scholarly journals Outcome of Teenage Pregnancy

2014 ◽  
Vol 2 (2) ◽  
pp. 11-14 ◽  
Author(s):  
M Tripathi ◽  
A Sherchand

INTRODUCTION: Teenage pregnancy is coming up as one of the most important social and public health problem all over the world. Teenage pregnancy is a common social phenomenon with public health and medical consequences worldwide. The study was done to compare obstetric and perinatal outcome in teenage and non-teenage pregnancies. METHODS: This is a comparative study. The study duration was from 10th January 2010 to 9th January 2012. All teenage mothers (aged 13-19 completed years at delivery) delivering in the Gandaki Medical College (GMC) hospital, Pokhara were taken as cases (study group). Next 2 consecutive deliveries in the age group of 20-30 year were selected as control for each case. RESULTS: The incidence of complications in teenage primigravida (study group) compared with non-teenage (control group) deliveries were anemia (20% vs 6%), preterm labour (20 % vs 7%), Urinary tract infection(UTI) (8 % vs 4%), pre-eclampsia (4 % vs 2%) and Prelabour Rupture of Membrane(PROM) (10% vs 4%). Similarly, abnormal presentation (6% vs 2%), placenta praevia (4% vs 1%), Fetal distress(FD) (8% vs 3%), Cephalo Pelvic Disproportion(CPD) (6 % vs 2%) and Low Birth Weight(LBW) (24 % vs 9 %)were recorded respectively. In study group, 58% of the patients were delivered vaginally & 24% were delivered by caesarean section, 6% delivered by breech and 12% of patients had instrumental delivery. In non-teenage group, 74% of the patients delivered vaginally & 14% were delivered by caesarean section, 4% delivered by breech and 8% of patient had instrumental delivery.CONCLUSION: Teenage pregnant mothers had high rate of inadequate prenatal care, suffered more from anemia, UTI, & were more likely to deliver preterm and had low birth weight babies. They had high rates of operative and instrumental delivery. DOI: http://dx.doi.org/10.3126/jucms.v2i2.11168 Journal of Universal College of Medical Sciences (2014) Vol.2(2): 11-14

2021 ◽  
Vol 6 (2) ◽  
pp. 111
Author(s):  
Hepti Muliyati ◽  
Menis Mbali ◽  
Hadidja Bando ◽  
Riana Pangestu Utami ◽  
Opyn Mananta

Wasting on children is an important public health problem because of its considerable impact on their health and growth. This problem could lead to iron deficiency which could induce infection disease and probably lower a child’s intelligence as a long-term effect. This study aimed to analyze factors related to wasting on 12-59 months children in Bulili Public Health Center (PHC), Palu City. The analytical descriptive study designed with a cross-sectional approach was applied in this study. One hundred and twenty-one subject was selected from 283 children with purposive sampling technique. Data were analyzed with chi-square and Fisher exact test with significant (p < 0,05). The result showed that most children with low birth weight experienced wasting with a p-value = 0,000. Most of the children from higher-income families did not experience wasting with a p-value = 0,004. Most children who didn’t receive breastfeeding milk did not experience wasting with a p-value = 0,958. This study concluded a correlation between low birth weight and income to wasting, but breastfeeding practice was not related.


2019 ◽  
Vol 10 (1) ◽  
pp. 32
Author(s):  
Fenny Fernando ◽  
Ayu Gustia Ningsih ◽  
Melia Pebrina ◽  
Honesty Diana Morika

