Maharjan Muna, Thapa Niresh, Maharjan Narayani, Rai Pabita, Pun Prakash, Petrini Marcia A, Yang Jiong
HOPE School of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Department of Gynecological Oncology, Zhongnan Hospital of Wuhan University, Hubei Cancer Clinical Study Center, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, P.R. China, Department of General Practice and Emergency Medicine, Karnali Academy of Health Sciences, Jumla, Nepal.
JNMA J Nepal Med Assoc. 2019 May-Jun;57(217):176-180. doi: 10.31729/jnma.4083.
Teenage pregnancy is a public health concern. Maternal and neonatal health outcomes are negatively impacted in teenage pregnancy. The objective of the study is to find the prevalence of teenage pregnancy in a community hospital of rural Nepal.
A descriptive cross-sectional study was conducted at Okhaldhunga Community Hospital, Okhaldhunga, Nepal. Ethical approval was taken from the Institutional Review Committee of the hospital. Data were retrieved from July 2007 to July 2017 from the hospital record books. The total of 7054 records of deliveries were reviewed from the hospital records and whole sampling was done. Subgroup analysis was done on basis of age, ethnicity, gravida, para, period of gestation, mode of delivery, maternal or neonatal complications and birth weight. Data entry was done in Microsoft Excel and point estimate at 95% CI was calculated along with frequancy and proportion for binary data.
The total of 7054 deliveries were conducted in ten years among which 2050 (29.06%) were teenage deliveries at the 95% CI (28.52 to 29.06). The highest percentage of teenage delivery was found among Janajati ethnicity of 1056 (53.3%). Amongst teenage delivery, a significant tear was found in 157 (7.9%) as a maternal complication. Perinatal deaths were found in 27 (1.4%).
The trend of teenage pregnancy remains almost same over ten years in the Okhaldhunga Community Hospital. The overall prevalence of teenage delivery is higher than the national figure. Low birth weight babies, premature delivery, perineal and cervical tears were the common complications. Further health education and awareness programs might help to reduce the teenage pregnancy rate.
青少年怀孕是一个公共卫生问题。青少年怀孕会对孕产妇和新生儿的健康结局产生负面影响。本研究的目的是在尼泊尔农村的一家社区医院中找出青少年怀孕的患病率。
在尼泊尔奥卡尔东加的奥卡尔东加社区医院进行了一项描述性横断面研究。获得了医院机构审查委员会的伦理批准。数据从2007年7月至2017年7月的医院记录簿中检索。从医院记录中审查了总共7054份分娩记录，并进行了全样本抽样。根据年龄、种族、孕次、产次、妊娠期、分娩方式、孕产妇或新生儿并发症以及出生体重进行了亚组分析。数据录入Microsoft Excel，并计算了95%置信区间的点估计值以及二元数据的频率和比例。
十年间共进行了7054例分娩，其中2050例（29.06%）为青少年分娩，95%置信区间为（28.52至29.06）。在贾纳贾蒂族中青少年分娩的比例最高，为1056例（53.3%）。在青少年分娩中，有157例（7.9%）出现严重撕裂作为孕产妇并发症。围产期死亡27例（1.4%）。
在奥卡尔东加社区医院，青少年怀孕的趋势在十年间几乎保持不变。青少年分娩的总体患病率高于全国数字。低体重儿、早产、会阴和宫颈撕裂是常见并发症。进一步的健康教育和宣传项目可能有助于降低青少年怀孕率。
