Outcome and Risk of Obstetric Complication in Teenage Pregnancy in Tertiary Center Hospital In Indonesia


Background : Teenage pregnancy is a worldwide problem bearing serious social and medical implications relating to maternal and child health. Teenage pregnancy can have serious physical consequences and they are likely to be unmarried and uneducated. The objective of the study was to evaluate risk factors associated with teenage pregnancy and compare the obstetric and fetal outcome.

Methods : This is a retrospective study performed over a period of 2 years (January 1, 2013 to December 31, 2014) in Dr. Cipto Mangunkusumo Hospital as tertiary center and teaching hospital in Indonesia where data was retrieved from the hospital records. Three hundred and fifty randomly selected teenage mothers (aged 12-18) who had delivery within the period were compared with 350 randomly selected deliveries in older primigravid mother (19-39 years) over the same period. Variables of interest were the demographic characteristics of the women, their obstetric complications and the outcome.

Results : There were a total of 5449 deliveries during the study period, out which 372 (6.8%) were teenages. We compared 350 randomly selected teenage mothers (aged 12-18 years) with 350 randomly selected primigravid mothers (aged 19-39) over the same period. In teenage group, the mean of age was 17,3 years old, most of the teenage mother latest education were junior high school (78,3%), unemployed (55,1%), married < 6 month (40,8%), unintended pregnancy (56,6%), labor husband occupation (56%).

The obstetrical complications of teenage mother were premature rupture of membrane (27,3%), preterm labor (20,9%), gestational hypertension, mild-severe preeclampsia (12,3%), intrauterine infection (10,3%), postterm pregnancy (5,7%), eclampsia (3,7%), fetal malpresentation (3,7%), labor dystocia (3,4%), HIV (0,9%) and condyloma (1,7%). Most of babies were delivered vaginally (61,3%) in gestational age under 36 weeks (57,7%) with  babies birth weight under 2500 grams (51,7%). Most of teenage mother were having IUD as contraception (78,9%).

Conclusion : Teenage pregnancy in Indonesia is concentrated among women with less education, who are unemployed, unmarried and with inadequate antenatal care and obstetric risks for poor pregnancy outcome.

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