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Background@#The 2013 National Demographic and Health Survey (NDHS) showed that 1 in 10 young Filipino women aged 15–19 years are childbearing. Yet, teenage pregnancy is known to be associated with complications in the mother and the child. @*Objective@#This study aimed to describe the sociodemographic characteristics and obstetric and perinatal outcomes of teenage pregnancy among Filipino women aged 13–19 years at the Philippine General Hospital. @*Methods@#This is a retrospective study consisting of reviewing the hospital records of teenage mothers from years 2014–2016. Descriptive statistics were used to analyze the gathered data. @*Results@#Almost 50% of the cases of adolescent pregnancy yielded obstetric and perinatal complications. The odds of having abnormal obstetric outcome among mothers with obstetric score of g1 is 7.8 times (95% CI: 2.0 to 30.7) higher as compared to other gravida scores and the odds of having at least one perinatal disorder decreases by 19% (95% CI: 6% to 30%) as the mothers regularly visit an obstetric clinic. This study also showed that among the pregnant adolescents, most of their partners were of legal age. Thirty-nine (23.9%) of them were seen by the Adolescent Service while 31(19%) were seen by the Child Protection Unit (CPU). @*Conclusion@#With the noted obstetric and perinatal outcomes, teenage pregnancy is an important issue that needs to be dealt with. To ensure good outcomes, provision of health care services designed particularly to cater to the needs of adolescent mothers should be properly and timely implemented. A referral to the Adolescent Service and CPU will greatly improve policies pertaining to provision of holistic care and protection services to teenage mothers.
Subject(s)
Pregnancy in AdolescenceABSTRACT
Background: In vitro fertilization is a known independent risk factor for adverse perinatal outcomes. To explore obstetric and perinatal outcomes in pregnancies occurring as a result of fresh and thawed frozen embryo transfer.Methods: Retrospective observational study with 208 patients. A period of 2 years from October 2015 to October 2017. Tertiary care Fertility, Laparoscopy and research centre. All pregnancies conceived by IVF (n= 208) between the study period were included. The patients were grouped by fresh (n= 108) versus frozen (n= 100) embryo transfer. Patients conceived with donor embryo transfer were excluded. Primary outcomes were missed abortions, ectopic pregnancy, live births. Incidence singleton pregnancies and multiple gestations, preterm delivery, birth weight, an obstetric complication includes gestational hypertension, preeclampsia, gestational DM, placenta previa.Results: A total 208 patient analyzed who conceived with IVF treatments, among them 108 patients were in Fresh ET group and 100 were in Frozen ET group. The incidence of Ectopic Pregnancy was more in fresh ET as compared to Frozen ET (14.8%, 02% respectively, p value <0.05) whereas that of missed abortions were more in Frozen ET (22% versus 11.1%, p value 0.03). There were no significant differences in obstetric and perinatal outcomes in both groups.Conclusions: In this study of IVF pregnancies, adverse obstetric and neonatal outcomes did not differ between fresh and frozen embryo transfers. Literature tells that there may be an increased risk of preeclampsia and large for gestational age babies in pregnancies conceiving after frozen embryo transfer. So freeze all policy should be applied to only indicated cases and not to all because both the groups having similar outcomes.
