The Effectiveness of Teenage Antenatal Care Program to Reduce Unwanted Pregnancy
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Abstract
Background: Risk of adolescent pregnancy is increased with multiple complications during pregnancy and the delivery period. Maharat Nakhon Ratchasima hospital therefore had established “Teenage Antenatal Care Program” to cope with this problem. The purpose of the program is to reduce unwanted pregnancy by psychosocial support with multidisciplinary team.
Objective: To compared maternal and fetal adverse outcome of teenage pregnant receiving antenatal care program compare with other conventional antenatal care program.
Setting: Obstetrics and gynecology department, Maharat Nakhon Ratchasima hospital.
Study design: Retrospective Cohort study
Methods: Data was collected from medical records of adolescent pregnant women who delivered at Maharat Nakhon Ratchasima Hospital during October 2012 to September 2014. The subjects were divided into two groups according to antenatal care program (teenage antenatal care programs and other conventional antenatal care). Pregnancy outcomes were collected and analyzed by Chi-square.
Results: The incidence of teenage pregnancy was 14.7% (2,673 cases) of overall pregnancy. There were 14.9% of pregnant teenagers receiving teenage antenatal care program while 13.8% received other conventional antenatal care program. Pregnant teenagers receiving teenage antenatal care programs had significantly lower incidence of premature delivery (less than 34 weeks) than those who receiving other conventional antenatal care program (RR = 046, 95%CI 0.25-0.85) and premature delivery rate (less than 37 weeks) was also lesser (RR = 069, 95%CI 0.47-0.99). Incidence of low birth weight (less than 1500 grams) and operative delivery was significantly lower, RR = 0.32 (95% Cl 0.12-0.88) and 0.74 (95% Cl 0.58-0.95) respectively.
Conclusion: Teenage antenatal care programs had efficacy to reduce poor pregnancy outcomes such as preterm delivery, low birth weight and operative delivery.
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References
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