ABSTRAKBBLR masih terus menjadi masalah kesehatan masyarakat yang signifikan secara global mencapai 15% bayi di seluruh dunia (lebih dari 20 juta jiwa). Sangat penting Terapi pendamping menggunakan metode kangguru yang bisa digunakan untuk mencegah terjadinya hipotermi karena tubuh ibu dapat memberikan kehangatan kepada bayinya secara terus menerus dengan cara kontak antara kulit ibu dengan kulit bayi.Tujuan penelitian ini mempelajari pengaruh metode kangguru terhadap peningkatan suhu pada bayi BBLR. Jenis penelitian ini quasi eksperimen ,dengan rancangan studi rancangan yang berupaya untuk mengungkapkan hubungan sebab akibat dengan melibatkan kelompok kontrol Bayi BBLR yang melakukan perawatan dengan inkubator dan kelompok eksperimen  Bayi  BBLR yang melakukan perawatan dengan metode kanguru dengan rancangan post test only. Penelitian dilakukan pada Bulan Juni sampai dengan November 2018. Penelitian dilaksanakan di RSUD D.Rasidin dan RS TK III Dr.Reksdiwiryo Populasi adalah Seluruh ibu yang melahirkan bayi BBLR   terdata di rekam medis RSUD D.Rasidin dan RS Tk III.Reksodiwiryo  berjumlah 26 Bayi. Sampel berjumlah 26 BBLR yang diambil dengan teknik consecutive sampling. Data dianalisis  menggunakan uji Wilcoxon, dan nilai p < 0,05 dianggap bermakna secara statistik. Rerata suhu aksila kelompok metode kanguru 36,8 ±0,3  dan rerata suhu aksila pada kelompok inkubator 36,4±0,1. Rerata total kehilangan panas kering pada kelompok metode kanguru dsan inkubator sebesar 29,66 ± 0,53 J dan pada kelompok inkubator 34,28 ± 0,77 J. Hasil penelitian menyimpulkan bahwa ada pengaruh metode kangguru terhadap suhu aksila pada bayi BBLR. Disarankan hasil penelitian ini dapat dijadikan bahan perbandingan apabila dilakukan penelitian lebih lanjut mengenai perawatan yang tepat pada BBLR.Kata Kunci : BBLR, Metode Kangguru dan Inkubator THE EFFECTIVENESS OF KANGAROO METHOD ON TEMPERATURE AND HEAT LOSS IN LOW BIRTH WEIGHT BABIES (LBW)                ABSTRACTLow Birth Weight still continues to be a significant public health problem globally that reached until 15% of babies worldwide (more than 20 million people). The therapy of using the Kangaroo method can be used to prevent hypothermia because the mother's body can provide warmth to the baby continuously by contact the mother's skin with the baby's skin. The purpose of this study was to study the effect of kangaroo method on increasing temperature in Low Birth Weight. The type of research was quasi-experimental, with a design study to reveal a causal relationship between control group of Low Birth Weight infants who cared for an incubator and an experimental group for LBW infants who were treated with Kangaroo methods. This research used a post test design only. The study have done in June untill November 2018. The study was carried out in Dr.Rasidin Hospital and Dr.Reksodiwiryo Hospital. The population was all mothers who gave birth to low bith weight were recorded in the medical records of Dr.Rasidin Hospital and Reksodiwiryo Hospital. The sample amounted to 26 low birth weight taken by consecutive sampling technique. Data were analyzed using Wilcoxon Test, and p <0.05 was considered statistically significant. The mean axillary temperature of the kangaroo method group was 36.8 ± 0.3 and the mean axillary temperature in the incubator group was 36.4 ± 0.1. The average total dry heat loss in the kangaroo method was 29.66 ± 0.53 J and in the incubator group 34.28 ± 0.77 J. The results concluded that there the kangaroo method on axillary temperature in low birth weight. It is suggested that the results of this study can be used as a comparison for the next research. Keyword: Low Birth Weight, Kangaroo methode,incubator methodeE


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.


