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Obstetric outcomes of teenage pimigravida in Su-Ngai Kolok Hospital, Narathiwat, Thailand.
MedLine Citation:
PMID:  21534358     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Teenage primigravida cause high morbidity and mortality to mother and fetus.
OBJECTIVE: To compare obstetric outcomes of teenage pregnancy with reproductive-age pregnancy (20-34 years), with a focus on the risk of low birth weight and anemia.
MATERIAL AND METHOD: A historical cohort study of 2922 primigravida women who gave birth between January 2005 and December 2009 at Sungaikolok Hospital Narathiwat was done. The patients were divided into two groups to compare the obstetric outcomes. The study group was composed of 796 cases ofteenage pregnancies (< 20 years) and the control group was composed of 2126 cases of reproductive-age pregnancies (20-34 years).
RESULTS: Twenty-seven percent of these patients were teenage pregnancies. The teenage group received less adequate antenatal care (<4 visits), and less education than the reproductive group (p < 0.05). The study group had a significantly higher incidence of anemia (23.6%) low birth weight (16.3%), and pre-term (10.3%) than the reproductive control group, (p < 0.05). After controlling for other factors by logistic regressing analysis, poor antenatal care (<4 visits) was significantly associated with low birth weight and anemia in teenage pregnancy with an odds ratio of 1.9 and 1.5 respectively Private antenatal care was significantly associated with lower anemia (odds ratio 0.7) and low birth weight (odds ratio 0.6).
CONCLUSION: Teenage pregnant women had less education and antenatal care than the reproductive-age group. Teenage pregnancy had an increased risk of adverse obstetric outcomes, especially, low birth weight and anemia.
Authors:
Chaiwat Pattanapisalsak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  94     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-05-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  139-46     Citation Subset:  IM    
Affiliation:
Division of Obstetrics and Gynecology Su-ngai Kolok Hospital, Narathiwat, Thailand. namo_nano@hotmail.com
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