Abstracts

Prevalence of Teenage Pregnancies and Obstetric Outcomes in Hospital Tuanku Ja’afar Seremban (HTJS), Negeri Sembilan, Malaysia: A Retrospective Study

POB 51 / Obstetrics

Kavitha Nagandla1, Krishna Kumar2, Faridah Hanim Binti Zam Zam3, Lee Hong Wei4, Liow Ying Wei4, Kiong Chean4, Quistina Akmal Yunos Kamdi4
1Senior Lecturer, Department of O&G, International Medical University, Seremban
2Consultant and Head of Department O&G, Hospital Tuanku Ja’afar, Seremban
3Specialist, Department O&G, Hospital Tuanku Ja’afar, Seremban
4Semester 8 students, International Medical University, Seremban

Objective: To determine the prevalence of teenage pregnancy and compare their obstetric and perinatal outcomes with non-teenage pregnancies.

Method: Records of teenage pregnant women aged between 11-19 from National Obstetric Registry, Malaysia (NOR) of Hospital Tuanku Ja’afar Seremban over a 12 month period between May 2015 and May 2016 were selected (n=164). For each pregnant woman, socio-demographic profile, obstetric outcomes and perinatal outcomes were determined. The results were compared with a control group comprised of 169 pregnant women aged 20-30 years, who also delivered in Hospital Tuanku Ja’afar Seremban in the same period.

Results: The prevalence of teenage pregnancy was 2.8%. The mean age of the teenage group was 17.98 whereas the control group was 26.42. The study showed that teenage mothers had a significantly higher risk of anemia (p=0.005), episiotomy (p<0.0001), preterm labour (p=0.001) and delivering low birth weight babies (p=0.001). There were no significant differences in mode of delivery, antenatal complications, birth outcomes, APGAR score at 5th minutes and neonatal complications between the two groups.

Conclusion: Teenage pregnancy was correlated with increased risks of anemia, episiotomy, preterm labour and delivering low birth weight babies.

Keywords: Teenage pregnancies, prevalence, obstetric outcomes, perinatal outcomes