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HERDIN Record #: R03-AUF-1610261616346 Submitted: 27 October 2016 Modified: 15 March 2019

Teenage pregnancy associated maternal complications and fetal outcomes in Rafael Lazatin Memorial Medical Center from 2011 to 2013: a retrospective study.

Agnes Gaddi,
Maria Dolores Mercado,
Claudine S. Ong,
Jay Mark Z. Ong,
Angeli Katrine M. Pamintuan,
Marianne G. Panlilio,
Earl Kim Perena,
Upendra Poudel,
Elaine V. Puno,
Timothy C. Samole,
Kristianne Ciara H. San Andres,
Marjorie L. Santos,
Lou Anthony S. Sico,
Soni Shresta,
Bernadette A. Songco,
Flora Mae G. Sta. Ines,
Mary Rose L. Sy,
Monica D. Tan,
Joseph John S. Tayag,
Kristine A. Tibe,
Kenusha Devi Tiwari,
Katrina Joy A. Tumang,
Essie Joyce Q. Tungul,
Roxanne P. Unggayan,
Jade Justine M. Zita,
Kristel Marie P. Anunciacion,
Flanz Calvelo,
Bianca P. Hipolito

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          Teenage pregnancy remains and continues to rise as social and health problems in the country and globally.  It is an important part of the public health issue and often occurs in the context of poor social support and maternal well-being.  In the Philippines, according to WHO; among adolescents, the fertility rate was 54 per thousand women. 

          A retrospective  cross sectional study was done targeting adolescent women who delivered at Rafael Lazatin Memorial Medical Center from 2011 to 2013.  The respondents include all teenage mothers with ages 13-19 years old.  Data were collected and based on the medical records of the hospital, they were tabulated, analyzed, and interpreted.  Frequency and distribution were used to determine the number of respondents belonging to each variable identified in the study.

          There were a total of 8497 deliveries during the study period, of which 1512 (17.79) were teenage mothers.  Adolescents aged 19 years have the highest overall prevalence of (34.72%) as compared to those aged 13 years with lowest prevalence (0.20%).  Primiparous teenage women outnumbered the multiparous teenage women (78.84%) and (21.16%) respectively.  Normal spontaneous delivery (84.66%) predominates as the mode of delivery followed by Dilatation and Cruttage (5.42%) and Caesarean section (4.96%) which is the least.  Majority of the respondent currently lives in Porac which composed of (7.61%) of the 1512 adolescent pregnancies delivered.

          Most of teenage pregnant mothers had uncomplicated pregnancies (79.30%).  The most significant maternal complication observed in the stufy includes Preterm Labor (5.09%), Incomplete Abortion (4.83%), and UTI (2.05%).

          Adolescent pregnancies with no fetal complications (96.76%) outnumbered those with complications (3.24%); the most common complications found are: Fetal Distress (0.93%), Still Birth (0.79%), and Small for Gestational Age (0.53%)..

          Conclusion: Adolescent women living in rural areas have higher incidence of pregnancy as compared to those living in urban area and which maybe due to illiteracy, poverty, lack of sex education or family life education. Preterm labor is the most prevalent maternal complication. For the fetal complications, they include fetal distress, stillbirth, and small for gestational age which might be attributable to preterm. It is our recommendation that education regarding teenage pregnancy and its associated complications be included on health programs, better prenatal, natal, and postnatal care provided in birthing clinics, government and private hospitals would certainly help in promoting the health and wellness of the adolescent mother and her child.

Publication Type
Research Project