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>

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 "I was tricked": understanding reasons for unintended pregnancy among sexually active adolescent girls

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Anthony Idowu Ajayi ◽  
Sally Atieno Odunga ◽  
Clement Oduor ◽  
Ramatou Ouedraogo ◽  
Boniface Ayanbekongshie Ushie ◽  
...  
Keyword(s):  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Rural Areas ◽  
Teenage Pregnancy ◽  
Formal Education ◽  
School Attendance ◽  
Clear Understanding ◽  
Sexually Active ◽  
Unintended Pregnancies ◽  
Study Setting

Abstract Background While the Kenya government is mobilizing high-level strategies to end adolescent pregnancy by 2030, a clear understanding of drivers of early unintended pregnancy in the country is a necessary precursor. In this study, we determine the prevalence, associated factors, and reasons for unintended pregnancy among sexually active adolescent girls (aged 15–19 in two Kenya counties with the highest rate of teenage pregnancy. Methods We used the “In Their Hands” (ITH) program's baseline evaluation data. The study adopted a mixed-methods design with 1110 sexually active adolescent girls in the quantitative component and 19 girls who were either pregnant or nursing a child in the qualitative. We used adjusted and unadjusted logistic regression to model factors associated with unintended pregnancy among respondents. We used a thematic analysis of qualitative data to examine girls’ reasons for having unintended pregnancy. Results Overall, 42% of respondents have had an unintended pregnancy; however, higher proportions were observed among girls who were 19 years (49.4%), double orphans (53.6%), never used contraceptive (49.9%), out-of-school (53.8%), and married (55.6%). After adjusting for relevant covariates, the odds of unintended pregnancy were higher among girls who resided in rural areas (AOR 1.64, 95% CI 1.22–2.20), had primary or no formal education (AOR 1.50 95% CI 1.11–2.02), and had never used contraceptive (AOR 1.69 95% CI 1.25–2.29) compared with their counterparts. Current school attendance was associated with a 66% reduction in the probability of having an unintended pregnancy. Participants of the qualitative study stated that the desire to maintain a relationship, poor contraceptive knowledge, misinformation about contraceptive side effects, and lack of trusted mentors were the main reasons for their unintended pregnancies. Conclusion A massive burden of unintended pregnancy exists among sexually active adolescent girls in the study setting. Adolescent boys and girls need better access to sexuality education and contraceptives in the study setting to reduce early unintended pregnancy.

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.

scholarly journals Association between sexual violence and unintended pregnancy among adolescent girls and young women in South Africa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anthony Idowu Ajayi ◽  
Henrietta Chinelo Ezegbe
Keyword(s):  
South Africa ◽  
Sexual Violence ◽  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Young Women ◽  
Teenage Pregnancy ◽  
Multivariable Analysis ◽  
Limited Attention ◽  
Cross Sectional ◽  
Unintended Pregnancies

Abstract Background Unintended pregnancy has dire consequences on the health and socioeconomic wellbeing of adolescent girls and young women (AGYW) (aged 15–24 years). While most studies tend to focus on lack of access to contraceptive information and services, and poverty as the main contributing factor to early-unintended pregnancies, the influence of sexual violence has received limited attention. Understanding the link between sexual violence and unintended pregnancy is critical towards developing a multifaceted intervention to reduce unintended pregnancies among AGYW in South Africa, a country with high teenage pregnancy rate. Thus, we estimated the magnitude of unintended pregnancy among AGYW and also examined the effect of sexual violence on unintended pregnancy. Methods Our study adopted a cross-sectional design, and data were obtained from AGYW in a South African university between June and November 2018. A final sample of 451 girls aged 17–24 years, selected using stratified sampling, were included in the analysis. We used adjusted and unadjusted logistic regression analysis to examine the effect of sexual violence on unintended pregnancy. Results The analysis shows that 41.9% of all respondents had experienced an unintended pregnancy, and 26.3% of those unintended pregnancies ended in abortions. Unintended pregnancy was higher among survivors of sexual violence (54.4%) compared to those who never experienced sexual abuse (34.3%). In the multivariable analysis, sexual violence was consistently and robustly associated with increased odds of having an unintended pregnancy (AOR:1.70; 95% CI: 1.08–2.68). Conclusion Our study found a huge magnitude of unintended pregnancy among AGYW. Sexual violence is an important predictor of unintended pregnancy in this age cohort. Thus, addressing unintended pregnancies among AGYW in South Africa requires interventions that not only increase access to contraceptive information and services but also reduce sexual violence and cater for survivors.

