Comparison of maternal and neonatal outcomes in teenage and reproductive age pregnancy at tertiary hospital in west java, indonesia

Abstract

AIM: This study was aimed to compare the maternal and neonatal outcomes among teenage and reproductive age pregnancies. PATIENTS AND METHODS: This was a cross-sectional study of pregnant mothers in Hasan Sadikin General Hospital, the tertiary referral hospital in West Java, Indonesia. Patients who gave birth during January 2015– December 2018 were included and divided into two groups (teenage and reproductive age pregnancy). Their medical record data then were evaluated to compare both maternal and neonatal outcomes. RESULTS: The incidence of teenage pregnancy was 10.05%. A total of 3810 patients were recruited. The teenage mothers were 522 subjects and reproductive age mothers were 3288 subjects. The incidence of eclampsia (5.2% vs. 1.9%, p < 0.001), anemia (18.4% vs. 14.9%, p = 0.040), and preterm delivery (27.2% vs. 18.6%, p < 0.001) was more frequent in teenage pregnancies. Teenage mothers also had a higher percentage of low birth weight babies (42.3% vs. 36.2%, p = 0.007). CONCLUSION: Teenage pregnancies also had a higher risk of eclampsia, anemia, preterm delivery, and having low birth weight babies. More efforts to prevent teenage and high-risk pregnancy are needed, especially in rural areas.