Gambaran Epidemiologi Klinik Kehamilan Remaja di RS Immanuel Bandung
Abstract: To evaluate
prevalence, medical characteristic alterations, maternal dan perinatal outcomes
in teenage pregnancies at Immanuel Hospital Bandung during the period of
January 1st 2001 to December 31st 2005. A retrospective study of 265 teenage
pregnancies at Obstetric and Gynecology Department Immanuel Hospital Bandung
was performed during the period of 2001 to 2005.
During the period of January 1st 2001 to December 31st 2005, 265 teenage
pregnancies were identified among 5888 deliveries or abortions. The prevalence
of teenage pregnancies was 4.5%. Overall antenatal visits in 24.35% cases were
poor (less than 3 times). Unmarried teenagers were found in 16.23% cases and
this condition was found to correlate with a higher incidence of septic
abortions (20.83%), preeclampsia, and operative deliveries (51,30%). Caesarean
deliveries with indications of Cephalo Pelvic Disproportion were found mainly
in the teenage pregnancies (22,92%), Case Fatality Ratio was found as high as
3,17%. Small for gestational age babies were found in 17,62% cases. APGAR
scores with asphyxia findings were found in 17,62% cases, and Intra Uterine
Fetal Death were found in 8,81% cases. These findings were significantly higher
compared to the prevalence of complicated deliveries and perinatal poor
outcomes found in the optimal age of pregnancy.
The prevalence of teenage pregnancies at Immanuel Hospital Bandung during
2001 to 2005 was found to have an increasing tendency. The prevalence of
complicated pregnancies and perinatal poor outcomes were significantly higher
compared to those in the optimal age of pregnancy. Thus, teenage pregnancy was
shown to be an important factor in determining the risks of complicated
deliveries.
Penulis: Ucke S. Sastrawinata
Kode Jurnal: jpkedokterandd0700155
