pregnancy outcome in adolescent mothers at maharat...

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2 0 s.n. 2$32 n'l1u $illnfiailtacdnflllnnao ' r-'-'-' 1rrtr{tutl'ut'1nilil'lrldunrtliartr n il'rl' 253o Tout'lro1'ltJl[ PREGNANCY OUTCOME tN ADOLESCENT MOTHERS AT MAHARAT MKORNRATCHASIMA HOSPITAI4 n?nn fiorfiaind "/ afi#umu1n1t a1n ^t A q ct ,A _-fimmlrutg : . ine'IftflCfi rfildruufi.rto tnr:flnsrorMfinantrl?rgrXrinarornglrilu'lfuflPl 6t'r11fl 'r: r a?rgfiu{unvrt snauilru{'lnt fiufininerfifl aurinsrfis$fion 1t.6, Z53Z 1? s68

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Page 1: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

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Page 8: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

tThesis Tltle Pregfrancy OuLcone in Adolescenb Mobhens sb llahanat

NakornnaLchasina HospiLal .

Nane Sr.rchibna . Lactaweesewat

Deglree Mssben of Science (Hurmn Reproduct ion and Populat lon

Plenningl)

Thesis SupenvisonY Corunitbee

- WiniL Phuspnaditf M'D.r M.P'H.

Assoclate Pnofessonr Faculty of Medicine

Rernathibodi Hospital r Mahidol tlnivensiby

- Somsak SuthuLworarruL, M.D; F'C'O.G,T" Dip tn Field

Epideniologlyr Associebe PnofessoPg

Fsculty of Medieine RamaLhibodi Hospibalr

Mahidol UnivensibY

- PnaLak O'PnasertsawaL, M.D.r F.C.O.Gl.T.

Assisbant Professorl Faculty of Medieine

Ramebhibodi Hospitel r Mahidol tlniversity

- Pramusl Charutnagulchair M.D'e F.C.O.G.T.

Mahara! Nakorruratchas i meL

.

Dete of Graduebion February 28' 1989

t

o

I

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rt

The ob.iect of thts h

ABSTRACT

sborlcgl pnospecbive sbudy wes to oomparei

lcEtlons arrd ddllveny ouLcona arongbhe anbenatal, GBFer comp

adolescenL nobhens wiLh wlpse agle wBs bebreen Z6'ga yedns old.

Itel neconds of singlleLon prtilipanibyData were collected flom

rnorbhens who had delivened eL Meherab Nakornnatchaslna Hospibel duning

Januany lr 1987 bo Decenben 31, 19g?. The'sLudy gnoup consi*ted of

775 edolescent rpbhers Egle were beLweern 19-19 years oldl The

1r55O rpbhers who were systendbicallyconbrol group consisted

sanpled flon 3165O mob

duning the sars peniod.

il

whose agre wene beOween ZO-3O yelins old

+

ResulL

1O,1 pencent of ado

pencerrb first'l attened in

only oDC€r ln conLnol

percent firsL gttended in

least four bires. The

fnaqu,errcy of af,tendant were

Hhen Uhe conplicebl

rpthens group were

rsbhens had hlghen inci

and 5.O Percbnt,) r Prlo

pencerrb) r puerPeriun fever

end 1.O percehL)r low bl

i,i

noLhers had no entengLal ce+er 43.5

ind briresLen end 2l'0 pencent Sbtended

2.1 pencenU had no arrLeinatal car6r 35.8

trinester and 16.3 pencenb etfened at

I csner glestebional age at booklng and

igrrificanbly diffenence in bsth glFoups'

and dellvery outconre of the edblescenL

to bhe contnol groupr the adolescenbI

of pnegtrancy lnduced tvpertenstoh (11.3

second stagl'e of lsbour (6.3 Fnd 4,8

1.? end O'? pencerrL)e low ep$er scpne (3.5

endI

I

I'

C ighb (15.1 end 7,6 pEncenb) stttl

Page 10: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

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birLh (O,9.and O'7 Pencenl).

low apEfar scone and low bi

between bhe adolescent and

difference in inLneparturn

factors of socioeconomle

wene conLrolledr bhe si$nifi

The concluslon wes'

Antenatel cBt€r postparbun conpl iceLionse

ighL wene sigtnificenLly difference

contnol gnoupr bub nob siglnificanbly

liceblons arrd abnorrnl deliveny. lfhen

, natennal heelLh snd antenatel cane

dlffenence wBs only sliglttbly altered'

, nob only age socioecononic statust

I care affect Lhe conplicatlons end

rpthensf appnopriaLed educaLion and

bhe rrndesireble preg|nsncy oubcore in

matennal healbh and

deliveny outcone in

care will elso help

adolescenb noLhers.

adol

to

I

.tti

I

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dorr?rnnmau ttasnlrnnoo"*..u.u lostaurcllitduo'trJdrn'ir ls flIt

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u I lo I e rv,8flilalaxa{fl'lTn{nfrn?flflt odcro tuu

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Hessan and Fells( 11) finurqrn r rdre tfieuro tan?flrutnnaofl

BooLh Menroriel Hospibal lunuiXorl?fl1 il u'fl.2498-25o5 e1n$''lro'101E! le-

rs f iruu lse t1B ril?flurfisufiumrororfl 22 fl {ruru ?8 T'lg wnilrrfingt

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t

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n1tflflglon$snaon tdurfitnfiu Aznar and BennebL(12) finrrfi Mebnopolitan

