Do dedicated clinics improve outcomes in the teenaged pregnant women?

Do dedicated clinics improve outcomes in the teenaged pregnant


S. Das, J. Brooks, O. Amu

Department of Obstetrics and Gynaecology, Royal Oldham

Hospital, Oldham, Greater Manchester, UK

Introduction The rate of

teenage pregnancy in the UK is high compared to other European countries. It is

associated with increased risk of poor obstetric outcomes and can lead to social

exclusion of the young person. Evidence shows that obstetric outcome in teenage

mothers is significantly improved with adequate prenatal care. Continuity of

care through the pregnancy and after enhances the return of this group of women

to education and profitable employment.

Aim To study the impact of

establishing a dedicated clinic on obstetric outcome and uptake of long-term

postnatal contraception, in a district general hospital. 

Method Data was

reviewed retrospectively for a 12-month period after the clinic started (year

2003) was compared with that from the year 2001.

Results Teenage pregnancy

rate remained at 5% of the total deliveries in both 2001 and 2003. However,

number of pregnancies in the age group of 15 years or less decreased by 1%.

Attendance to the dedicated clinic was 42% as compared with 15% for

community-based clinic and 5% for shared-care clinic. Normal delivery rate

remained at 79%. Induced and operative deliveries reduced by 14% and 3%

respectively. Delivery of premature and low birth weight infants decreased by

1%. Special care neonatal admissions and incidence of post-partum haemorrhage

reduced by 3% and 26% respectively. Uptake of long-term contraception in the

postnatal period increased from 43% to 54%. The number of planned and unplanned

pregnancies reduced by 7% and 1% respectively. 

Conclusion The results not only

showed significant improvement in obstetric outcome but also uptake of effective

postnatal contraception that was crucial in reducing their risk of future

unplanned pregnancy.

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