Author(s):  
Shreyasi Karmakar ◽  
Sabyasachi Bid ◽  
Tapan Kumar Maiti

Background: The study was aimed to determine the mode of delivery, maternal outcome and perinatal outcome in prolonged pregnancy.Methods: It was a prospective observational study. Uncomplicated nulliparous singleton pregnancies who have completed 37 weeks of gestation were included in the study. Inclusion and exclusion criteria were strictly followed. Total 200 cases were divided into study group and control group. Those who have crossed their Estimated date of delivery (EDD) were compared with term pregnancies (not crossed their EDD).Results: The study group and control group consist of 114 and 86 women respectively. The incidence of caesarean section (64.04%), induction of labour (50.88%) is significantly higher in the study group. It also shows that the occurrence of caesarean section (63.79%) is more in post-dated pregnant women who underwent induction of labour. The most common indication for caesarean section was fetal distress in both groups. The commonest maternal complication was prolonged labour and perinatal complication was fetal distress in both groups. The incidence of low birth weight was significantly less in post-dated pregnancy.Conclusions: Our study suggests that the incidence of induction of labour and caesarean section is significantly higher in post-dated pregnancy. Although the mean birth weight baby is more in them, a definite policy should be recommended for optimum timing of intervention to avoid maternal and perinatal complications.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (6) ◽  
pp. 948-948

In the paper, "Successful Direct Extubation of Very Low Birth Weight Infants From Low Intermittent Mandatory Ventilation Rate" by Kim and Boutwell (Pediatrics 1987;80:409-414), there is an error on p 412. The last sentence in the legend of Fig 2 should read: ΔPco2 of control group was significantly higher than that of study group during test period.


Author(s):  
Rita D. ◽  
Kiran Naik ◽  
R. M. Desai ◽  
Sphurti Tungal

Background: Teenage pregnancy due to changing social conditions, it’s important to study the implications of the maternal and fetal health. It is a serious health problem, more so in developing countries like India. Young mothers and newborns are at increased risk of anaemia, pre-eclampsia, increased rate of LSCS, PTVD, LBW, prematurity, NICU care, RDS, sepsis, IUGR. Hence, study is directed to identify the problems and their outcome.Methods: Teenage pregnant ladies between 18 to 20 years were taken up for the study. Study duration was 1 year from January to December 2016, at SDM Medical College Dharwad. During this period, all cases were included in the study, irrespective of their booking and unbooking statuses after 28 weeks of pregnancy are taken.Results: Study showed the incidence of teenage pregnancy is 10.26%. 79.2% of teenage mothers have varying grades of anaemia, 13.6% of women had eclampsia, 16.01% had preterm deliveries, LSCS rate were as high as 52%, 17.4% had instrumental deliveries, 12.5% were low birth weight neonates, 8.4% requiring NICU care and 2% were perinatal deaths due to prematurity, respiratory distress, sepsis.Conclusions: As teenage pregnancy is associated with high risk of anaemia, pre-eclampsia, eclampsia, PTVD, instrumental delivery, high rate of LSCS, prematurity, low birth weight, perinatal death. It’s important to reduce the teenage pregnancy by improving the socio-economic condition, education, public awareness, strict implementation of law, good ANC care, nutrition, access to contraceptive services, sex education.


Author(s):  
Zainab Taha ◽  
Ahmed Ali Hassan ◽  
Ludmilla Wikkeling-Scott ◽  
Dimitrios Papandreou

Both preterm birth and low birth weight (LBW) represent major public health problems worldwide due to their association with the catastrophic effects of morbidity and mortality. Few data exist about such adverse pregnancy outcomes. The current study aimed to investigate the prevalence of and factors associated with preterm birth and LBW among mothers of children under two years in Abu Dhabi, United Arab Emirates. Data were collected in clinical and non-clinical settings across various geographical areas in Abu Dhabi. The data were analyzed using both descriptive and inferential statistics. A total of 1610 mother–child pairs were included in the current study. Preterm birth rate was 102 (6.3%) with a 95% confidence interval [CI] (6.1%, 6.5%) and the LBW rate was 151 (9.4%) with a 95% CI (9.3%, 9.5%). The mean (SD) of gestational age (GA) and birth weight at delivery was 39.1 (1.9) weeks and 3080.3 (518.6) grams, respectively. Factors that were positively associated with preterm birth were Arab mothers, maternal education level below secondary, caesarean section, and LBW. LBW was associated with female children, caesarean section (CS), first child order, and preterm birth. The current study highlighted the need for further interventional research to tackle these public health issues such as reducing the high CS rate and improving maternal education.


