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

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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References

World Health Organization. Adolescent Pregnancy; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy. [Last accessed on 2020 Oct 10].

Global Accelerated Action for the Health of Adolescents (AA-HA?): Guidance to Support Country Implementation. Geneva: World Health Organization; 2017. Available from: https://www.apps. who.int/iris/bitstream/handle/10665/255415/9789241512343-eng.pdf. [Last accessed on 2021 Apr 28].

Jalal F. Statement of the Head of BKKBN at a Press-conference of National Meeting on Population and Family Planning Program 2014. Jakarta: BKKBN; 2014.

Indonesia Demographic and Health Survey. Jakarta, Indonesia; 2017. Available from: https://www.dhsprogram.com/pubs/pdf/FR342/FR342.pdf. [Last accessed on 2021 Apr 30].

Utomo ID, Utomo A. Adolescent Pregnancy in Indonesia: A Literature Review. 2013. Available from: https://www.indonesia.unfpa.org/sites/default/files/pub-pdf/Executive_Summary_WPD_2013_%28English%29_0.pdf. [Last accessed on 2021 Apr 30].

Azevedo WF, Diniz MB, Fonseca ES, Azevedo LM, Evangelista CB. Complications in adolescent pregnancy: Systematic review of the literature. Einstein. 2015;13(4):618-26. https://doi.org/10.1590/S1679-45082015RW3127 PMid:26061075

Kumar A, Singh T, Basu S, Pandey S, Bhargava V. Outcome of teenage pregnancy. Indian J Pediatr. 2007;74(10):927-31. https://doi.org/10.1007/s12098-007-0171-2 PMid:17978452

Narukhutrpichai P, Khrutmuang D, Chattrapiban T. The obstetrics and neonatal outcomes of teenage pregnancy in naresuan university hospital. J Med Assoc Thai. 2016;99(4):361-7. PMid:27396218

Indarti J, Fattah AN, Dewi Z, Hasani RD, Mahdi FA, Surya R. Teenage pregnancy: Obstetric and perinatal outcome in a tertiary centre in Indonesia. Obstet Gynecol Int. 2020;2020:2787602. https://doi.org/10.1155/2020/2787602. PMid:32273894

Sarder MA, Alauddin S, Ahammed B. Determinants of teenager marital pregnancy among Bangladeshi women: An analysis by the cox proportional Hazard model. Soc Health Behav. 2020;3(4):137-43.

Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: A Lancet commision on adolescent health and wellbeing. Lancet. 2016;387(10036):2423-78. https://doi.org/10.1016/S0140-6736(16)00579-1 PMid:27174304

Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, et al. Adolescence and the social determinants of health. Lancet. 2012;379(9826):1641-52. https://doi.org/10.1016/S0140-6736(12)60149-4 PMid:22538179

Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. BJOG. 2014;121(1):40-8. https://doi.org/10.1111/1471-0528.12630 PMid:24641534

Thaddeus S, Maine D. Too far to walk: Maternal mortality in context. Soc Sci Med. 1994;38(8):1091-110. https://doi.org/10.1016/0277-9536(94)90226-7 PMid:8042057

Lopoo LM. Labor and delivery complications among teenage mothers. Biodemography Soc Biol. 2011;57(2):200-20. https://doi.org/10.1080/19485565.2011.614915 PMid:22329088

World Health Organization. Health Problems Associated with Adolescent Pregnancy. Pregnant Adolescents: Delivering on Global Promises of Hope. Geneva, Switzerland: World Health Organization; 2006. p. 10-5.

