Teenage Pregnancy in Indonesia: Determinants and Outcomes
Abstract
This review aims to identify determinants and outcomes associated with teenage pregnancy in Indonesia. A search in PubMed, ScienceDirect, and google scholar databases in the last ten years (2011 to 2021) was conducted. The keywords were "teenage pregnancy" OR "adolescent pregnancy" AND "Indonesia". Journal criticism used CASP. Sixteen articles met the inclusion criteria. The most related determinants to teenage pregnancy were early marriage, economic status, educational level, knowledge, and access to information. Teenage pregnancies have a high risk of maternal and neonatal consequences such as anemia, preeclampsia, preterm birth, and low birth weight. Outcome problems of teenage pregnancy in Indonesia show a similar impact to the impacts revealed in studies in other countries. Women who have teenage pregnancies need support in getting access to adequate antenatal care to avoid the risk of complications for both mother and fetus. Effective education could be one of the efforts to raise the legal age of marriage. Collaboration of the stakeholders and policymakers is needed to prevent teenage pregnancy, especially in groups that tend to be at risk.
Abstrak: Review ini bertujuan untuk mengidentifikasi determinan dan outcome yang berhubungan dengan kehamilan remaja di Indonesia. Dilakukan pencarian pada database PubMed, ScienceDirect, dan google scholar dalam sepuluh tahun terakhir (2011-2021). Kata kuci yang digunakan adalah “teenage pregnancy” OR “adolescent pregnancy” AND “Indonesia”. Pembahasan jurnal menggunakan CASP. Sebanyak 16 artikel memenuhi kriteria inklusi. Determinan yang paling terkait dengan kehamilan remaja adalah pernikahan dini, status ekonomi, level pendidikan, pengetahuan dan akses informasi. Kehamilan remaja berisiko tinggi terhadap maternal dan neonatal seperti anemia, preeclampsia, kelahiran premature, dan berat bayi lahir rendah. Permasalahan outcome dari kehamilan remaja di Indonesia menunjukkan dampak yang serupa dengan studi dari negara lainnya. Wanita yang menjalani kehamilan remaja membutuhkan dukungan untuk memperoleh akses antenatal care yang adekuat untuk mencegah risiko komplikasi pada ibu dan janin. Edukasi yang efektif bisa menjadi salah satu upaya meningkatkan usia pernikahan. Kolaborasi stakeholder dan pembuat pebijakan dibutuhkan untuk mencegah kehamilan remaja, khususunya pada kelompok berisiko.
Keywords
References
Al-Haddabi, R., Al-Bash, M., Al-Mabaihsi, N., Al-Maqbali, N., Al-Dhughaishi, T., & Abu-Heija, A. (2014a). Obstetric and perinatal outcomes of teenage pregnant women attending a tertiary teaching hospital in Oman. Oman Medical Journal, 29(6), 399–403. https://doi.org/10.5001/OMJ.2014.108
Al-Haddabi, R., Al-Bash, M., Al-Mabaihsi, N., Al-Maqbali, N., Al-Dhughaishi, T., & Abu-Heija, A. (2014b). Obstetric and perinatal outcomes of teenage pregnant women attending a tertiary teaching hospital in oman. Oman Medical Journal, 29(6), 399–403. http://www.ncbi.nlm.nih.gov/pubmed/25584155
Batura, R., & Colbourn, T. (2020). A stitch in time: narrative review of interventions to reduce preterm births in Malawi. International Health, 12(3), 213–221. https://doi.org/10.1093/inthealth/ihz101
Beguy, D., Ndugwa, R., & Kabiru, C. W. (2013). Entry into motherhood among adolescent girls in two informal settlements in Nairobi, Kenya. Journal of Biosocial Science, 45(6), 721–742. https://doi.org/10.1017/S0021932013000199
Budiharjo, D., … E. T.-… K. I. dan, & 2018, undefined. (2018). Factors influencing to the incidence of teenage pregnancy. E-Journal.Poltekkesjogja.Ac.Id, 12(2), 124–128. https://doi.org/10.29238/kia.v12i2.150
