Teenage Pregnancy: Obstetric and Perinatal Outcome in a Tertiary Centre in Indonesia

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.

Characteristics and Adverse Outcomes of Chinese Adolescent Pregnancy Between 2012 and 2019: An Observational Study of 438 Health Facilities

“…In terms of adverse perinatal outcomes, consistent with previous studies [6][7][8]10,11 , We found that compared with adult pregnant women, adolescent mothers had an increased risk of stillbirth, preterm birth, SGA, and low-birthweight, and the degree of risk decreased with age. We found that compared with adult pregnant women, adolescent mothers had an increased risk of stillbirth, preterm birth, SGA, and low-birthweight, and the degree of risk decreased with age.…”

“…They do not have the ability to live independently, and they are not physically or psychologically ready for pregnancy. Premature pregnancy has adverse effects on health 1,2,[6][7][8]10,11,19,22,[28][29][30] . Our study demonstrated that higher risks of eclampsia, severe anaemia, and MNM were observed at a gestational age greater than 37 weeks among adolescent mothers compared with mothers aged 20-24 years.…”

“…Studies from high-or low-income countries have consistently reported that adolescent pregnancies are at increased risk for some adverse maternal and perinatal outcomes, such as eclampsia 6,7 , puerperal endometritis 6 , stillbirth 8 , low birth weight (LBW) 9,10 , preterm delivery [8][9][10][11] , small-for-gestation-age (SGA) 10 , and intra-hospital early neonatal death 6,8 . Gestational age is the major determinant of maternal and neonatal health, but the association between the range of gestational age and the risk of adolescent pregnancies has rarely been investigated 12,13 .…”

The Impact of Nifedipine on Maternal and Fetal Blood Stream on the Threat of Preterm Labor: an Experimental Study

“…Primigravida increases the risk of preterm labor associated with young age at rst pregnancy and lack of knowledge and awareness from mothers about the importance of good antenatal care. 21,22 The highest incidence of preterm labor in this study occurred In this study 12 patients (40%) had anemia, this is in accordance with the data from WHO in 2016 that 42% of pregnant women in Indonesia was found with anemia. Anemia is known as an important risk for preterm labor, and poor labor outcomes.…”

Komplikasi Maternal Dan Luaran Bayi Baru Lahir Pada Kehamilan Remaja Di Rumah Sakit Umum Daerah Kanjuruhan, Kepanjen, Malang

“…Hasil penelitian pada tingkat komunitas secara retrospektif yang dilakukan di Zambia pada 1291 kehamilan remaja didapatkan 0.07% terjadi pada usia 10-15 tahun, 26.9% terjadi pada usia 16-17 tahun, dan 51,6% pada usia 18-19 tahun (Moraes, 2018). Prevalensi ini sedikit berbeda dengan survey yang dilakukan pada 1676 persalinan selama tahun 2013 di RSCM Jakarta, didapatkan kehamilan remaja sejumlah 11, 4% dan 13.1 % berusia 16-19 tahun (Indarti, 2020…”