Document Detail


Differences in socio-economic status, service utilization, and pregnancy outcomes between teenage and adult mothers.
MedLine Citation:
PMID:  16578999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Teenage pregnancies put mothers at high-risks to many health-related complications and newborn infants to poor birth-outcomes. OBJECTIVE: The present study aimed to explore the relationship of socio-economic status, service utilization, and pregnancy outcomes between teenage and adult mothers. MATERIAL AND METHOD: The study design was a population-based prospective cohort study conducted in four districts located in different geographical areas of Thailand All pregnancies occurring within one year, in each of the selected districts as of October 2000, were identified and recruited as the study's cohorts. Data was collected by interviewing cohort-respondents and through reviewing medical records. RESULTS: The present study showed that teenage pregnancies accounted for 13.3% of all pregnancies in the study area. Approximately two thirds of the teenage cohort (i.e. 68.8%) were 18-19 years of age, while the remaining cohort members were 14-17 years of age (i.e. 26.1% aged 16-17 years, and 5.1% aged 14-15 years). The percentage of low-birth weights for teenage and adult mothers were 15.1% and 8.8% respectively. A higher percentage of teenage mothers enrolled in or completed secondary or higher levels of education has had more abnormal deliveries in comparison with adult mothers. In comparison with the non-teenage mothers, a greater proportion of teenage mothers had insufficient income, did not own their homes/houses, were single parents, had fewer consultations with health personnel, did not plan their pregnancy, were pregnant for the first time, and delivered infants with low-birth weights. CONCLUSION: The prevalence of teenage pregnancies in Thailand remains high. Most teenage mothers and their newborn infants are vulnerable to a variety of potentially serious health problems, and accordingly need appropriate help and support.
Authors:
Sirikul Isaranurug; Ladda Mo-Suwan; Chanpen Choprapawon
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  89     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-04-03     Completed Date:  2006-04-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  145-51     Citation Subset:  IM    
Affiliation:
ASEAN Institute for Health Development, Mahidol University, Salaya Campus, Phutthamonthon 4 Rd, Phutthamonthon, Nakhon Pathom 73170, Thailand.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Cohort Studies
Female
Humans
Infant Mortality / trends
Infant, Newborn
Maternal Mortality / trends
Mothers / statistics & numerical data*
Patient Acceptance of Health Care / statistics & numerical data*
Pregnancy / statistics & numerical data*
Pregnancy Complications / diagnosis,  epidemiology*
Pregnancy Outcome*
Pregnancy in Adolescence / statistics & numerical data*
Prenatal Care / trends
Probability
Prospective Studies
Risk Assessment
Socioeconomic Factors
Thailand

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