頁籤選單縮合
題 名 | Adolescent Pregnancy and Postpartum Contraception--Hospital Cases in Tainan City=青少年懷孕及產後避孕--以臺南市醫院個案為例 |
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作 者 | 魏美珠; 吳孟興; 黃裕清; 王新台; 許朝欽; | 書刊名 | 慈濟醫學 |
卷 期 | 13:1 2001.03[民90.03] |
頁 次 | 頁23-29 |
分類號 | 419.74 |
關鍵詞 | 青少年懷孕; 周產期結果; 產後避孕; Adolescent pregnancy; Perinatal outcome; Postpartum contraception; |
語 文 | 英文(English) |
中文摘要 | 目的:比較未成年與已成年懷孕之產前照護、生產前後的健康狀況、 產後避孕及再次懷孕差異,所得結果可以作為推動青少年性教育及婦幼衛生工作 的參考,此乃設計回溯性調查研究。 材料與方法:以成功大學附設醫院婦產部及建教合作的診所,在87年1月至87 年10月間生產的19歲以下150位單胞胎產婦為個案組,並選取與個案組在同一 家醫院或診所同期生產的下一個已成年單胞胎產婦為對照組。研究資料分別以病 歷回顧法及電話訪視法收集。 結果:未成年產婦發生妊娠高血壓、產前出血、胎盤早期剝離的比率分別為 0.7%、2.0 %、4.0%,其新生兒發生先天性異常、呼吸窘迫、早產、死產的比率 分別為1.3%、3.3%、 3.3%、4.0%。這些比率並未顯著高於已成年產婦。保險套 是最多未成年產婦使用的避孕方法,但有27.3%未成年產婦產後6個月時仍未採 取任何避孕措施,而其中6.7%已在產後6個月內再次懷孕。 結論:本研究發現未成年產婦及其新生兒沒有較高的併發症,但為了避免其短期 內再次懷孕,宜加強產後床邊衛教工作,以提高產後回診率及避孕率。(慈濟醫 學2001; 13:23-29) |
英文摘要 | Objective: The objective of this study was to compare received health care, maternal and neonatal outcomes, method of contraception and the rate of repeat pregnancy between adolescents and adults. Materials and Methods: A retrospective study was performed. One hundred and fifty pregnant teenagers and 150 pregnant adults who delivered at a medical center and eight affiliated clinics participated in this study. Medical data were collected from hospital records and a telephone interview with a standard questionnaire was conducted. Results: In the teenage mothers, the incidence of congenital anomalies, fetal respiratory distress, preterm labour, and stillbirth was 1.3%, 3.3%, 3.3%, and 4.0%; and the incidence of pregnancy induced hypertension (PIH), antepartum hemorrage, and premature rupture of membranes (PROM) was 0.7%, 2.0%, and 4.0% respectively. Although a condom was the most popular contraception method for teenagers, 27.3% didn't use any contraception method, and 6.7% were pregnant again six months after delivery. Conclusions: Our study indicated that antenatal and neonatal complication rates were not higher in the teenage mother group than in the adult group. Adolescent pregnancy didn't necessarily lead to a poor outcome physically in an affluent society in this study. However postpartum health education on contraception should be re-enforced to prevent social disadvantages for teenage mothers. (Tzu Chi Med J 2001; 13:23-29) |
本系統中英文摘要資訊取自各篇刊載內容。