Birth risk indicators for maternal and neonatal health among three different age groups: Betong hospital perspective

摘要

Objective: Examine the maternal and neonatal birth risk indicator among three different age groups, and their relationship with the outcome of pregnancy. Material and Method: This retrospective descriptive study was conducted between October 2010 and September 2011. The birth risk indicators of maternal and neonatal health were collected from the medical records of adolescent, elderly, and reproductive women maternal age (adult). Results: There were 902 deliveries, and the proportion of teenage pregnancy/adult/elderly group was 16.5/71.5/12.0%. Most of the indicators, including delivered baby weight less than 2,500 grams, and hematocrit less than 30 volume% before admission, were not significant increases/decreased unless the antibiotic usage in the vaginal delivery for at least 24 hours was highly significant decreased/increased among adolescent/elderly group (0.6/75.0%), compared with adult group (8.3%). The cesarean section rate due to failure to progress was significant lower among adolescents (7.3%), compared with the adult group (14.5%). While the cesarean section due to previous cesarean section and delivered baby weight less than 2,500 grams were highly significant/significant lower among the elderly group (2.7/2.7%), compared with the adult group (12.7/7.9). Conclusion: The present study demonstrated that adolescent pregnancy even though it predisposed to maternal and neonatal complication, but when the teenagers receive optimal antenatal care, pregnancy outcome is comparable to that of other age groups.