scholarly journals Parenting with Unintended Pregnancy in East Java, Indonesia: A Qualitative Study

2021 ◽  
Author(s):  
Sriwidi Astuti ◽  
Sapto Adi ◽  
Suci Puspita Ratih
Keyword(s):  
Unintended Pregnancy ◽  
Parenting Styles ◽  
Teenage Pregnancy ◽  
Qualitative Method ◽  
Unwanted Pregnancy ◽  
Rapid Assessment ◽  
Teenage Mothers ◽  
Assessment Procedure ◽  
Adolescent Sexual Health ◽  
Depth Interviews

Teenage pregnancy is known to significantly impact the health of mothers and babies. Lack of preparations and poor knowledge might lead teenage mothers to have difficulties in practicing good parenting. Therefore, it is essential to assess parenting styles in adolescents with unwanted pregnancy (UP). This study aimed to analyse how teenage mothers with unwanted pregnancy nurture their babies. This research used a qualitative method with Rapid Assessment Procedure (RAP) study design. In-depth interviews, triangulations and observations were employed to obtain the data. Six informants participated in this study who were chosen purposively based on the inclusion criteria. The results showed that all informants took care of their babies by themselves. However, the majority of them showed inadequate exclusive breastfeeding (EBF), immunization and posyandu (Indonesian-integrated health post system) visit. Lack of informants’ understanding was found to be the leading factor of the inadequacies. Keywords: parenting, unintended pregnancy, adolescent, sexual health

scholarly journals Association between sexual violence and unintended pregnancy among adolescent girls and young women in South Africa

2020 ◽  
Author(s):  
Anthony Idowu Ajayi ◽  
Henrietta Chinelo Ezegbe
Keyword(s):  
South Africa ◽  
Sexual Violence ◽  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Young Women ◽  
Teenage Pregnancy ◽  
Multivariable Analysis ◽  
Limited Attention ◽  
Cross Sectional ◽  
Unintended Pregnancies

Abstract Background Unintended pregnancy has dire consequences on the health and socio-economic wellbeing of adolescent girls and young women (AGYW) (aged 15-24 years). While most studies tend to focus on lack of access to contraceptive information and services, and poverty as the main contributing factor to early-unintended pregnancies, the influence of sexual violence has received limited attention. Understanding the link between sexual violence and unintended pregnancy is critical towards developing a multifaceted intervention to reduce unintended pregnancies among AGYW in South Africa, a country with high teenage pregnancy rates. MethodsDrawing from cross-sectional data obtained among AGYW in a South African university between June and November 2018, we estimated the magnitude of unintended pregnancy among AGYW and also examined the effect of sexual violence on unintended pregnancy. A final sample of 451 girls aged 17-24 years, selected using stratified sampling, were included in the analysis. We used adjusted and unadjusted logistic regression analysis to examine the effect of sexual violence on unintended pregnancy. ResultsThe analysis shows that 41.9% of all respondents had experienced an unintended pregnancy, and 25.9% of those unintended pregnancies ended in abortions. Unintended pregnancy was higher among survivors of sexual violence (54.4%) compared to those who never experienced sexual abuse (34.3%). In the multivariable analysis, sexual violence was consistently and robustly associated with increased odds of having an unintended pregnancy (AOR:1.70; 95% CI: 1.08-2.68).ConclusionAddressing unintended pregnancies among AGYW in South Africa requires interventions that not only increase access to contraceptive information and services but also reduce sexual violence and cater for survivors.

