Complications Associated with Teenage Pregnancy in Nongkhai Hospital
Keywords:
Teenage pregnancy, Complication of pregnancyAbstract
Object: To compare complication of teenage pregnancy with adult pregnancy in Nongkhai Hospital.
Method: This study was a retrospective analytic cohort study. The data were collected from medical
records and the birth registration forms, from 1st January 2019 to 31st December 2019 then divided
mother into 2 groups. The study group was comprised of 281 teenage pregnancy which less than 20
years, while the control group comprised of 1,714 adult pregnancy which age 20-34 years who were
delivered in Nongkhai Hospital. Data were presented as frequency, percentage, mean, standard
deviation and were analyzed by Independent t-test, Chi square test, Fisher’s exact test and Odd Ratio
with 95% confidence interval. A p-value less than 0.05 was statistically significant.
Results: The study found that teenage pregnancy had significantly higher rate of anemia (OR 1.440;
95%CI 1.107-1.874; p=0.006), neonatal low birth weight (OR 2.132; 95%CI 1.507-3.015; p<0.001),
APGAR score less than 7 at 1 minute (OR 1.798; 95%CI 1.141-2.833; p=0.015) and meconium stain fluid
(OR 1.263; 95%CI 1.844-1.874; p=0.016). Others; gestational diabetes mellitus, placenta previa, abruptio
placenta, preterm delivery, intrauterine growth restriction, pregnancy induced hypertension,premature
rupture of membrane, postpartum hemorrhage, and APGAR score less than 7 at 5 minutes were not
significant different between the two groups.
Conclusion: Teenage pregnancy have more chance to get maternal and neonatal complications more
than adult pregnancy. They should receive proper antenatal care and effective contraception.
Keywords: Teenage pregnancy, Complication of pregnancy.
References
health database [Internet]. 2016 [cited 2018 Jun 11]; Available from: http://rhdata.anamai.moph.go.th/
index.php/ adolescent/adolescent8.
2. World Health Organization. World health statistics 2017: Monitoring health for the SDGs (Substainable
Development Goals) [Internet]. 2017 [cited 2018 Jun 7]; Available from: http://www.who.int/gho/publications
/world health statistics/2017/EN_WHS2017_TOC.
3. Strategy and Planning Division, Ministry of Public Health. Statistical Thailand 2017. Nonthaburi: Strategyand
Planning Division, Ministry of Public Health; 2017.
4. Department of Health, Ministry of Public Health. Birth statistics of Thai teenagers in 2015. Bangkok:
Agricultural Cooperatives of Thailand; 2015.
5. Office of the Royal Gazette the Secretariat of the Cabinet. Act prevention and pregnancy problems
inadolescents [Internet]. 2016 [cited 2018 Jun 1]; Available from:http://www.ratchakitcha.soc.go.th/DATA/
PDF/2559/A/030/1.PDF.
6. Thongsamrit A. Outcomes of Primiparous Pregnancy between Teenage and Adult Mothers, J Preventive
Med Assoc Thai 2017; 7(2): 223-35.
7. Pornpatkul V. Neonates outcomes from Teenage Mothers, J Preventive Med Asso Thai 2017; 7(1): 56-64.
8. Vechayansringkarn W. Pregnancy outcomes in primiparous pregnant teenagers in Bangyai Hospital, J
PrapokklaoHospClin Med Educat Center 2012; 29(2): 82-92.
9. Wanakosit S. Pregnancy outcomes between teenage pregnancy and adult pregnancy at Lahansai Hospital,
J PrapokklaoHospClin Med Educat Center 2012; 29(4): 283-92
10. Meengeonthong D., Oberdorfer P. Comparison of Complications of Teenage pregnancy and Adult pregnancy
at Sanpatong Hospital Chiang Mai, J of NakornpingHosp2018; 9(2): 41-53.
11. Anusornteerakul S. et al. Pregnancy and Birth Outcomes among Adolescent Mothers, J of Nursing Science
& Health 2013; 36(2): 46-56.
12. Suwanwanich M. Teenage Pregnancy and Adverse Birth Outcomes at Ratchaburi Hospital, Region 4-5 Med J
2016; 35(3): 37-44.
13. Lawaratanakorn B. Maternal age and neonatal outcomes, in pregnant women and child who gave birthat
Kanthaluk Hospital, J of ODPC 10thUbonRatchathani2013; 11(1): 1-9.
14. Maneepitaksanti R. Labor complications in teenage and elderly pregnancy in Pharnomsarakarm Hospital,
J of Health Science 2014; 23(1): 69-74.
15. โรงพยาบาลหนองคาย. สถิติรายงานการคลอด ประจำ�ปี 2558-2562. หนองคาย สำ�นักงานปลัดกระทรวงสาธารณสุข.
16. Saejeng K. et al. A practical guide for teenagers, Bangkok: Media Center and Kaewchaochom Publications;
2015.
17. Thongsamrit A. Outcomes of Primiparous Pregnancy between Teenage and Adult Mothers. วารสาร สมาคม
เวชศาสตร์ป้องกันแห่งประเทศไทย 2560; 7(2): 223-35.
18. Worasing T. Pregnancy outcomes between teenage pregnancy and adult pregnancy. วารสารการแพทย์
โรงพยาบาลศรีสะเกษ สุรินทร์ บุรีรัมย์ 2559; 31(2): 61-9.
19. พีระยุทธ สานุกูล. ผลการตั้งครรภ์และการคลอดของวัยรุ่นในโรงพยาบาลส่งเสริมสุขภาพ ศูนย์อนามัยที่ 6. Thai Pharm
Health SciJ 2008; 3(1): 97-101.
20. สมบัติ บุญโต. ผลการตั้งครรภ์และการคลอดของสตรีวัยรุ่นในโรงพยาบาลสมุทรสาคร. วารสารแพทย์เขต 4-5 2555; 31(4):
311-21.
Downloads
Published
How to Cite
Issue
Section
License
The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.