Nahathai Watcharaseranee MD*, Pitcha Pinchantra MD*, Somkid Piyaman MD*
Affiliation : * Department of Obstetrics and Gynecology, Chonburi Hospital, Chonburi
Objective : This study aimed to determine the incidence of teenage pregnancy and compare obstetric and
neonatal complications of teenage mothers with adult mothers.
Materials and Methods : This is a retrospective study conducted at the Department of Obstetrics and Gynecology,
Chonburi Hospital, Thailand. The study group consisted of primigravida women aged 13-20 years who gave
birth at Chonburi Hospital from 1 January 2000 to 31 December 2005. The control group consisted of
primigravida women aged 20-25 years who gave birth during the same period. Demographic, obstetric, and
neonatal complications information were collected and compared between the study and control groups.
Results : The study group consisted of 2,490 women and the control group consisted of 3,909 women. The study
found that incidence of teenage pregnancy at Chonburi Hospital was 90 cases per 1,000 mothers. The study
group had a lower gestational age at delivery than the control group and a higher preterm delivery rate
(20.1% vs 13.9%, p < 0.001). The study group had more inadequate antenatal care than control group
(25.9% vs 13.4%, p < 0.001). Vaginal delivery was the major route of delivery in study group. Anemia was a
significant difference between the study and control groups (17.1% vs 11.1%, p < 0.001). Low birth weight
infant rate in study group was higher than control group significantly.
Conclusion : The incidence of teenage pregnancy was found to be 9%. Teenage mothers had lower levels of
education and higher levels of inadequate antenatal care. Preterm labour and anemia were the obstetric
complications in the teenage pregnancy. Low birth weight was the only neonatal complication in teenage
pregnancy in the study.
Keywords : Teenage pregnancy, Preterm labor, Low birth weight
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