Adolescent pregnancy outcomes and risk factors in Malaysia.
Summary of "Adolescent pregnancy outcomes and risk factors in Malaysia."
OBJECTIVE:
To assess the outcomes and risk factors of adolescent pregnancies in 2 major hospitals in Malaysia.
METHODS:
We conducted a case-control study of pregnant girls aged 10 through 19years. The controls were women aged 20 through 35years who did not become pregnant in their adolescence. Cases and controls were matched for parity and place of delivery. Data were collected from questionnaires and the hospitals' medical records.
RESULTS:
The study included 102 cases and 102 controls. There were significant associations between adolescent pregnancy and low education level, low socioeconomic status, being raised by a single parent, not engaging in extracurricular school activities, engaging in unsupervised activities with peers after school, and substance abuse (P<0.05 for all); being anemic, being unsure of the expected delivery date, and having few antenatal visits and a late delivery booking; and low Apgar scores and perinatal complications.
CONCLUSION:
Adolescent pregnancies are high-risk pregnancies. Better sexual health strategies are required to address the associated complications.
Affiliation
Family Medicine Department, Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM) Medical Centre, Kuala Lumpur, Malaysia.
Journal Details
This article was published in the following journal.
Name: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obste
ISSN: 1879-3479
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20800837
- DOI: http://dx.doi.org/10.1016/j.ijgo.2010.06.023
Medical and Biotech [MESH] Definitions
Pregnancy, High-risk
Pregnancy in which the mother and/or FETUS are at greater than normal risk of MORBIDITY or MORTALITY. Causes include inadequate PRENATAL CARE, previous obstetrical history (ABORTION, SPONTANEOUS), pre-existing maternal disease, pregnancy-induced disease (GESTATIONAL HYPERTENSION), and MULTIPLE PREGNANCY, as well as advanced maternal age above 35.
Pregnancy In Adolescence
Pregnancy in human adolescent females under the age of 19.
Malaysia
A parliamentary democracy with a constitutional monarch in southeast Asia, consisting of 11 states (West Malaysia) on the Malay Peninsula and two states (East Malaysia) on the island of BORNEO. It is also called the Federation of Malaysia. Its capital is Kuala Lumpur. Before 1963 it was the Union of Malaya. It reorganized in 1948 as the Federation of Malaya, becoming independent from British Malaya in 1957 and becoming Malaysia in 1963 as a federation of Malaya, Sabah, Sarawak, and Singapore (which seceded in 1965). The form Malay- probably derives from the Tamil malay, mountain, with reference to its geography. (From Webster's New Geographical Dictionary, 1988, p715 & Room, Brewer's Dictionary of Names, 1992, p329)
Causality
The relating of causes to the effects they produce. Causes are termed necessary when they must always precede an effect and sufficient when they initiate or produce an effect. Any of several factors may be associated with the potential disease causation or outcome, including predisposing factors, enabling factors, precipitating factors, reinforcing factors, and risk factors.
Cardiomyopathy, Dilated
A form of CARDIAC MUSCLE disease that is characterized by ventricular dilation, VENTRICULAR DYSFUNCTION, and HEART FAILURE. Risk factors include SMOKING; ALCOHOL DRINKING; HYPERTENSION; INFECTION; PREGNANCY; and mutations in the LMNA gene encoding LAMIN TYPE A, a NUCLEAR LAMINA protein.
PubMed Articles
STUDY OBJECTIVE: The aim of this study was to determine the prevalence of gestational diabetes mellitus (GDM) and gestational impaired glucose tolerance (GIGT) in adolescent pregnancies, associated ri...
AIM: The aims of the present study were to assess the control of glycemia and other cardiovascular disease risk factors, and the association between age and these controls among older adults with type...
Nicaraguan Migration and the Prevalence of Adolescent Childbearing in Costa Rica.
This study describes the dynamics of adolescent childbearing of Nicaraguan-born and Costa Rican-born adolescents in Costa Rica and examines the association between socio-demographic factors and adoles...
Pregnancy, contraception and emergency contraception: the language of urban adolescent young women.
We sought to characterize how a group of urban adolescent females understands the domains of pregnancy, contraception, and emergency contraception (EC).
Advanced maternal age and risk perception: A qualitative study.
ABSTRACT: BACKGROUND: Advanced maternal age (AMA) is associated with several adverse pregnancy outcomes, hence these pregnancies are considered to be "high risk." A review of the empirical literature...
Clinical Trials
Pregnancy and Growth of Adolescent Mothers and Their Child
This study intends to observe the epidemiology of pregnancy and growth of adolescent mothers and their child in their first year on the development and growth ambulatory at Brasilia Univer...
Effects of a Worksite Parenting Program
Many adolescents in the U.S., even very young adolescents, are engaging in sexual risk behaviors that put them at risk for sexually transmitted diseases (STDs) and unintended pregnancy. S...
Risk Factors of Ectopic Pregnancy
The purpose of this study is to identify elements of a patient's demographics, history, and clinical presentation that may aid in differentiating between patients with an ectopic pregnancy...
HIV Risk Reduction and Drug Abuse Treatment in Malaysia
A randomized clinical trial comparing drug abuse and HIV risk reduction counseling (DC-HIV) alone, DC-HIV combined with naltrexone maintenance, and DC-HIV combined with buprenorphine maint...
Epidemiology of Thromboembolism Disease: A Cohort Study
The purpose of this study is to determine different risk factors of thromboembolic disease. Different points will be studied 1. do different types of thromboembolic disease (distal DVT,...
