Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

TEENAGE PREGNANCIES AND OBSTETRIC OUTCOME IN UTRECHT MEDICAL CENTRE, NETHERLANDS

Author

Nurul Jannah Binti Ismail 1 , Anneke Kwee 2 , Moy Foong Ming 1 , Si Lay Khaing 1

Institution

1 University Of Malaya, Kuala Lumpur
2 Utrecht Medical Centre, Netherlands

Abstract

Objectives: To determine the incidence of teenage pregnancies and their obstetric outcome in Utrecht Medical Centre, Netherlands.

Methods: Retrospective Cohort study was conducted at Utrecht Medical Centre (UMC), Netherlands. The data were extracted from the medical records and central database system of all teenage pregnancy with age of less than 20 year old who delivered their babies in Utrecht Medical Centre, Netherlands in 1995-2009. These data were then transferred to and analyzed using SPSS 16.0 version.

Results: A total of 424 teen age pregnancy cases are studied. The mean age of the teenage pregnancy in UMC is 18.1 + 0.05. Prevalence of teenage pregnancy was noted higher in year 1995 to 2004, in which number of teen age pregnancies are ranging from 22 to 39, compared to less than 20 in later years. Highest percentage was observed in 2004(9.2% of total deliveries). The largest age group was women with completed aged 19 years old is 46.0% (n=195). The smoking and substance abuse history were not stated completely in data base for majority of patients. Majority of them delivered term baby (n=279, 65.8%) and 25% (n=106) of them delivered preterm baby. Only 5% (n=21) had postdate delivery and 4.2% (n=18) of teen aged pregnancies experienced miscarriage. Most of the teenage pregnancy mother delivered their babies via spontaneous vaginal delivery 73.8% (n=313), followed via LSCS 17.5% (n=74), by vacuum 6.6% (n=28) and only 2.1% (n=9) by forceps. The relationship between the mother’s age and the mode of delivery is not significant. Regarding the birth weight as an obstetric outcome, 62.5% (n=265) of the babies were born with normal birth weight of 2.6 –to 4.0 kg. Babies with low birth weight (1.6-2.5kg) were 53 (12.5%), with very low birth weight (<1.5kg) were 69(16.3%), whereas 8.7%(n=37) of the babies were macrosomia with weight of >4.0kg. Among the deliveries, 28(8.8%) were recorded as neonatal death.

Conclusion: The findings are still higher in terms of preterm deliveries, low birth weight and Caesarean deliveries compared to UK and some Asian countries. Greater emphasis should be made on sex education and contraception to avoid teenage pregnancies and to enable teenagers to achieve their career in life and improve maternal and child health.