2019 ◽  
Vol 5 (2) ◽  
pp. 25-29
Author(s):  
Juminten Saimin ◽  
Ahmad Fahmi Nugraha ◽  
Asmarani Asmarani ◽  
Ashaeryanto Ashaeryanto

Background: Malnutrition is a public health problem, especially in developing countries. Malnutrition of children can affect brain development during growth and increase morbidity and mortality. Low birth weight (LBW) plays an important role in child morbidity and mortality. The prevalence of malnutrition in children under five years old and LBW in Indonesia are still high.Objective: This study aimed to assess the risk of LBW on the incidence of malnutrition in children under five years old in coastal areas.Method: This was an observational analytic study with case control approach. The study was conducted on 64 respondents in the coastal area of Kendari City, Southeast Sulawesi on November to December 2018. Case group (n=16) was children under five years old who experienced malnutrition in the working area of Abeli, Mata and Benu-Benua Health Center in October 2018. Control group (n=48) was taken by measuring body weight and then adjusted to the category and threshold of nutritional status based on the body weight index according to age. Sixteen respondents of case group were recruited using total sampling. Forty-eight respondents of control group were also recruited using purposive sampling with non-matching method according to the inclusion and exclusion criteria. The Odd Ratio (OR) statistical test was used with a 2x2 contingency table and a 95% confidence level with a significance level of α = 0.05.Results: The majority of respondents were 25-48 months old, and maternal age was mostly 36-45 years old in the case group (37.5%) and 26-35 years old in the control group (50.0%). The majority of maternal education level was junior high school in the case group (43.7%) and high school in the control group (47.9%). The statistical test results were obtained OR = 5.923 (CI=95%) with Lower Limit (1.724) and Upper Limit (20.346).  Conclusion: Infants with LBW had a 5 times higher risk for experiencing malnutrition in childhood in coastal areas. Therefore, knowledge of LBW and malnutrition is needed to improve public health status.


2018 ◽  
Vol 14 (9) ◽  
pp. 93
Author(s):  
Kamaye Moumouni ◽  
Alido Soumana ◽  
Haoua Yahaya ◽  
Moumouni Garba ◽  
Oumarou Zaratou ◽  
...  

Background: Childbirth at an advanced age is increasing rapidly in the world. This is due to sociological changes and to the development of medically assisted procreation. There are still gaps in knowledge about the risks associated with pregnancy among older women. The objective of our study is to investigate the perinatal risk factors of pregnancy of women over the age of 35, who gave birth at Issaka Gazoby Maternity center in Niamey. Methods: It was a prospective case-control study that spread over 4 months (from January 1 to April 30, 2014). For each parturient whose age is greater than 35 years, we assigned them to two witnesses whose age is between 20 and 34 years. Data obtained from 100 women aged over 35 years and 200 women aged 20-34 years and their newborns were analyzed. Through univariate and multivariate analyses, we sought an association between maternal characteristics and perinatal prognosis. Results: The mean age of the case patients was 38.79 years. The mean age of the controls was 26.93 years. The mean parity of the cases was 6.83 children and that of the controls was 2.33 children. In the case patients, 50% of pregnancies were completed without complications compared to 51.5% of controls. The main complications were anemia, threat of preterm delivery, and pre-eclampsia. Seventy-three percent of older women underwent caesarean section. Obstructed labor, retro-placental hematoma, stationary dilation cervix, and pre-eclampsia were the main reasons for the caesarean section. The proportion of low birth weight was 27% among the case patients and 28% among the controls. Nine percent of the newborns in the cases had macrosomia as opposed to 4% in the control group. There was no significant relationship between maternal age and prematurity (OR = 0.24, 95% CI: 0.02 and 1.96, P = 0.13). Statistical analysis found no significant relationship between maternal age and low birth weight (OR = 2.37, 95% CI: 0.88 and 6.35, P = 0.07). The risk of having a low Apgar score was higher in the case patients (OR = 0.53, 95% CI: 0.32 and 0.88, P = 0.02). Older women were 2.87 times more likely to have a stillbirth child than controls (OR = 2.87, 95% CI: 1.41 and 5.83, P = 0.002). Conclusion: Neonatal mortality is higher in women over 35 years of age.


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