ปัญหาของการตั้งครรภ์และการคลอดของหญิงตั้งครรภ์วัยรุ่นในโรงพยาบาลส่งเสริมสุขภาพ ศูนย์อนามัยที่ 4 ราชบุรี

บทคัดย่อ

          Data were collected from 1,314 nulliparous pregnant women who delivered at Health Promotion Hospital Region 4 Ratchaburi from Jan. 2002 - Apr. 2003. To study risk factor of adolescent pregnancy group (< 20 yrs.) compared with adult pregnancy group (≥ 20 yrs.) and to study risk factor trend by devided population into 4 range of age. (< 17 yrs. , 17-19, 20-24 and ≥ 25 yrs) We found poor antenatal care (P = 0.01) and preterm labor (P = 0.023) in adolescent pregnancy were significant higher than adult pregnancy. And we also found more risk factor were significant higher in the youngest group (< 17 yrs.) such as height less than 1.5 meter, blood HBsAg positive, anemia and birth asphyxia at 5 minute.

          From this study we concluded that poor antenatal care and preterm labor were higher in adolescent pregnancy and more problems were found in younger adolescent especially < 17 yrs. We should take care of adolescent pregnancy more closely than adult pregnancy about risk factor and mental health especially in younger age. We suggested that adolescent pregnancy should have good antenatal care and special teenage pregnancy clinic should be set up to improve better pregnancy outcome.