Abstract
Background The incidence of teenage pregnancy is increasing in the world. It is a high-risk condition leading to adverse perinatal and obstetric outcomes. This study aims to evaluate the obstetric and perinatal outcomes of teenage pregnancy in Indonesian population. Method A retrospective study was conducted to evaluate obstetric and perinatal outcomes among teenagers and average maternal age (AMA) women. We assessed all singleton live pregnancies during the year period of 2013 in Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia. Results We studied 1,676 eligible subjects during the one-year period in our centre. The prevalence of teenage pregnancy (12 to 19 years old) was 11.40% (191/1676). We found higher prevalence of eclampsia (AOR: 4.03; 95% CI: 1.73–9.39), preterm delivery (AOR: 1.5; 95% CI: 0.88–2.53), anaemia at labour (AOR: 2.42; 95% CI: 1.60–3.67), postpartum haemorrhage (AOR: 2.59; 95% CI: 0.86–7.37), and low birth weight (AOR: 2.28; 95% CI: 1.60–3.25) among teenagers. However, caesarean section was found to be significantly lower among teenage pregnancies. Conclusion Teenage pregnancy carries significant obstetric complications that should draw physicians' serious attention. A holistic, comprehensive antenatal, and preventive program should be conducted to prevent teenage pregnancy-related adverse outcomes.
Highlights
Million children are born every year to women between and 19 years old [1]
Teenage pregnancy is considered to be a high-risk condition that leads to psychological problems and adverse perinatal and obstetric outcomes [8,9,10]. ese conditions are not solved because they are the result of poor health habit and lack of nutrition [11]
Preterm birth is defined as delivery before 37 weeks of gestation. e definition of maternal anaemia is based on the criteria set by the Centres for Disease Control (CDC) with a cut-off value of 11 mg/dl for haemoglobin
Summary
million children are born every year to women between and 19 years old [1]. In low- and middleincome countries, nearly 2.5 million births occurred to girls aged under 16 years old [2]. E number is increasing in both well-developed and developing countries [2,3,4,5] It is most likely affected by multifactorial conditions, i.e., socioeconomic problems and low educational level [4, 6, 7]. Teenage pregnancy is considered to be a high-risk condition that leads to psychological problems and adverse perinatal and obstetric outcomes [8,9,10]. Several studies found various obstetric and perinatal outcomes among teenage pregnancies [10, 12]. Another study stated that a teenage antenatal clinic would result in better outcomes among teenage pregnancies [17]
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