Teen Pregnancy Referat

REFERAT 1
TEEN PREGNANCY
By:
Cokorda Gede Bagus Pradnyana Sanjaya, S.Ked
NPM: 16710021
Supervisor:
dr. Hytriawan Posma Putra, Sp. OG
DEPARTMENT OF OBSTETRY AND GYNECOLOGY

RSUD Dr. MOHAMMAD SALEH PROBOLINGGO MEDICAL FACULTY OF WIJAYA KUSUMA SURABYA UNIVERSITY
2017
2
Introducing
TEEN Human Resources Asset
Problem behavior and Reproduction:
HIV/AIDS, mortality of young mother, abortion practice
because desired pregnancy and sexual activity before
marriage
5-10 % woman and 18-30 % young men aged 16-24 years has done
sexual intercourse before marriage
13 million births in girls under 19 years old,

90% of adolescent birth occur in developing countries
70.000 young women die each year from pregnancy before they are physically mature enough
Efforts to educate, protect, empower

3
Literature review
Female reproductive system Genitalia Interna Organs
Genitalia Eksterna Organs

4
Fertilization is the
Fertilization process of union of male
and female gametes,
which occur in the
ampulla region of the
fallopian tube.
Spermatozoa capatitation acrosome reaction

5
Physiology of Pregnancy
A natural event & a continuous chain of ovulation, spermatozoa and ovum
migration, the conception and growth of the zygote, the implantation of the
uterus, the formation of the placenta, and the growth of the conception to
aterm.
Breasts UTERUS
Preparation of breast Changed: 5 -20 liter
milk lactation / 1100 gram
Ovarium
Maternal blood circulation
Ovulation stops
blood circulation needs
progesterone min
Artery and vein in circulation
of retro-plasenter.
Influence of progesteron & Vagina
estrogen hormone vascularization,
hyperemia, Chadwicks
Blood volume + Blood cells + Respiratory system + Gastrointestinal system + Urinary tract +
Changes on skin + Metabolism
6
Teen/Adolescent
Teen or adolescent is the transition from
puberty to adulthood, at age 11-19/20 years
old.
Early Adolescent (11-13 years old)
Experiencing confusion, changes & encouragement of Her own body
Middle Adolescent (14-16 years old)

Needs a friend, "narcistic", confusion for make choices
Late Adolescent (17-20 years old)

Consolidation period interest, ego, sexual identity is formed,
egocentrism, and the "wall"
7
Teen Pregnancy
Teen Pregnancy / Adolescent Pregnancy

Pregnancy that occurs in adolescence, where pregnancy occurs
in the mother's age less than 20 years.
Highest teenage pregnancy recorded in the US: mid-1990s among teens (15-19 years)
of pregnancy rate was 83.6. Indonesia (average births per 1000 women 15-19 years old
are 58). Netherlands, had low rates of pregnancy and birth (WHO, 2004)
Demographic profile of teen

pregnancy (UNFPA, 2013)
8
Causative Factor
Family Factors
Individual Factors Family's Social
Factor somatic, economy
psychological, Family's level of
social and sexual education
Education level. Trust and
Attitude obedient customs in family
and obedient Ability family face
Problem social up problem of
and economy teenagers
Environmental Factors Social economy community level

Customs Health level of population
Sight and trust Changes value
Abusing of authority and power Rules legislation
Level of community education
9
Risk of Teen Pregnancy

o Uterus and pelvis not yet reach adult size reviewed from terms of nutrition pregnancy
o Nutrition needed compete between the growth and development of fetus
Health and related outcomes Life outcomes Outcomes for Development

children outcomes
Immature reproductive organs Maternal morbidity and LBW Millennium
Abortion mortality Devolvement
Perinatal Goals (MDGs)
Hyperemesis gravidarum
mortality
Anemia
Maternal weight does not rise Reduced opportunities, Tetanus
Preeclampsia/eclampsia skills and social support neonatorum
Fetal movement is reduced or absent
Maternal disease that affects pregnancy Reduced strength in Breastfeeding

Premature rupture of membranes relation to the law due to
limited expertise,
Partus prematorus imminens
resources, knowledge,
Pregnancy is not advanced social support
Bleeding
Delivery obstruction
Fistula
Postpartum hemorrhage includes problems due to
anemia
Greene, and Malhotra (2003)
10
Mode of Delivery
Higher CS rate among

Adolescents
CS rate in adolescents is
generally lower than in
controls >19 years old
Obstetrician and midwife consideration??

Normally delivery
SC (indication?)
Generally labour in adolescents is
not more complicated than in older women and that the
incidence of interventions is less.
11
Strategies to Reduce Teen Pregnancy

Reduce poverty
Targeting high-risk groups
Improve education
Coaching for teenagers

o Development physical, psychological, and
teenagers sexual maturity
o Responsible reproduction process
o Socially healthy
o Preparation Pre marriage
o Pregnancy and labour
o Contraception
12
Resume
Teen or Adolescent is switch time from puberty to adults, on aged 11-19 / 20
years old.
Teen pregnancy is pregnancies on age adolescents, where pregnancy happen on
age mother less 20 years.
Factor to affect / contribute role in teen pregnancy as individuals, families and
environment.
Impact for health (Health and related outcomes), life (Life outcomes), children
(Outcomes for children) and with development (Development outcomes).
Mode of delivery in teen = women older, but keep determine the indication to CS
Strategies to reduce teen pregnancy: reducing poverty, targeting high risk group,
and improve education and coaching for teens.

13
Thank you
DEPARTMENT OF OBSTETRY AND GYNECOLOGY

RSUD Dr. MOHAMMAD SALEH PROBOLINGGO MEDICAL FACULTY OF WIJAYA KUSUMA SURABYA UNIVERSITY
2017

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REFERAT 1

DEPARTMENT OF OBSTETRY AND GYNECOLOGY

13 million births in girls under 19 years old,

Efforts to educate, protect, empower

Genitalia Eksterna Organs

Spermatozoa capatitation acrosome reaction

Middle Adolescent (14-16 years old)

Late Adolescent (17-20 years old)

Teen Pregnancy / Adolescent Pregnancy

Demographic profile of teen

Environmental Factors Social economy community level

Risk of Teen Pregnancy

Health and related outcomes Life outcomes Outcomes for Development

Maternal disease that affects pregnancy Reduced strength in Breastfeeding

Higher CS rate among

Obstetrician and midwife consideration??

Strategies to Reduce Teen Pregnancy

Targeting high-risk groups

Coaching for teenagers

Teen pregnancy is pregnancies on age adolescents, where pregnancy happen on

age mother less 20 years.

Factor to affect / contribute role in teen pregnancy as individuals, families and

(Outcomes for children) and with development (Development outcomes).

and improve education and coaching for teens.

DEPARTMENT OF OBSTETRY AND GYNECOLOGY

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