Khairani Omar, Suriati Hasim, Noor Azimah Muhammad, Aida Jaffar, Syahnaz Mohd

Hashim, Harlina Halizah Siraj,

Adolescent pregnancy outcomes and risk factors in Malaysia,
International Journal of Gynecology & Obstetrics,
Volume 111, Issue 3,
2010,
Pages 220-223,
ISSN 0020-7292,
https://doi.org/10.1016/j.ijgo.2010.06.023.
(https://www.sciencedirect.com/science/article/pii/S0020729210003772)
Abstract: Objective
To assess the outcomes and risk factors of adolescent pregnancies in 2 major
hospitals in Malaysia.
Methods
We conducted a case-control study of pregnant girls aged 10 through 19years. The
controls were women aged 20 through 35years 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.
Results
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.
Conclusion
Adolescent pregnancies are high-risk pregnancies. Better sexual health strategies
are required to address the associated complications.
Keywords: Antenatal care; Adolescent pregnancy; Psychosocial; Risk factors