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!