scholarly journals Unintended Pregnancy and Its Correlates among Female Attendees of Sexually Transmitted Disease Clinics in Eastern China

2013 ◽  
Vol 2013 ◽  
pp. 1-7
Author(s):  
Qiaoqin Ma ◽  
Xiaohong Pan ◽  
Gaofeng Cai ◽  
Jiezhe Yan ◽  
Yun Xu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Unintended Pregnancy ◽  
Sexually Transmitted Disease ◽  
Eastern China ◽  
Transmitted Disease ◽  
Induced Abortion ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Unintended Pregnancies

This study is to determine the prevalence of unintended pregnancy and its risk factors among the female attendees of sexually transmitted disease (STD) clinics in Zhejiang Province, China. A self-administered questionnaire survey of a cross-sectional design was administered to attendees at four STD clinics in 2007. Of the 313 female STD clinic attendees, 42.5% reported that they had at least one unintended pregnancy; the induced abortion rate was 39.0%. Over their lifetime, 12.1% responded “use condoms always/often” and 5.4% “always/often used oral contraceptives.” The risk factors for the unintended pregnancy identified by the multivariate analysis were as follows: being married, experience of nonconsensual sex, and a history of STD, having two and over two sexual partners. Unintended pregnancies and induced abortion by female STD clinic attendees have reached an alarming prevalence. Doctors at STD clinics should attach importance not only to the STD problem of the female attendees, but also to the unintended pregnancy and the associated factors. Targeted contraceptive counseling and intervention should be promoted at STD clinics as a strategy to improve the efficiency and effectiveness of the reproductive health services in China.

scholarly journals Adolescent pregnancy and its outcomes: a cross-sectional study

2018 ◽  
Vol 5 (10) ◽  
pp. 4408
Author(s):  
Radha Kumari Paladugu ◽  
Pavan Chand Donipudi ◽  
Divya Chimata ◽  
Manasa Jasti
Keyword(s):  
Adolescent Pregnancy ◽  
Adolescent Mothers ◽  
Rural Areas ◽  
Teenage Pregnancy ◽  
Public Health Problem ◽  
Teenage Mothers ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Under Nutrition

Background: Teenage or adolescent pregnancy is a major public health problem worldwide. Studies show that teenage mothers are more likely to experience pregnancy-related complications and maternal death compared to adult mothers. Hence, this study was conducted to study the socio-demographic profile and the maternal and fetal outcomes associated with teenage pregnancy and compare it with those of mothers aged 20-30 years.Methods: A cross-sectional comparative study was conducted in Government General Hospital, Guntur from April 2016 to October 2016. 50 adolescent mothers aged <19 years and 50 mothers aged 20-30 years were respectively selected as cases and controls. Data on socio-demographic profile, obstetric complications and fetal outcome was collected using a pre-designed, pre-tested, semi-structured questionnaire by face-to-face interview. Data was analysed by entering it in MS Excel worksheet.Results: Mean age was 18.2 years in adolescent mothers and 23.2 years in controls. Mean age at marriage was 17.3 years in adolescent mothers and 19.9 years in adults. Among teenage mothers 48% were Hindus, 72% upper lower socio-economic class, 88% from rural areas, 32% illiterates, 72% housewives and 32% had consanguineous marriages. Prevalence of under-nutrition (36% vs 14%, p<0.05), PROM (20% vs 4%, p<0.05), PPH (20% vs 4%, p<0.05) was significantly higher in adolescent mothers compared to adults. Prevalence of PIH was significantly lower in adolescent mothers compared to adults (8% vs 28%, p<0.05).Conclusions: Complications like maternal under-nutrition, PROM, PPH, preterm delivery and low birth weight babies were higher in teenage mothers compared to adult mothers. PIH was higher in adult mothers compared to adolescent mothers.

scholarly journals Association Between Sexual Violence and Unintended Pregnancy Among Young Girls in South Africa