Macedo TC, Montagna E, Trevisan CM, Barbosa CP, Laganà AS, Bianco B. Prevalence of preeclampsia and eclampsia in adolescent pregnancy: A systematic review and meta-analysis of 291,247 adolescents worldwide since 1969. Eur J Obstet Gynecol Reprod Biol. 2020;248:177-86. https://doi.org/10.1016/j.ejogrb.2020.03.043 PMid:32283429

Mahavarkar SH, Madhu CK, Mule VD. A comparative study of teenage pregnancy. J Obstetr Gynaecol. 2008;28(6):604-7. https://doi.org/10.1080/01443610802281831 PMid:19003655

Wang CS, Chou P. Characteristics and outcomes of adolescent pregnancies in Kaohsiung County, Taiwan. J Formos Med Assoc. 1999;98(6):415-21. PMid:10443065

Althabe F, Moore JL, Gibbons L, Berrueta M, Goudar SS, Chomba E, et al. Adverse maternal and perinatal outcomes in adolescent pregnancies: The global network’s maternal newborn health registry study. Reprod Health. 2015;12:S8. https://doi.org/10.1186/1742-4755-12-S2-S8 PMid:26063350

Weng YH, Yang CY, Chiu YW. Risk assessment of adverse birth outcomes in relation to maternal age. PLoS One. 2014;9(12):e114843. https://doi.org/10.1371/journal.pone.0114843 PMid:25494176

Barker DJ, Osmond C. Infant mortality, childhood nutrition, and ischaemic heart disease in England and Wales. Lancet. 1986;1(8489):1077-81. https://doi.org/10.1016/S0140-6736(86)91340-1 PMid:2871345

Rich-Edwards JW, Stampfer MJ, Manson JE, Rosner B, Hankinson SE, Colditz GA, et al. Birth weight and risk of cardiovascular disease in a cohort of women followed up since 1976. BMJ. 1997;315(7105):396-400. https://doi.org/10.1136/bmj.315.7105.396 PMid:9277603

Law CM, Shiell AW. Is blood pressure inversely related to birth weight? The strength of evidence from a systematic review of the literature. J Hypertens. 1996;14(8):935-41. PMid:8884547

Hales CN, Barker DJ, Clark PM, Cox LJ, Fall C, Osmond C, et al. Fetal and infant growth and impaired glucose tolerance at age 64. BMJ. 1991;303(6809):1019-22. https://doi.org/10.1136/bmj.303.6809.1019 PMid:1954451

Sagili H, Pramya N, Prabhu K, Mascarenhas M, Rani PR. Are teenage pregnancies at high risk? A comparison study in a developing country. Arch Gynecol Obstet. 2012;285(3):573-7. https://doi.org/10.1007/s00404-011-1987-6 PMid:21789518

Yadav S, Choudhary D, Narayan KC, Mandal RK, Sharma A, Chauhan SS, et al. Adverse reproductive outcomes associated with teenage pregnancy. Mcgill J Med. 2008;11(2):141-4. https://doi.org/10.26443/mjm.v11i2.600 PMid:19148312

United Nations. The World’s Women 1970-1990 Trends and Statistics. New York: United Nations Publication; 1991. Available from: https://www.unstats.un.org/unsd/demographic/products/worldswomen/WW1990.pdf. [Last accessed on 2021 May 26].

Mayor S. Pregnancy and childbirth are leading causes of death in teenage girls in developing countries. BMJ. 2004;328(7449):1152. https://doi.org/10.1136/bmj.328.7449.1152-a PMid:15142897

Siña ED, Valdivieso JB, del Pino LV. Birth rates and reproductive risk in adolescents in Chile, 1990-1999. Pan Am J Public Health. 2003;14(1):3-8. https://doi.org/10.1590/s1020-49892003000600002 PMid:12952601

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Published

2021-10-08

How to Cite

1.
Nurdiawan W, Koto ARH, Zulvayanti Z, Atik N, Susiarno H, Hidayat D, Pusianawati D, Zulfa F. Comparison of Maternal and Neonatal Outcomes in Teenage and Reproductive Age Pregnancy at Tertiary Hospital in West Java, Indonesia. Open Access Maced J Med Sci [Internet]. 2021 Oct. 8 [cited 2021 Dec. 4];9(B):1080-4. Available from: https://oamjms.eu/index.php/mjms/article/view/7066

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Gynecology and Obstetrics

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