Pattern of Neonatal Outcome of NICU Admissions Born to Teenage Pregnant Women Admitted in a Level-1 Government Hospital from January 2016 to December 2016

Abstract

Teenage pregnancy in the Philippines is increasing and alarming. Services in the antenatal care are in accordance with the Department of Health and the World Health Organization serving pregnant women of all ages. Looking at the post-partum women, we will be identifying factors among this specific teenage group who were considered at risk compared to the older pregnant women. The researcher aims to conduct a study which can give as baseline clinical picture of the product of conceptions among those teenage pregnant women admitted at Justiniano R. Borja General Hospital. Among the NCU admitted neonates, 120 (20%) were delivered by teenage pregnant women, 131 (21.83%) from 20-24 years old, and 349 (58.17%) from >25 years old pregnant women. The prevalence of teenage pregnancy in JRBGH was 20%, with 12 years old as the youngest to have live newborn for 2017. Teenage pregnancy ranges from 20 to 23% on monthly delivery census. While NCU babies born to teenage pregnant women ranges from 10 to 26% on monthly census of NCU admission. This study found out that teenage pregnancy were significantly different from the 20-24 years old in terms of their parity, timing of first ultrasound and hospital expenses. Other maternal profiles which showed no significant difference were; place of residence, menarche, blood pressure, mode of delivery. Hepatitis B status was described by percentage. Based on this study, parity is significantly different in both age groups. These study population covered the NCU babies. Repeat pregnancies should be considered seriously to prevent more cases of NCU admission or other morbidities. Post-natal care should be accessed and improved in terms of the ante-natal care, tracking system, local networking of referrals, and more improve access to data and data collection for analysis of existing health programs. The mean hopital expenses is significantly lower in the teenage pregnant women vs 20-24 years old group. The mean hospital expenses for teenage pregnant women is probably higher because of the study population (neonates) were NCU admitted compared to the total delivery. It is noteworthy to mention that majority of these teenage group (study population) are un-employed. And these hospital expenses may correlates to the out-of-pocket expenses from their families or the cost of LGU funding. Thus, the gross cost of hospitalization from these teenage pregnant women would be Php1,044,357.6 (based on the mean hospital expenses x 88 retrieved SOA) or Php 1,424,124 (based on the mean hospital expenses x 120 teenage pregnant women in NCU), or Php 17,635,402 for 2017 (11,867.7 x 1,486 teenage pregnant deliveries). There were no significant diffrence noted among the neonatal profile variables, namely; birthweight, Apgar score and outcome (complicated or non-complicated). Length of hospital for mothers and length of NCU stay of neonates were found to be not significant in both age groups.