Outcome of adolescent pregnancy in different periods: Vachira Phuket Hospital.

J Med Assoc Thai

Department of Obstetrics and Gynecology, Vachira Phuket Hospital, Phuket, Thailand.

Published: November 2012

AI Article Synopsis

  • The study examined outcomes of adolescent pregnancy over two quarters in FY 2012, focusing on factors like anemia, antenatal visits, and neonatal complications.
  • Among the 1,430 deliveries, the proportion of pregnancies in those under 20 was about 12.7% in the first quarter and 11.1% in the second.
  • Results indicated high rates of anemia and low birth weight in babies, highlighting the need for improved prenatal care for adolescents.

Article Abstract

Objective: Determine an outcome of adolescent pregnancy in different periods.

Material And Method: The retrospective descriptive study was conducted during the first and second quarter of the fiscal year (FY) 2012. Outcome of adolescent pregnancy included hematocrit, antenatal visit, stillbirth, Apgar score, low birth weight, and maternal & neonatal complication were collected.

Results: There were 1,430/1,391 deliveries in the first/second quarter of FY 2012. The proportion of adolescent pregnancy of first/second quarter, less than 20 years old, was 182/155 cases (12.7/11.1%), respectively. The satisfactory antenatal visit, at least four visits, was achieved in the high proportion of 71.9/78.0%. However the first antenatal visit in the first trimester was quite low as 17.5/20.0%. Anemia was reported in about one-third as 30.7/28.3%, while low birth weight of less than 2,500 grams accounted for up to 13.7/13.5%. Severe asphyxia of Apgar score lees than 4for longer than 5 minutes was 2.1/1.2%

Conclusion: Independent known confounding factors of adolescent pregnancy were associated with maternal anemia, and low birth weight neonate. Prenatal health care providers should pay special attention to this sensitive population.

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