Chotimah, K., Suza, D., … F. E.-S. R., & 2020, undefined. (n.d.). Determinants of Adolescent First Births in Indonesia. Search.Ebscohost.Com. Retrieved July 13, 2021, from http://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=09758453&AN=144451631&h=mhKH6iq%2FLnJbdrE2hw1LKgXrdNjRIcRj6n2opk3ybiZhjK%2BhnK0jva7bRv4Ss3XD8wPbhu55Z26hX%2B2nnINpcA%3D%3D&crl=c
Chung, H., Kim, E., adolescence, J. L.-J. of, & 2018, undefined. (n.d.). Comprehensive understanding of risk and protective factors related to adolescent pregnancy in low-and middle-income countries: A systematic review. Elsevier. Retrieved July 13, 2021, from https://www.sciencedirect.com/science/article/pii/S0140197118301908
Cinar, N. (2017). Affects of Adolescent Pregnancy on Health of Baby-Open Journal of Pediatrics & Neonatal Care. https://www.researchgate.net/publication/328282399
CP, K., SH, L., WY, W., WC, L., SJ, L., & MC, L. (2010). Birth outcomes and risk factors in adolescent pregnancies: results of a Taiwanese national survey. Pediatrics International?: Official Journal of the Japan Pediatric Society, 52(3), 447–452. https://doi.org/10.1111/J.1442-200X.2009.02979.X
Gamelia, E., Kesehatan, A. K.-K. J., & 2017, U. (n.d.). Determinant Of Teenage Pregnancies. Journal.Unnes.Ac.Id. Retrieved July 13, 2021, from https://journal.unnes.ac.id/nju/index.php/kemas/article/view/7380
Habitu, Y. A., Yalew, A., & Bisetegn, T. A. (2018). Prevalence and factors associated with teenage pregnancy, northeast Ethiopia, 2017: A cross-sectional study. Journal of Pregnancy, 2018. https://doi.org/10.1155/2018/1714527
Husna, F., Akbar, M., And, R. A.-I. M., & 2019, U. (2019). Complications of Pregnancy and Childbirth in Teenage Pregnancy. Indonesian Midwifery and Health Sciences Journal, 3(2), 214–221. https://doi.org/10.22219/jpbi.v3i3.4915
I, B., J, M., CE, G., P, P., G, B., & JJ, B. (2017). The impact of uterine immaturity on obstetrical syndromes during adolescence. American Journal of Obstetrics and Gynecology, 217(5), 546–555. https://doi.org/10.1016/J.AJOG.2017.05.059
Indarti, J., Al Fattah, A. N., Dewi, Z., Hasani, R. D. K., Mahdi, F. A. N., & Surya, R. (2020). Teenage Pregnancy: Obstetric and Perinatal Outcome in a Tertiary Centre in Indonesia. Obstetrics and Gynecology International, 2020. https://doi.org/10.1155/2020/2787602
Karata?l?, V., Kanmaz, A. G., ?nan, A. H., Budak, A., & Beyan, E. (2019). Maternal and neonatal outcomes of adolescent pregnancy. Journal of Gynecology Obstetrics and Human Reproduction, 48(5), 347–350. https://doi.org/10.1016/J.JOGOH.2019.02.011
Kayastha, N., Shrestha, S., College, N. S.-J. of C. M., & 2021, undefined. (n.d.). Perinatal outcome in adolescent pregnancy: a retrospective study at Karnali Academy of Health Sciences. Nepjol.Info. Retrieved July 13, 2021, from https://www.nepjol.info/index.php/JCMC/article/view/36023
Kayika, I., and, F. L.-I. J. of O., & 2018, undefined. (n.d.). The Prevalence and Outcome of Teenage Pregnancies in a Tertiary Care Teaching Hospital. Inajog.Com. Retrieved July 13, 2021, from http://www.inajog.com/index.php/journal/article/view/842
Kemenkes; BKKBN; BPS; (2018). Indonesia Demographic and Health Survey.
kidan Ayele, B. G., Gebregzabher, T. G., Hailu, T. T., & Assefa, B. A. (2018). Determinants of teenage pregnancy in degua tembien district, Tigray, Northern Ethiopia: A community-based case-control study. PLoS ONE, 13(7), 1–15. https://doi.org/10.1371/journal.pone.0200898
Kirchengast, S. (2016). Teenage Pregnancies: A Worldwide Social and Medical Problem. An Analysis of Contemporary Social Welfare Issues. https://doi.org/10.5772/65462
Kopoluyi, JA., Njoku E, O.,& Oyinloye, B. . (2014). Factors associate with teenage pregnancy and Childbearing in Nigeria. Princeton Edu, 3(2), 1–46.
