Maternal and Neonatal Outcomes of Adolescent Pregnancies at Chana Hospital, Songkhla Province
Keywords:
Adolescent, Maternal, Neonatal, PregnancyAbstract
Background: Adolescent pregnancy carries a high risk of complications of pregnancy and childbirths due to physical immaturity and lack of preparedness, affecting quality of life. Objective: This study aimed to analyze maternal and neonatal outcomes of adolescent pregnancies at Chana Hospital, Songkhla Province. Methods: A retrospective cohort study analyzed women who gave birth at Chana Hospital (2019-2022), divided into adolescents (aged 10-19) and adults (aged 20-34), with 107 participants per group. Data from medical records were analyzed using inferential statistics, including log-binomial regression to calculate adjusted relative risks (ARR) with 95% confidence intervals. Results: Adolescent mothers had the first antenatal care visit after 12 weeks and got less than five visits attendance (p = .010), urinary tract infections (ARR =7.76, 95%CI: 1.59, 37.78, p = .011), neonatal complications including respiratory distress syndrome (ARR = 18.56, 95%CI: 3.29, 104.59, p = .001), preterm birth (ARR = 4.30, 95%CI: 1.07, 17.34, p = .040), and low birth weight (< 2,500 grams) (ARR = 2.54, 95%CI: 1.07, 6.01, p = .034) significantly more than adult mothers. They also had lower pre-pregnancy planning and the first six months exclusive breastfeeding rate lower than adult mothers (p < .001). Additionally, adolescent mothers had lower rates of pre-pregnancy planning and exclusive breastfeeding in the first six months compared to adult mothers (p < .001) Conclusion: Adolescent pregnancy is associated with higher risks of urinary tract infections and neonatal complications such as respiratory distress, low birth weight, and preterm birth. Adolescent mothers also lacked pre-pregnancy planning and had significantly lower exclusive breastfeeding rates in the first six months. Therefore, promoting sexual and reproductive health are essential. This requires support from both family and community to promote physical and mental well-being among adolescent pregnancy.
References
Adolescent pregnancy [Internet]. [cited 2023 Aug 11]. Available from: https://www.who.int/news-room/ fact-sheets/detail/adolescent-pregnancy
Kittipong S. Meeting of the Academic Position Consideration Committee, Session 1/2023: Progress on the Development of the Health Promotion and Environmental Health Surveillance System [Internet]. 2023 [cited 2024 Nov 14]. Available from: https://planning.anamai.moph.go.th/th/surveillance-report/ download?id=97984&mid=36282&mkey=m_document&lang=th&did=301043
Gibbs CM, Wendt A, Peters S, Hogue CJ. The impact of early age at first childbirth on maternal and infant health. Paediatr Perinat Epidemiol 2012;26 Suppl 1(0 1):259-84.
Moore E, Blatt K, Chen A, Hook J, DeFranco E. Effect of smoking behavior and teen pregnancy on preterm birth risk [276]. Obstet Gynecol 20151;125(Suppl 1):89S.
Hacker M, Firk C, Konrad K, Paschke K, Neulen J, Herpertz-Dahlmann B, et al. Pregnancy complications, substance abuse, and prenatal care predict birthweight in adolescent mothers. Arch Public Health 2021;79(1):137.
Nguyen PH, Sanghvi T, Tran LM, Afsana K, Mahmud Z, Aktar B, et al. The nutrition and health risks faced by pregnant adolescents: Insights from a cross-sectional study in Bangladesh. PLoS ONE 2017;12(6):e0178878.
Maduforo AN, Okoro CE, Chikwendu JN, Ndiokwelu C, Asogwa G, Aloysius-Maduforo MC, et al. Infant feeding practices, prevalence of adolescent motherhood and malnutrition among infants in Mangu Local Government Area, Plateau State, Nigeria. Ann Glob Health 2024;90(1):44.
Li H, Pu Y, Li Z, Jin Z, Jiang Y. Socioeconomic inequality in teenage pregnancy in Papua New Guinea: a decomposition analysis. BMC Public Health 2023;23(1):2184.