ABSTRACT
Resumen OBJETIVO: Describir los desenlaces cardiovasculares, obstétricos y perinatales durante el embarazo y puerperio de pacientes con cardiopatía congénita corregida. MATERIALES Y MÉTODOS: Estudio de cohorte simple, retrospectivo, descriptivo y transversal efectuado en pacientes embarazadas con cardiopatía congénita corregida, atendidas en el Instituto Nacional de Perinatología, entre enero de 2015 y febrero de 2017. Del expediente clínico se obtuvieron los datos demográficos, además de evaluar el riesgo de cardiopatía según la clasificación de la OMS, las comorbilidades y desenlaces obstétricos y perinatales. El análisis estadístico se realizó con el programa SPSS, versión 20. RESULTADOS: Se registraron 24 pacientes con cardiopatía congénita, principalmente comunicación interauricular e interventricular y coartación aórtica. La edad promedio fue de 24.6 años. En cuanto a la clasificación de riesgo de la OMS se encontraron 7 de 24 en OMS I, 8 de 24 en OMS II, 7 de 24 en OMS II-III y 2 de 24 en OMS III. Se observó que 13 de 24 pacientes tenían parche de pericardio bovino, 3 de 24 stent y 4 de 24 válvulas; 1 de 24 tuvo aborto espontáneo, 1 de 24 nacimiento pretérmino y 22 de 24 embarazo de término. El promedio de edad gestacional fue de 38.5 semanas y Apgar a los cinco minutos de 9. Ningún recién nacido ingresó a la unidad de cuidados intensivos, ni se registraron muertes maternas. CONCLUSIONES: El riesgo de alteraciones cardiovasculares durante el embarazo depende de la identificación de la cardiopatía específica y el estado clínico de la paciente. Es importante la asesoría individual, por un equipo multidisciplinario y en un centro especializado desde la etapa inicial del embarazo.
Abstract OBJECTIVE: To describe the cardiovascular, obstetric and perinatal outcomes during pregnancy and the puerperium of patients with corrected congenital heart disease; treated at the Instituto Nacional de Perinatología. MATERIALS AND METHODS: Simple, retrospective, descriptive and cross-sectional cohort study of pregnant patients with corrected congenital heart disease treated at the Instituto Nacional de Perinatología of January 2015 at February 2017. The cardiovascular risk according to WHO, comorbidities, obstetric outcomes and perinatal. Demographic data, WHO risk, comorbidities, obstetric outcomes and perinatal. The statistical analysis was carried out with the SPSS program in its version 20. RESULTS: We included 24 patients with congenital heart disease, the most frequent being interatrial and interventricular communication, aortic coarctation; average age of 24.6 years, the WHO risk distribution: 7/24 OMS I, 8/24 OMS II, 7/24 OMS II-III y 2/24 OMS III; 13/24 had a bovine pericardium patch, 3/24 stent, 4/24 valves;1/24 presented spontaneous abortion, 1/24 preterm birth, 22/24 achieved full-term gestation, average gestational age at the resolution of 38.5 SDG, Apgar at 5 minutes of 9, no newborn required admission to NICU, no maternal death occurred. CONCLUSION: The risk of pregnancy depends on the heart disease and clinical condition of the patient. Individual counseling is important, by a multidisciplinary team and in a specialized center from the early stage of pregnancy.
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OBJECTIVE: This study was aimed to evaluate the obstetric and perinatal outcomes of women with unexplained infertility following assisted reproductive technology (ART). METHODS: From January 1999 to February 2002, a total of seventy-nine singleton pregnancies which progressed beyond 20 weeks gestation following embryo transfer in women finally diagnosed as unexplained infertility by diagnostic laparoscopy were enrolled in this study. The matched control was spontaneously conceived 172 singleton pregnancies. Retrospectively, we analyzed the obstetric outcome and compared gestational age at delivery, birth weight, Apgar score, and the incidence of perinatal mortality, preterm labor, preeclampsia, gestational diabetes mellitus, and oligohydramnios between two groups. RESULTS: The mean gestational duration of study group was shorter than control group (38.2 +/- 0.5 vs. 39.4 +/- 0.1 weeks, p=0.001). The incidence of gestational diabetes mellitus was significantly higher in the study group (7.6% vs. 1.2%, p=0.01). There was no significant difference in the mean birth weight (3088.1 +/- 86.1 g vs. 3243.8 +/- 37.2 g), the incidence of small for gestational age (10.1% vs. 11.6%), preeclampsia (3.8% vs. 2.3%), oligohydramnios (3.8% vs. 5.8%), preterm labor (7.6% vs. 5.2%), cesarean delivery (45.6% vs. 41.3%), and perinatal mortality (1.3% vs. 0.6%) between the two groups. CONCLUSION: The gestational duration of women with unexplained infertility after IVF-ET was shorter, but the incidence of preterm birth was not increased. And the incidence of gestational diabetes mellitus of study group was higher than that of spontaneously conceived pregnancies.