Samsury, Siti Fatimah
(2020)
Factors associated with low birth weight infants of teenage pregnancy in Terengganu, 2018.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background: Teenage pregnancy is known to be associated with negative outcomes
including low birth weight infant, preterm birth and anaemia. Identifying these
outcomes and factors associated with low birth weight infants of teenage pregnancy
may help to improve the prevention and management of these factors, and
subsequently improve the pregnancy outcomes.
Objective: This study aims to determine the obstetrics and perinatal outcomes of
teenage pregnancy, and factors associated with low birth weight infants of teenage
pregnancy in Terengganu in 2018.
Methodology: A cross-sectional study was done from 1st January 2020 until 31st May
2020 using data from the Maternal Health Record Book and Pregnant Woman and
Postnatal Book Registry. The source population were all teenage pregnancies
attending government health clinics in Terengganu in 2018. Simple logistic and
multiple logistic regression analysis was used to analyse the factors associated with
low birth weight infants of teenage pregnancy.
Result: All 357 cases that fulfilled the study criteria were included. The most common
obstetric outcomes among teenage pregnancy was anaemia (41.5%), subsequently
followed by caesarean section (10.9%), gestational diabetes mellitus (2.8%) and
pregnancy-induced hypertension (1.4%). Low birth weight infants were the most
common perinatal outcomes among teenage pregnancy (19.3%). It was followed by
preterm birth (9.0 %) and both low Apgar score and stillbirth, 1.4% respectively.
Factors associated with low birth weight infants of teenage pregnancy in Terengganu
were teenage husband (AOR 2.0; 95% CI: 1.01, 3.96; p =0.047) and mothers with low
education level (AOR 3.07; 95% CI: 1.20, 7.85; p =0.019).
Conclusion: Teenage husband and low levels of mothers’ education were the
significant associated factors that need to be addressed to improve teenage pregnancy
outcomes. Interventions to improve these factors should continue to be encouraged.
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