M, P.-P., FG, S., DA, P., DSM, P., & JL, P. E. S. (2017). Anemia in pregnant adolescents: impact of treatment on perinatal outcomes. The Journal of Maternal-Fetal & Neonatal Medicine?: The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 30(10), 1158–1162. https://doi.org/10.1080/14767058.2016.1205032
Macedo, T. C. C., Montagna, E., Trevisan, C. M., Zaia, V., de Oliveira, R., Barbosa, C. P., Laganà, A. S., & Bianco, B. (2020). Prevalence of preeclampsia and eclampsia in adolescent pregnancy: A systematic review and meta-analysis of 291,247 adolescents worldwide since 1969. European Journal of Obstetrics & Gynecology and Reproductive Biology, 248, 177–186. https://doi.org/10.1016/J.EJOGRB.2020.03.043
Madjid, O., & And, N. R. (2014). Complication on Teenage Pregnancy and Related Factors. Indonesian Journal of Obstetrics, 2(1). http://www.inajog.com/index.php/journal/article/view/372
Marisa, C., & Marisa, J. (2018). Factors Associated with Teenage Pregnancies among the Venda People of Zimbabwe. Journal of Business and Management (IOSR-JBM), 20(4), 64–75. https://doi.org/10.9790/487X-2004026475
Meriyani, D., … D. K.-P. H. and, & 2016, undefined. (n.d.). Risk Factors for Adolescent Pregnancy in Bali: Case Control Study. Pdfs.Semanticscholar.Org. https://doi.org/10.15562/phpma.v4i2.75
Mezmur, H., Assefa, N., & Alemayehu, T. (2021). Teenage pregnancy and its associated factors in eastern ethiopia: A community-based study. International Journal of Women’s Health, 13, 267–278. https://doi.org/10.2147/IJWH.S287715
Nagandla, K., & Kumar, K. (2020). Prevalence of teenage pregnancy in 2015-2016 and its obstetric outcomes compared to non-teenage pregnancy at Hospital Tuanku Ja’afar Seremban (HTJS), Negeri Sembilan, Malaysia: A retrospective case-control study based on the national obstetric registry. Malaysian Family Physician?: The Official Journal of the Academy of Family Physicians of Malaysia, 15(2), 2. /pmc/articles/PMC7430313/
Nikmatur Rohmah; Ah Yusuf, R. H. A. D. L. M. I. I. S. W. (n.d.). Determinants of teenage pregnancy in Indonesia. Indian Journal of Forensic Medicine & Toxicology. Retrieved July 13, 2021, from https://www.academia.edu/download/63831299/Determinants_of_Teenage_Pregnancy_in_Indonesia20200705-613-li54z8.pdf
Omole-Ohonsi, A., & Attah, R. (2011). Obstetric Outcome of Teenage Pregnancy in Kano, North-Western Nigeria. West African Journal of Medicine, 29(5). https://doi.org/10.4314/WAJM.V29I5.68252
Organization, W. H. (2015). Adolescent pregnancy situation in South-East Asia region. https://apps.who.int/iris/handle/10665/204765
P, N., D, K., & T, C. (2016). The Obstetrics and Neonatal Outcomes of Teenage Pregnancy in Naresuan University Hospital. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 99(4), 361–367. https://pubmed.ncbi.nlm.nih.gov/27396218/
Pavord, S., Myers, B., Robinson, S., Allard, S., Strong, J., & Oppenheimer, C. (n.d.). UK guidelines on the management of iron deficiency in pregnancy British Committee for Standards in Haematology. Writing group.
