Comparison of Maternal and Neonatal Outcomes in Teenage and Reproductive Age Pregnancy at Tertiary Hospital in West Java, Indonesia

Windi Nurdiawan; Ahmad Raihan Hidayat  Koto; Zulvayanti  Zulvayanti; Nur  Atik; Hadi  Susiarno; Dini  Hidayat; Dini  Pusianawati; Fadhilah  Zulfa

doi:10.3889/oamjms.2021.7066

Authors

Windi Nurdiawan Department of Obstetrics and Gynaecology, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, West Java, Indonesia https://orcid.org/0000-0003-1298-7941
Ahmad Raihan Hidayat Koto Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia
Zulvayanti Zulvayanti Department of Obstetrics and Gynaecology, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, West Java, Indonesia
Nur Atik Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia https://orcid.org/0000-0001-5951-4733
Hadi Susiarno Department of Obstetrics and Gynaecology, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, West Java, Indonesia
Dini Hidayat Department of Obstetrics and Gynaecology, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, West Java, Indonesia
Dini Pusianawati Department of Obstetrics and Gynaecology, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, West Java, Indonesia
Fadhilah Zulfa Department of Obstetrics and Gynaecology, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, West Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7066

Keywords:

Obstetrics outcome, Teenage pregnancy, Reproductive age pregnancy, Referral hospital, Neonatal outcome

Abstract

Aim: This study was aimed to compare the maternal and neonatal outcomes among teenage and reproductive-age pregnancies.

Patients and methods: This was a cross-sectional study of pregnant mothers in Hasan Sadikin General Hospital, the tertiary referral hospital in West Java, Indonesia. Patients who gave birth during January 2015-December 2018 were included and divided into two groups (teenage and reproductive-age pregnancy). Their medical record data then were evaluated to compare both maternal and neonatal outcomes.

Results: The incidence of teenage pregnancy was 10.05%. A total of 3810 patients were recruited. The teenage mothers were 522 subjects and reproductive-age mothers were 3288 subjects. The incidence of eclampsia (5.2% vs 1.9%, p<0.001), anaemia (18.4% vs 14.9%, p=0.040), and preterm delivery (27.2% vs 18.6%, p<0.001) were more frequent in teenage pregnancies. Teenage mothers also had a higher percentage of low-birth-weight babies (42.3% vs 36.2%, p=0.007).

Conclusion: Teenage pregnancies also had a higher risk of eclampsia, anaemia, preterm delivery, and having low-birth-weight babies. More efforts to prevent teenage and high-risk pregnancy are needed, especially in rural areas.

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