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- Title
Adolescent pregnancy outcomes and risk factors in Malaysia
- Authors
Omar, Khairani; Hasim, Suriati; Muhammad, Noor Azimah; Jaffar, Aida; Hashim, Syahnaz Mohd; Siraj, Harlina Halizah
- Abstract
<bold>Objective: </bold>To assess the outcomes and risk factors of adolescent pregnancies in 2 major hospitals in Malaysia.<bold>Methods: </bold>We conducted a case-control study of pregnant girls aged 10 through 19 years. The controls were women aged 20 through 35 years 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.<bold>Results: </bold>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.<bold>Conclusion: </bold>Adolescent pregnancies are high-risk pregnancies. Better sexual health strategies are required to address the associated complications.
- Subjects
MALAYSIA; TEENAGE pregnancy -- Risk factors; HEALTH outcome assessment; CASE-control method; SOCIAL status; DELIVERY date (Obstetrics); PERINATAL care; STUDENT activities; SEXUAL health; ANEMIA; PREVENTION of teenage pregnancy; APGAR score; COMPARATIVE studies; HIGH-risk pregnancy; RESEARCH methodology; EVALUATION of medical care; MEDICAL cooperation; PREGNANCY; PREGNANCY complications; PRENATAL care; RESEARCH; SEX education; SINGLE parents; SOCIAL classes; SUBSTANCE abuse; TEENAGE pregnancy; EVALUATION research; EDUCATIONAL attainment
- Publication
International Journal of Gynecology & Obstetrics, 2010, Vol 111, Issue 3, p220
- ISSN
0020-7292
- Publication type
journal article
- DOI
10.1016/j.ijgo.2010.06.023