2020 ◽  
Author(s):  
Anthony Idowu Ajayi ◽  
Henrietta Chinelo Ezegbe
Keyword(s):  
South Africa ◽  
Sexual Violence ◽  
Unintended Pregnancy ◽  
Teenage Pregnancy ◽  
Multivariable Analysis ◽  
Limited Attention ◽  
Cross Sectional ◽  
Young Girls ◽  
Unintended Pregnancies ◽  
Final Sample

Abstract Background: Unintended pregnancy has dire consequences on the health and socioeconomic wellbeing of young girls (aged 15–24 years). While most studies tend to focus on lack of access to contraceptive information and services, and poverty as the main contributing factor to early-unintended pregnancies, the influence of sexual violence has received limited attention. Understanding the link between sexual violence and unintended pregnancy is critical towards developing a multifaceted intervention to reduce unintended pregnancies among young girls in South Africa, a country with high teenage pregnancy rates.Methods: Drawing from cross-sectional data obtained among young girls in a South African university between June and November 2018, we estimated the magnitude of unintended pregnancy among young girls and also examined the effect of sexual violence on unintended pregnancy. A final sample of 451 girls aged 17–24 years, selected using stratified sampling, were included in the analysis. We used adjusted and unadjusted logistic regression analysis to examine the effect of sexual violence on unintended pregnancy.Results: The analysis shows that 41.9% of all respondents had experienced an unintended pregnancy, and 25.9% of those unintended pregnancies ended in abortions. Unintended pregnancy was higher among survivors of sexual violence (57.0%) compared to those who never experienced sexual abuse (36.8%). In the multivariable analysis, sexual violence was consistently and robustly associated with increased odds of having an unintended pregnancy (AOR:1.76; 95% CI: 1.07–2.90).Conclusion: Addressing unintended pregnancies among young girls in South Africa requires interventions that not only increase access to contraceptive information and services, but also reduce sexual violence and cater for survivors.

scholarly journals Association between sexual violence and unintended pregnancy among adolescent girls and young women in South Africa

2020 ◽  
Author(s):  
Anthony Idowu Ajayi ◽  
Henrietta Chinelo Ezegbe
Keyword(s):  
South Africa ◽  
Sexual Violence ◽  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Young Women ◽  
Teenage Pregnancy ◽  
Multivariable Analysis ◽  
Limited Attention ◽  
Cross Sectional ◽  
Unintended Pregnancies

Abstract Background Unintended pregnancy has dire consequences on the health and socioeconomic wellbeing of adolescent girls and young women (AGYW) (aged 15-24 years). While most studies tend to focus on lack of access to contraceptive information and services, and poverty as the main contributing factor to early-unintended pregnancies, the influence of sexual violence has received limited attention. Understanding the link between sexual violence and unintended pregnancy is critical towards developing a multifaceted intervention to reduce unintended pregnancies among AGYW in South Africa, a country with high teenage pregnancy rates. Thus, we estimated the magnitude of unintended pregnancy among AGYW and also examined the effect of sexual violence on unintended pregnancy. Methods Our study adopted a cross-sectional design, and data were obtained from AGYW in a South African university between June and November 2018. A final sample of 451 girls aged 17-24 years, selected using stratified sampling, were included in the analysis. We used adjusted and unadjusted logistic regression analysis to examine the effect of sexual violence on unintended pregnancy. Results The analysis shows that 41.9% of all respondents had experienced an unintended pregnancy, and 25.9% of those unintended pregnancies ended in abortions. Unintended pregnancy was higher among survivors of sexual violence (54.4%) compared to those who never experienced sexual abuse (34.3%). In the multivariable analysis, sexual violence was consistently and robustly associated with increased odds of having an unintended pregnancy (AOR:1.70; 95% CI: 1.08-2.68). Conclusion Our study found a huge magnitude of unintended pregnancy among AGYW. Sexual violence is an important predictor of unintended pregnancy in this age cohort. Thus, addressing unintended pregnancies among AGYW in South Africa requires interventions that not only increase access to contraceptive information and services but also reduce sexual violence and cater for survivors.

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