ผลการตึ้งครรภ์แะการคลอดของมารดาวัยรุ่น Pregnancy and Birth Outcomes among Adolescent Mothers
Keywords:pregnancy, delivery, childbirth, adolescent mothers
AbstractThis retrospective study aimed to explore pregnancy and birth outcomes among adolescent mothers aged lower than 20 years. Data was retrieved from medical records of 1,074 mothers who had their antenatal care and gave birth at Health Promotion Center Region 6 and Khon Kaen Hospital during 1stJanuary – 31stDecember 2010. The result revealed that common complications included anemia (5.7%), hypertension (3.2%), BMI < 19.8 kg/m2before pregnancy (55.0%), gained < 8 Kg during pregnancies (15.4%), and BMI < 21.0 kg/m2at delivery (10.0%). The hematocrit < 33 vol% between 24.9 - 29.7%, thalassemia (5.4%), and thalassemia carriers (30%). VDRL and HIV positive rate of 0.3% equally, HBsAg positive (6.0%), in all of hepatitis B positive cases, 14.8% were HBeAg positive. Birth outcomes revealed that preterm labor (14.5%), prolonged 1st, 2nd, and 3rdstage of labor of 1.7%, 2.6%, and 1.4%, respectively. Complications during 1stand 2ndstages of labor were common including CPD (28.9%), fetal distress (18.0%), maternal exhaustion (15.8%), and breech presentation (13.5%). Episiotomy (92.8%), in which 1.3% had 3rd-4thdegree tear. A high prevalence of low birth weight (<2,500 gm) of 18.7%, and postpartum hemorrhage of 5.4%.
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