A RETROSPECTIVE STUDY OF TEENAGE

PREGNANCY IN A TERTIARY CARE HOSPITAL

By:
Lidya Kartika Lubis 04054821517047
Dwijaya Sari 04054821517052
Shinta Rozika 04054821618067
Fredy Ciputra 04054821618111
Syeba Dinda Hasianna 04054821618103
Delvania Yosefa 04084821618207
Ima Desliana 04084821618230

Advisor:
Dr. dr. Ferry Yusrizal, Sp.OG. K. M.Kes

DEPARTMENT OF OBSTETRIC AND GYNECOLOGY

THE FACULTY OF MEDICINE OF SRIWIJAYA UNIVERSITY
MOHAMMAD HOESIN HOSPITAL PALEMBANG
2016
General Background
Description Objectives
Methods
Results
Conclusion
Critical PICO
Appraisal VIA

Outline
•Adolescent = teenager = The period between 10-19 years of age (WHO)
•Adolescence A transitional stage of physical, psychological and
physiological development, involving biological, social and mental
changes
• Pregnancy in adolescent period  stressful condition
• In India, incidence of teenage pregnancy varies from 3.2% to 18.6%.
• The adolescent population in India is 20% of the total population,
almost 243 million. 27% of girls aged 15 to 19 years are married with a
birth rate of 45 per 1000 girls in this age group

BACKGROUND
• Early pregnancy combined with malnutrition, illiteracy and poor
health care  serious socio-medical problems

• An early booking and regular antenatal check up with proper

nutritional advice  reduce perinatal death and complication rate for
pregnant teenagers to a great extent

BACKGROUND
• To find out the incidence of teenage pregnancy.
• To study maternal and fetal outcome in teenage pregnancy.
• To compare the outcome of teenage pregnancy with that of 20
to 30 years age group.
• To compare the outcome of booked and unbooked teenage
pregnancy.

OBJECTIVES
Study Research Statistical
Criteria
Design Subject Analysis

Retrospective Inclusion:
340 pregnancy P-value < 0.05
Study 1. Only singleton was considered
teens as study
group, and 689 pregnancy was included. statistically
pregnancy women 2. Study group: Up to 19 significant
as a control group years of age at the time of
in Tertiary Care delivery.
Urban Hospital 3. Control group: 20-30
years

Exclusion:
1. Women more than 30 years of age

METHODS 2. Pregnancy which ended in abortion.

3. Pregnancy with preexisting major
medical and surgical illness which could
affect the outcome
• Detailed obstetric and neonatal information was noted down in a
predetermined data sheet.
• Maternal outcome measures:
Presence of anemia, pregnancy induced hypertension,
preterm labour, IUGR, abruptio placentae, post-partum
hemorrhage, mode of delivery, number of operative
delivery
• Perinatal outcome measures:
Birth weight, Apgar score, perinatal mortality and
perinatal morbidities

METHODS
RESULTS
RESULTS
RESULTS
RESULTS
• The pregnancy outcome of teenage mothers is poorer in
comparison to 20 to 30 years age group in most of the
parameters.
• Improving the general health and nutrition , increasing the age of
marriage and subsequent childbearing along with adequate
antenatal care reduces the incidence of adverse pregnancy
outcome.

CONCLUSION
CRITICAL APPRAISAL
• POPULATION
340 pregnancy teens as study group, and 689 pregnancy women as a control group
in Tertiary Care Urban Hospital
• INTERVENTION
No intervention
• COMPARISON
This study compared the outcome of teenage pregnancy with that of 20 to 30 years
age group, and the outcome of booked and unbooked teenage pregnancy
• OUTCOME
The pregnancy outcome of teenage mothers is poorer in comparison to 20 to 30
years age group in most of the parameters. Adequate antenatal care reduces the
incidence of adverse pregnancy outcome significantly in the teen mothers.
PICO
Is the research question well-defined that can be answered using this study
design?

• Yes, this retrospective study could answer the research question well
Does the author use appropriate methods to answer their question?
• Yes, this study used analytic statistics that is an appropriate methods for
the purpose of the research
Is the data collected in accordance with the purpose of the research?
• Yes, the data was collected for the purpose of research

VALIDITY
Was the randomization list concealed from patients, clinicians, and
researchers?
• There was no information about randomization in this study

Were the performed interventions described in sufficient detail to be followed

by others? Other than intervention, were the two groups cared for in similar
way of treatment?

• There was no intervention

VALIDITY
 Is this study important?

• Yes
• It is important to prevent perinatal death and
complication rate from happening

IMPORTANCE
Are your patient so different from these studied that the results may not apply
to them?
• No
• Both India and Indonesia have the same high incidence of teenagers
pregnancy
Is your environment so different from the one in the study that the methods
could not be use there?
• No
• It’s not different
• The methods can be applied in Indonesia

APPLICABILITY
• This journal is valid, important, and can be applied
for the associated future research.

CONCLUSION
Thank You
