1. Adolescent Pregnancy
Nardnarumon Thongmee, RN. HPC 10th UB

2. Adolescent pregnancy Pregnancy in below 20 yrs old women
Early Adolescent: yrs old.
- Immature, depend on parents.
Middle Adolescent: yrs old.
- More developed but inappropriate mature, need social
Late Adolescent: yrs old.
- Mature, responsibility, future planning

3. Prevalence Adolescent fertility rate in AEC
(births per 1,000 women age15-19) 65 61 50 51 45 38 17 21 4
ที่มา: data.worldbank.org/indicator; 2014

4. Influence Factors Family factor - poor relationship with parents,
single mom/dad, orphan or foster child
Personal factor
- inappropriate sex education,
substance use, abuse or rape
Socioeconomic factor
- poverty, low education level

5. Effects To adolescent Pregnancy period : - Stunting
- Hypertensive disorder in pregnancy
- Malnutrition & Anemia
- Preterm Delivery
- Sexually transmitted diseases :STD
- Maternal Mortality in Adolescents

6. Effects To adolescent (cont.) Postpartum period : - Criticize - Guilty
- Depression
- Inappropriate child rearing

7. Effects To Infants - Increase complications
- Increase Infant mortality
- Congenital abnormally
- Long term problems
: Cognitive disorder
: High risk for criminal or substance use

8. Effects To social welfare - High rate of Abortions
- Long time for recovery
- High cost of medical treatment
- Poverty (unemployed)

9. Recurrent Adolescent pregnancy
Recurrent pregnancy within 1-2 yrs after
first delivered
Effects of recurrent pregnancy
- Rising abortion rate
: 68% after first abortion cases
: 42% after first delivered cases

10. Recurrent Adolescent pregnancy
Effects of recurrent pregnancy (cont.)
- Rising preterm delivery rate
: 12% for first pregnancy cases
: 15% for second pregnancy cases
- Child abuse
- Loss of opportunity to

11. Recurrent Adolescent pregnancy
Cause of recurrent pregnancy
- Planned
- Unplanned
: Abuse & Violence
: Lack of contraception knowledge &
accessibility

12. Contraception Prevention of conception or impregnation by
any of various drugs, techniques or devices;
birth control.
Contraception Behaviors
- None
- Ineffective Contraceptive use
- Effective contraceptive use

13. Contraception Factors related to contraception Age of Adolescent
Family income
Knowledge of Contraception
Attitude to ward contraception
Social support

14. STOP