Mg level < 1.5 mg/dl and mean value of Mg of all participant is 1.7 mg/dl, just above the lower limit. During follow-up of these two groups, statistically significant correlation between serum Mg levels (< 1.5 mg/dl) with GHT (8/12) occurrence and pre term birth was found. Other fetomaternal outcome not had significant correlation.Conclusions: As per the findings, serum Mg concentration measurement in between 18-20 weeks can be considered as a one of the predictors for subsequent occurrence of maternal outcome of GHT and fetal outcome of pre-term birth.

scholarly journals Fetal Outcome in Hypertensive Disorders of Pregnancy.

2013 ◽  
Vol 12 (1) ◽  
pp. 8-10 ◽  
Author(s):  
Arju Chand Singh ◽  
Sadikchya Singh Rana
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antihypertensive Drugs ◽  
Gestational Hypertension ◽  
Fetal Outcome ◽  
Intrauterine Fetal Death ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
Study Results ◽  
Low Birth Weight Babies

Introduction: Hypertensive disorders are the most common medical complications of pregnancy, affecting approximately 5-10% of pregnancies and the major cause of maternal and infant disease and death worldwide. Very few researches have been done in Nepal to analyze the effect of hypertension in fetus. The aim of this study was to determine the incidence and perinatal morbidity of hypertensive disorders of pregnancy. Methods: This was a hospital based prospective observational study conducted at Paropakar Maternity and Women’s hospital. The study was conducted from 18th October to 22nd December 2007. All primi and multigravid patient with BP ≥140/90 mmHg after 28 weeks of pregnancy were included in the study. Women with a blood pressure ≥140/90mmHg at or before 20 weeks of gestation, previous hypertension or women on antihypertensive drugs and Intrauterine fetal death (IUFD) were excluded from the study. Results: A total of 126 cases of hypertensive disorders of pregnancy were identifi ed among 3819 obstetric cases. The incidence of hypertensive disorders of pregnancy was 3.3%. Among 100 cases who were included in the study, 42 had pre eclampsia and 58 had gestational hypertension. Among 42 preeclamptic patients, 15(35.71%) had low birth weight babies, and 9(15.5%) babies had low birth weight among 58 gestational hypertensive mothers. Conclusions: Preeclampsia increases the risk of intrauterine growth restriction, low birth weight and stillbirth.Medical Journal of Shree Birendra Hospital; January-June 2013/vol.12/Issue1/8-10DOI:http://dx.doi.org/10.3126/mjsbh.v12i1.9083  

scholarly journals Comparison of Outcome of Teenage Pregnancy with Non- teenage pregnancy

2020 ◽  
Vol 15 (1) ◽  
pp. 28-30
Author(s):  
Deepanjali Sharma ◽  
Sailaja Ghimire ◽  
Meena Jha ◽  
Gehanath Baral
Keyword(s):  
Teenage Pregnancy ◽  
Fetal Outcome ◽  
Reproductive Age ◽  
P Value ◽  
Hypertensive Disorder ◽  
Age Group ◽  
Childbearing Age ◽  
Key Words Complications ◽  
Admission Rates ◽  
Hypertensive Disorder Of Pregnancy

Aims: To analyze the maternal and fetal outcome in teenage pregnancy (≤ 19years) with that of pregnancy at optimal childbearing age group (20- 34 years). Methodology: This was a hospital based observational analytical study conducted at Paropakar Maternity and Women’s Hospital in Kathmandu from August 2016 to February 2017.Results were analyzed using SPSS 21 taking p-value≤ 0.05 as statistically significant. Results: There were 200 cases in each group (≤19 and 20-34 years). Anemia (p=0.001), hypertensive disorder of pregnancy (p=0.001), preterm delivery (p=0.001), Cesarean Section rate (p=0.006), 5-minute Apgar score (p=0.035), low birth weight (p=0.017) and neonatal admission rates (p=0.018) were significantly high in teenage pregnancy. Conclusions: Both maternal and neonatal complications are increased in teenage pregnancy in comparison to the optimal reproductive age group. Key words: complications, pregnancy, teenage

scholarly journals A qualitative evaluation of home-based contraceptive and sexual health care for teenage mothers