Raharja, S., Emilia, O., Reproduksi, P. R.-J. K., & 2018, undefined. (n.d.). Profil Primigravida Muda Dan Luaran Persalinan Di Rumah Sakit Dr. Oen Surakarta. Journal.Ugm.Ac.Id. Retrieved July 13, 2021, from https://journal.ugm.ac.id/jkr/article/view/37993
Rahayu, H., Purwandari, S., URECOL, K. W.-, & 2017, undefined. (n.d.). The Determinant Factor and Risk of Adolescent Pregnancy In Southern Magelang District 2017. Journal.Unimma.Ac.Id. Retrieved July 13, 2021, from http://journal.unimma.ac.id/index.php/urecol/article/view/1543
Rexhepi, M., Besimi, F., Rufati, N., Alili, A., Bajrami, S., & Ismaili, H. (2019). Hospital-Based Study of Maternal, Perinatal and Neonatal Outcomes in Adolescent Pregnancy Compared to Adult Women Pregnancy. Open Access Macedonian Journal of Medical Sciences, 7(5), 760. https://doi.org/10.3889/OAMJMS.2019.210
S. Nurtanio; I.M. Darmayasa; I.M.B.D; Aryana. (2019). Profile of teenage pregnancy at Sanglah Hospital in 2016-2017. Medicina, 50(3). https://medicinaudayana.org/index.php/medicina/article/view/735
Sari, D. (2014). Factors Related to Pregnancy at Adolescent Age at Ciputat Health Center, South Tangerang City in 2014. ARKESMAS, 1(1). http://journal.uhamka.ac.id/index.php/arkesmas/article/view/85/49
Setyaningsih, M., … E. S.-N. dan K. (Journal of N., & 2020, undefined. (2018). Faktor-Faktor Determinan yang melatar belakangi Kehamilan Remaja di Desa Pandansari Kecamatan Poncokusumo Kabupaten Malang. Jnk.Phb.Ac.Id. https://jnk.phb.ac.id/index.php/jnk/article/view/551
T, Z., H, W., X, W., Y, Y., Y, Z., Z, T., & L, W. (2020). The adverse maternal and perinatal outcomes of adolescent pregnancy: a cross sectional study in Hebei, China. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/S12884-020-03022-7
Tarsikah; Dyah Ayu Amira Diba; H Didiharto. (2020). Maternal Complications and Newborn Outcomes in Teen Pregnancy at the Regional General Hospital Kanjuruhan, Kepanjen, Malang. Jurnal Kesehatan, 13(1). http://journals.ums.ac.id/index.php/jk/article/view/11102
udah, A. M., … B. B.-K. J. K., & 2018, undefined. (n.d.). Risk of Adolescent PregnancyToward Maternal and Infant Health, Analisis of IDHS 2012. Journal.Fkm.Ui.Ac.Id. Retrieved July 13, 2021, from http://journal.fkm.ui.ac.id/kesmas/article/view/1691
V, P., DE, V., E, G., K, T., N, P., & GD, V. (2015). Teenage pregnancy antenatal and perinatal morbidity: results from a tertiary centre in Greece. Journal of Obstetrics and Gynaecology?: The Journal of the Institute of Obstetrics and Gynaecology, 35(6), 595–599. https://doi.org/10.3109/01443615.2014.991285
Vincent, G., & Alemu, F. M. (2016). Factors contributing to, and effects of, teenage pregnancy in Juba. Factors Contributing to, and Effects of, Teenage Pregnancy in Juba, 9(2), 28–31. https://doi.org/10.4103/2249-4863.197309
Vivatkusol, Y., Thavaramara, T., & Phaloprakarn, C. (2017). Inappropriate gestational weight gain among teenage pregnancies: prevalence and pregnancy outcomes. International Journal of Women’s Health, 9, 347. https://doi.org/10.2147/IJWH.S128941
WHO. (2019). Adolescent pregnancy. www.who.int/reproductivehealth
Worldbank. (n.d.). Adolescent fertility rate (births per 1,000 women ages 15-19). Retrieved July 26, 2021, from https://data.worldbank.org/indicator/SP.ADO.TFRT
Yang Tidak, P., & Ditunda, B. (n.d.). Pencegahan Perkawinan Anak.
Article Statistic
Abstract view : 1424 timesPDF (Bahasa Indonesia) views : 277 times
Dimensions Metrics
How To Cite This :
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Email this article 
