care for adolescent mothers – samoa teenage pregnancies dr cecilia bartley o&g registrar ttmh...

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Care for Adolescent Mothers – Samoa Teenage Pregnancies Dr Cecilia Bartley O&G Registrar TTMH Samoa

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Care for Adolescent Mothers – Samoa Teenage Pregnancies

Dr Cecilia BartleyO&G Registrar TTMH Samoa

Total Teenage Deliveries from 2010 - 2012

YearTotal Teenage Pregnancies

Total Deliveries

Percentage of Teenage Pregnancies

2010 341 3623 9.4

2011 432 4012 10.8

2012 420 4158 10.1

2013 166

9.4

10.8

10.1

Percentage Teenage Deliveries2010 2011 2012

Age at Delivery

Age Total Percentage

19 117 28

18 72 17

17 42 10

≤16 33 11

19 18 17 ≤160

5

10

15

20

25

30

Age at Delivery

Age

Perc

enta

ge

Number of Pregnancies at Delivery

Gravidity Total Percentage

G1 217 52

G2 44 17

G3 3 1

G1 G2 G30

10

20

30

40

50

60

Gravidity at Delivery

Percentage

Gravidity

Percentage

Place of Residence

Address Total Percentage

Rural 161 38

Urban 103 25

Rural Urban0

5

10

15

20

25

30

35

40 38

25

Place of Residence

Percentage

Marital Status at Delivery

Marital Status Total Percentage

Married 50 12

Single 159 38

In a Relationship 55 13

Married Single In a Relationship0

5

10

15

20

25

30

35

40

Marital Status at Delivery

Percentage

Delivery Outcome at Birth

Delivery Outcome Total Percentage

NVD 250 60

Caesarean Section 14 3

NVD Caesarean Section0

10

20

30

40

50

60

70

Delivery Outcome

Percentage

• NVD– 2/250 assisted deliveries

• LSCS– 1/14 El.LSCS (twin Pregnancy)– 13/14 Em.LSCS (10 fetal distress; 1 Poor progress;

1 Severe PET; 1 RHD)

Delivery Outcomes

• Live Births:– 262

• IUD:– 4

• Fresh Stillborn– 1

Estimated Birth weight at Delivery

Birth weight Total Percentage

≤ 2500 18 4

>2500 ≤3000 55 13

>3000 ≤3500 121 29

>3500 ≤4000 59 14

>4000 12 3

unknown 2 0.5

≤ 2500 >2500 ≤3000 >3000 ≤3500 >3500 ≤4000 >4000 unknown 0

5

10

15

20

25

30

35

Percentage Birthweights

Birthweight

Perc

enta

ge

ANC Booking Status at Delivery

ANC Booking Total Percentage

Booked 235 56

Unbooked 28 7

unknown 1 0.2

Booked Unbooked0

10

20

30

40

50

6056

7

ANC Booking Status

Percentage

• 12% of Booked teenagers were +ve for Chlamydia!