Al-Matary A, Ali J. Controversies and considerations regarding the termination of pregnancy for Foetal Anomalies in Islam. BMC Med Ethics 2014;15(1):10.
Songkhla Province drives efforts to prevent and address adolescent pregnancy issues, supporting the establishment of Parent Schools and promoting open communication about sexuality within families [Internet]. [cited 2024 Nov 14]. Available from: https://www.songkhla.go.th/news/detail/7241
Ranjbar A, Shirzadfard Jahromi M, Boujarzadeh B, Roozbeh N, Mehrnoush V, Darsareh F. Pregnancy, childbirth and neonatal outcomes associated with adolescent pregnancy. Gynecol Obstet Clin Med 2023;3(2):100-5.
ACOG Practice Bulletin No. 102: management of stillbirth. Obstet Gynecol 2009 113(3):748-61.
Health in 2015: from MDGs to SDGs [Internet]. [cited 2024 Nov 14]. Available from: https://www.who.int/ data/gho/publications/mdgs-sdgs
Vogel JP, Pileggi-Castro C, Chandra-Mouli V, Pileggi VN, Souza JP, Chou D, et al. Millennium development goal 5 and adolescents: looking back, moving forward. Arch Dis Child 2015;100(Suppl 1):S43-7.
Diorio de Souza H, Hase EA, Knippel Galletta MA, Rodrigues Mota Diorio G, Lippi Waissman A, Pulcineli Vieira Francisco R, et al. Urinary bacterial profile and antibiotic susceptibility in pregnant adolescents and pregnant low obstetric risk adult women. Infect Drug Resist 2021;14:2829-41.
Delzell JE, Lefevre ML. Urinary tract infections during pregnancy. Am Fam Physician 2000;61(3):713-21.
Cohen R, Gutvirtz G, Wainstock T, Sheiner E. Maternal urinary tract infection during pregnancy and long-term infectious morbidity of the offspring. Early Hum Dev 2019;136:54-9.
Balachandran L, Jacob L, Al Awadhi R, Yahya LO, Catroon KM, Soundararajan LP, et al. Urinary tract infection in pregnancy and its effects on maternal and perinatal outcome: a retrospective study. Cureus 2022;14(1):e21500.
Amoadu M, Hagan D, Ansah EW. Adverse obstetric and neonatal outcomes of adolescent pregnancies in Africa: a scoping review. BMC Pregnancy Childbirth 2022;22(1):598.
Althabe F, Moore JL, Gibbons L, Berrueta M, Goudar SS, Chomba E, et al. Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network's Maternal Newborn Health Registry study. Reprod Health. 2015;12 Suppl 2(Suppl 2):58.
Gonzalez-Andrade F, Saeteros-Cordero X. Pregnancy in adolescence and adverse neonatal outcomes in Ecuadorian mestizo newborns. Pediatr Neonatol 2020;61(2):216-23.
Kawakita T, Wilson K, Grantz KL, Landy HJ, Huang CC, Gomez-Lobo V. Adverse maternal and neonatal outcomes in adolescent pregnancy. J Pediatr Adolesc Gynecol 2016;29(2):130-6.
Diabelková J, Rimárová K, Dorko E, Urdzík P, Houžvičková A, Argalášová Ľ. Adolescent pregnancy outcomes and risk factors. Int J Environ Res Public Health 2023;20(5):4113.
Jaiboon K. Exploring Region 12's solution to 'maternal mortality after childbirth,' achieving over a 50% reduction in just two years. [internet] 2023 [cited 2024 Nov 14]. Available from: https://www.thecoverage. info/news/content/5775
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Department of Medical Services, Ministry of Public Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของกรมการแพทย์ กระทรวงสาธารณสุข
ข้อความและข้อคิดเห็นต่างๆ เป็นของผู้เขียนบทความ ไม่ใช่ความเห็นของกองบรรณาธิการหรือของวารสารกรมการแพทย์