2015 ◽  
Vol 17 (03) ◽  
pp. 287-297 ◽  
Author(s):  
Mark Hayter ◽  
Catriona Jones ◽  
Jenny Owen ◽  
Christina Harrison
Keyword(s):  
Sexual Health ◽  
Teenage Pregnancy ◽  
Qualitative Evaluation ◽  
Teenage Mothers ◽  
Advisory Group ◽  
Sexual Health Care ◽  
Contraceptive Service ◽  
Home Based ◽  
Qualitative Interview Study ◽  
Unplanned Pregnancies

AimThis paper reports on the findings from a qualitative study exploring the experiences of teenage mothers using a nurse-led, home-based contraceptive service designed to prevent repeat unplanned pregnancies. The aim was to understand if, and how the service was effective in equipping teenage mothers to make informed choices about contraception, thus preventing a second pregnancy.BackgroundUnplanned teenage pregnancy remains a significant focus of health and social policy in the United Kingdom (UK). Despite the long-term pattern of declining conception rates, the UK continues to report higher rates than comparable countries elsewhere in Europe. Current estimates suggest that approximately one fifth of births amongst under 18’s are repeat pregnancies (Teenage Pregnancy Independent Advisory Group, 2009). Services that are designed to reduce second unplanned pregnancies are an important element in promoting teenage sexual health. However, there has been no UK research that explores this kind of service and the experiences of service users.MethodsWe conducted a qualitative interview study. From 2013–2014 we interviewed 40 teenage mothers who had engaged with the nurse-led, home-based contraceptive service.FindingsThe data demonstrates that the service was effective in preventing repeat pregnancies in a number of cases. Among the aspects of the service which were found to contribute to its effectiveness were privacy, convenience, flexibility, appropriately timed access, the non-judgemental attitude of staff and ongoing support.

scholarly journals Trends of teenage pregnancy in Brazil, 2000-2011

2016 ◽  
Vol 62 (4) ◽  
pp. 330-335 ◽  
Author(s):  
Raquel Ferreira Vaz ◽  
Denise Leite Maia Monteiro ◽  
Nádia Cristina Pinheiro Rodrigues
Keyword(s):  
Adolescent Mothers ◽  
Teenage Pregnancy ◽  
Age Groups ◽  
National Health System ◽  
Teenage Mothers ◽  
Cross Sectional ◽  
Live Births ◽  
The North ◽  
Cross Sectional Design ◽  
Personal Decision

Summary Objective: To evaluate the frequency of teenage pregnancy in Brazil, from 2000 to 2011, in all five Brazilian macroregions and age groups (10-14 and 15-19 years), correlating it with the human development index (HDI). Method: Descriptive epidemiological study, with cross-sectional design, performed by searching the database of the National Health System (Datasus), using information from the Information System (Sinasc). Results: There was a decrease in the percentage of live births (LB) from teenage mothers (10-19 years) in Brazil (23.5 % in 2000 to 19.2 % in 2011). This reduction was observed in all Brazilian macroregions in the group of mothers aged 15 to 19 years. The number of LB increased by 5.0% among mothers aged 10-14 years (increase in the North and Northeast and decline in the other macroregions). The proportion of LB shows an inversely proportional trend to HDI score, with the Southeast having the highest HDI and the lowest proportion of LB to teenage mothers in the country. Conclusion: Brazil shows a decline in the percentage of LB to adolescent mothers, tending to be inversely related to HDI score. It is important to empower strategies to address the problem, so that teenage pregnancy is seen as a personal decision rather than the result of a lack of policies targeting adolescent health.

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