Unplanned Pregnancy as an Adding Risk Factor of Neonatal Outcome in Teenage Pregnancy

Introduction: Teenage pregnancy is one of risk factor for unsatisfactory neonatal outcome, especially when coupled with unplanned teenage pregnancy. This study is aimed for determine the difference between planned and unplanned teenage pregnancy's neonatal outcome. The outcome of this study could be used for better supervision of unplanned teenage pregnancies. Objective: To Assess the difference between neonatal outcome from planned and unplanned teenage pregnancy. Method: Observational study using data that retrieved from medical records for teenage pregnancy who were referred to Cipto Mangunkusumo Hospital (RSCM) in 2015. The subject of this study is pregnant women aged 19 years or less with gestational age at least 20 weeks in RSCM. Result: There were 74 cases of teenage deliveries in RSCM in the year 2015 out of 1836 deliveries (4%), 33 (44.6%) of them are planned and 41 (55.4%) unplanned pregnancy. Most of them were primigravida (86.5%) with mean age 17.4 years (range 14-19). Only 58% did Ante Natal Care according to WHO's standard. There no significant difference in assisted/SC delivery mode (39.4% vs. 41.5%, p > 0.05) between planned and unplanned pregnancies, no significant difference in incident of preterm labor (63.6% vs. 74.4%, p > 0.05) and low birth weight (66.7% vs. 67.4%, p > 0.05). Low APGAR score in first minute was significantly higher in the unplanned pregnancy (15.1% vs. 65.1%, p < 0.05). There were 3 cases of IUFD and 5 cases of perinatal mortality in unplanned pregnancy and 1 cases of IUFD and 1 cases of perinatal mortality in planned pregnancy. Conclusions: There is significant difference of low APGAR score at first minute between planned and unplanned pregnancy in teenage pregnant women cases referred to RSCM in 2015.