Obstetric Complications of Teenage Pregnancy

Article Sidebar

PDF
Published: Aug 24, 2018
Keywords:
Teenage pregnancy obstetric complication

Main Article Content

Verapol Kittipibul
Department of Obstetrics and Gynecology, MaharatNakhonRatchasima Hospital, NakhonRatchasima, Thailand

Abstract

Background: Teenage pregnancy has been social and public health problems in Thailand especially in the present decade. The number of teenage pregnancy has been increasing in which contrast to those of developed country. Teenage pregnant has low ability to manage antenatal and child care consequently resulted in poor obstetric outcomes.
Objective: To determine obstetric outcomes of teenage pregnancy compared with pregnant women (20-25 years) at MaharatNakhonRatchasima Hospital.
Design: A retrospective descriptive study.
Setting: Department of Obstetrics and Gynecology, MaharatNakhonRatchasima Hospital.
Method: A retrospective study conducted at department of Obstetrics and Gynecology, MaharatNakhonRatchasima Hospital. The study group consisted of nulliparous and singleton teenage women (13 - 19 years) who gave birth at MaharatNakhonRatchasima Hospital during October 1st 2010 to September 30th 2011. The control group consisted of nulliparous and singleton pregnant women (20-25 years) who gave birth during the same period. Demographic data, obstetric and neonatal complications were collected and compared between two groups.
Results: The study group consisted of 1,042 women (accounted for 14.9% of total pregnancy) and the control group consisted of 1,425 women. The study group had more incomplete antenatal care than control group (16.0% vs 9.0%, p<0.001). The study group had higher preterm delivery rate than those of control group (22.1% vs 14.2%, pcO.OOl). Obstetric complications were also found higher in study group compared to control group in anemia (19.3% vs 9.0%, p<0.001) and low birth weight (18.0% vs 10.3%, p <0.001). Vaginal delivery was the major route of delivery in study group while rate of cesarean section was higher in control group.
Conclusion: The teenage pregnancy rate at MaharatNakhonRatchasima Hospital was 14.9 %. Obstetric and neonatal complications of teenage pregnancy were anemia, preterm delivery, low birth weight and birth asphyxia.

Article Details

How to Cite
Kittipibul, V. (2018). Obstetric Complications of Teenage Pregnancy. MEDICAL JOURNAL OF SISAKET SURIN BURIRAM HOSPITALS, 27(1), 97–105. retrieved from https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/141956
Issue
Vol. 27 No. 1 (2012): January - April 2012
Section
Original Articles

References

1. สำนักอนามัยการเจริญพันธุ์. สถานการณ์อนามัย การเจริญพันธุ์ในวัยรุ่นและเยาวชน. [ออนไลน์]. 2554 [สืบค้น 28 พฤษภาคม 2555] ; เข้าถึงได้ที่ : URL:https://rh.anamai.moph.§๐. th/home. htm.
2. Watcharaseranee N, Pinchantra P, Piyaman S.The incidence and complications of teenage pregnancy at Chonburi Hospital. J Med Assoc Thai 2006; 89 :suppl4: s1 18-23.
3. Kittipibul S. Teenage pregnancy at Trat Hospital. J Prapokklao Hosp Clin Med Educat Center 2010;27:2: 107-14.
4. Vital signs : teenage pregnancy - United States, 1991-2009. MMWR Morb Mortal wkly Rep 2011; 60:13:414-20.
5. Mckay A. Trends in teen pregnancy in Canada with comparisons to U.S.A. and England/Wales. The Canadian Journal of Human Sexuality 2006;15:3-4: 157-61.
6. Eure CR, Lindsay MK, Graves WL. Risk of adverse pregnancy outcomes in young adolescent parturients in an inner-city hospital. Am J obstetGynecol 2002; 189: 918-20.
7. Mahavarkar SH,Madhu CK, Mule VD. A comparative study of teenage pregnancy. J Obstet Gynecol 2008;28: 6: 604 - 07.
8. Chen XK, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcome : A large population based retrospective cohort study. IntEpidemiol 2007;36:2: 368-73.
9. Corde-Agudelo A, Belizan JM, Lammers C. Maternal-Perinatal morbidity and mortality associated with adolescent pregnancy in Latin America. Cross-sectional study. Am J ObstetGynecol 2005;192:342-49.
10. Joseph NP. Pregnancy in adolescence.In: Sanfillippol S, Muram D, Dewhurst J, Lee PA, editors. Pediatric and Adolescent Gynecology.Philadelphia : Saunders; 2001:318-31.
11. Otterblad Olausson PM, Cnattingius S, Haylund B. Teenage pregnancies and risk of late fetal death and infant mortality. Br J ObstetGynecol 1999;106 :116-21.
12. Isaranurug S, Mosuwan L, Choprapawan C. Differences in socioeconomic status, service utilization, and pregnancy outcomes between teenage and adult mothers. J Med Assoc Thai 2006;89:145-51.
13. Suwannachat B, Ualalitchoowong P. Maternal age and pregnancy outcomes. Srinagarind Med J 2007;22:4:401-07.
14. พีระยุทธฺ สานุกูล, เพียงจิตต์ ธารไพรสาณฑ์. ผลการตั้งครรภ์และการคลอดของวัยรุ่นใน โรงพยาบาลส่งเสริมสุขภาพ ศูนย์อนามัยที่ 6. Thai Pharm Health Sci J 2008 ; 3:1:97-102.
15. Pattanapisalsak C. Obstetric outcomes of teenage primigravida in Su-NgaiKolok Hospital, Narathiwat, Thailand. J Med Assoc Thai 2011 ; 94:2:139-46.
16. Hoque M, Hoque S. Comparison of perinatal and obstetrics outcomes among early adolescents, late adolescents and adult pregnant women from rural South Africa. East Afr J Public Health 2010; 7:2:171-6.
17. Omole-Ohonsi A, Attah RA. Obstetric Outcome of teenage pregnancy in Kano, North-western Nigeria. West Afr J Med 2010;29:5:318-22.
18. JivrajS, Nazzal Z, Davies P, Selby K. Obstetric outcome of teenage pregnancies from 2002 to 2008 : Sheffield experience. J Obstet Gynaecol 2010 ; 30: 3:253-56.
19. Kovavisarach E, Chairaj S, Tosang K, Asavapiriyanont S, Chotigeat U. Outcome of teenage pregnancy in Rajavithi Hospital. J Med Assoc Thai 2010 ; 93:1: 1-8.
20. Debiec KE, Paul KJ, Mitchell CM, Hitti JE. Inadequate prenatal care and risk of preterm delivery among adolescents : a retrospective study over 10 years. Am J Obstet Gynecol 2010 :203:2:122.el-6.