PERBANDINGAN LUARAN MATERNAL DAN PERINATAL KEHAMILAN TRIMESTER KETIGA ANTARA USIA MUDA DAN USIA REPRODUKSI SEHAT

Abstract

Background: Every year there are about 15 million adolescents who give birth. The adolescents pregnancy is included into the high risk pregnancy. It is related to the increasing risk of maternal complication during pregnancy and delivery also to the fetus and neonates. The third trimester is the last trimester of pregnancy where the growth and develompent of fetus are very rapid. In this period obstetric problem can develop. The aim of this study is to compare the maternal and perinatal outcome in the third trimester pregnancy between adolescents and adults. Methods: It was an analytic observational research using cross sectional design. Information regarding the data for research was obtained from medical records. There were 136 numbers of samples which consisted of 69 adolescents group and 67 adults group. Data was analyzed by univariate analysis, bivariate analysis with chi square test and multivariate logistic regression. Results: The result showed that risk factors which influence the third trimester pregnancy in adolescents compared to the adults according to multivariate analysis were delivery with vacum extraction (PR = 5,32; 95% CI : 1,37 – 20,64; p = 0,02) and prematurity (PR = 3,50; 95% CI : 1,46 – 8,33; p = 0,01). Conclusion: The risk factor of delivery with vacum extraction and prematurity in the third trimester pregnancy of adlosecents are higher than the adults. Keywords: adolescents, adults, maternal outcome, perinatal outcome