An assessment of pregnancy outcomes at JDWNRH with an emphasis on an early age pregnancy
An early pregnancy remains a growing public health concern in Bhutan and in the recent years, the pregnancies among young women which includes both married and unmarried are increasingly described as a sensational subject.
According to the Sexual and Reproductive Health of Adolescents and Youth in Bhutan, monograph series number seven which was complied by National Statistics Bureau, states that this was particularly due to new laws that proscribe sexual activities at young age and the increased awareness of the medical implications of an early age pregnancy.
According to the report, in the contexts where the country is in transitional stage, where urbanization is growing fast, and sexual norms are changing, it is important to assess the magnitude of an early age pregnancy and childbearing and their outcomes.
No known studies exist in Bhutan that examine the extent and determinants of the early age pregnancies and the magnitude of the early pregnancies based on the actual hospital records. The studies were an attempt to determine the extent of the early age pregnancies and mainly its medical outcomes, states the report.
It also states that the data does not allow the examination of the determinants of early pregnan- cies and identification of whether the deliveries were associated with unintended pregnancies or not.
The deliveries and their outcomes were compiled from the medical records of Jigme Dorji Wangchuck National Referral Hospital (JDWNRH). The data were based on the hospital deliveries and discharge dates from January 2005 to September 2014, states the report.
It added that, JDWNRH‘s data was chosen, firstly because of its easy access, secondly, the hospital records were maintained in the ICD-10 format, and thirdly, the JDWNRH is the national referral hospital that is visited by the people across the country for its better health facilities, a comparatively higher professional capacity and better services. The central question the analysis attempted to answer was is an early age pregnancy associated with a higher adverse reproductive outcome.
The bureau uses the method to get outcome those two levels of comparison was made. First, comparisons of outcomes between young mothers (15-19 years) and older mothers (20-40 years) were done. These comparisons included total numbers of cases and diagnoses and data comparisons that relied on changing percentages of each block of diagnoses, states the report.
Throughout the analysis, an effort was made to consider data from the patients in the 10-14 age groups. UNFPA‘s 2013 Report State of World Population‘ notes that though data from the 15-19 age group is important and has traditionally been the focus of development agencies, girls with the greatest vulnerabilities with the greatest risk of complications and death from pregnancy are 14 and younger. In order to not overlook this population, the analysis of adolescents (10-14) was done separately from that of young mothers (15-19). This also conforms to the traditional age groups that constitute teenagers so that comparisons might be made to other hospitals, states the report.