Genenal Hospibel and Univensiby Hospibals of Cleveland '[uOui1Otil?n1

flnilltol{giuars to fl unu{firn'ir {rutu I'o8o l'1g tufl u'el. ?.496-25cl2 lJatt

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t{ll

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duaauau rritrfrerfiu Mussio(ls) finu'lflnfiufinnrtnfrnrtl d t., Louis Hospibal

fis a rrrit luauiXotil?n'lelnilrror{erilarsdrn'ir rq fl isil'i'l{t 1^1.t1. z4g4-25os

{uru so :'rs [ncuufiafifimtotltnrrnnonder?uru ioens se flaontosldfiild?s

fv r r I o d D D ----r--r-e -----€--.1----.d---!r-.--- e

un trrur-)ln1td'lnnlal rfinoannrsuilrffomvX.rn'itlnfr mlfisftpr l"narfiunr?un'l'lildl

tafinn{no$Sonrrr{, tii{s r:to'irfidrufurhrCfiumr, r ntrXfia-f, tnil uncinlc

{ruru ls? r'rs lrFEJurfisufiunnifilnrnrrdurn o'lgil'rfln'i'r t4 fl danltAfltltruEfi'eliq

nrrrotnirsamilftrlafiqrn*ofirrnrr{ lerpnofofirldfi fildufi.rnaoonoadr,,rfrfiadrfirg

nrrdfifrtum:erriuiu uacii$runlrlfi*fiuCso{n't?ctlfll ,xmrfi on:rr{fi unrt sfi oilnfi

raanrrnufi{flnoo 'lunrrflnrro{o'ffitt lfi rd*rl{if,nr snfifirrnornaunrudtfiuCununT :

Q

Coates( 14)

centen tunuiXort?nr

flnrrqrnfilfrnfl univensiLv - Kings countv

rgfi-jrrfl il.fl.2so4-zsog 'lur:oriaiua'rtl ta fl

l,{edical

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t

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technique

flnsr$r'ir

Hospital'[uAniXow?nr rsu'ir',!fl u'fl. 2511-2515 trl?eurfisumtorarpdrnir

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tl r iia,osa s r{otrfi unerir l{drelulr usrura r fiufir{{o t flrrl1tc rrnn'lr

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dl*ifi fl o.'rrtf,uinrCfiunlrorafiornfloo flc{flnr,!fllinEn unsnrl$fl neil

youngs and Mareentfzl flnrrfr .fon r" Hopkins Hospital tunuinotl?nf

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druunfaeas s totlac ae fiooldfiadrelanao

urirfios

unc{osns ro fiosr'irfioro1 tdfloonm{

osbourne eL al,(18) flntffiOUUfiOqrnfiUfinh Duke Sbreeb Hospitel,

Glasgow ilrernddonqr ruu'irrfl u.fl.251a-*szto crnil'lro'liaiunrrr{urn orqeirnir

zo fl rmnrnrrdrfrer {ru?B r1S tlEt ril5eurfieufiilnriilorfl zo-24 fl {ruru aoatl

lrs uunr?s1nfiflmrdrtilmrnriuiuotirsfifisdrfirg usiLluun'lrilusrtii'I.! tfisafiilnns

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fioortrf{edu uncnlilufoilnrodltnre crnfttfrnfi Pittsbursh

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urflo'ls zo-24 fl dtr"rl s4? i'ls {urifilneilurn uilil Pair-naLcneu tdmfiur{otrfittt

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rrFsurfisufiunrrnaoounroudauo nr.n.rfionrtr{timn, rilunnsirtmsirufinutntfrom,,tI

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3 lo r,lnulnr:dtntrriitli[fi The Roosevelbq

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I

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ieiuorq tz fl uncffirn'ir iruru s4 i'ra rrJ?ailtfieufiimrorarfl eo-zs fl iruru

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q

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n.rni{lrinlurduo rdl nrrnrlrufinrioe dstrfl.rruidesiolili

Gann and Peilzold(Z7) fl

fl irnru tt,464 flEt ttngolfl zo-zg

glulflrtilnio{flr:fr tntrfiqtnllrorigrlt o1?J 13- 19

fl {ruru zlr4z7 I1Et 'lutnr,,rnrr Netlonal

col labonative PeninaLal PnoJect llauiXarl?nr :su'jroflL

uuofifinrrnaoetriowiruwr unrnrrnfruflnfioslum:errftliqlrtn

o.uuredldootr,nodyllo'l $acurmlildilfiuCreuiT .rfirufinlrtnrrialfitnrrd fiufirufinI

6 EU - rr --d-e- o i d 4- -d--- aurn rfionarnrrn ffrisn::Jirnr:ni rflocrmrroriglttl?uln tdn Luo{e1flTil161n?fl4{rrt

frnrrruanrrfirnttriisdutionr:nlun:td fr Bosuon

1)t.(1.2520-2522, alfwrrOrifldUO',l?J 13-18 fl {rUrU

{ruu 4zs :lllt wnnr:finurlujrnrrnernmrnria{u

)lrf ,6' ZSZL-ZSZ3

dnnofifrnrttsnon{q

rl'lro'r r6n 1d'ldfid1 tilnil1c'lnorefios

Zuckenrnn eb al(28)

citv €ludufXarl?n, tsn'irsfl

z?o :l1s fiumtorars 19-30 fl

l ftnrrauslneir sfiull rFo{lirrfinurnaaoo arirtfififldrfiru tortrilr :ol{srtlfirir r fiemr rn

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I

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finsuuu Apgar scone drn'ir e lu

respinatony dl stness sYndrome

s urfi {ogae lg.s fi ceuat distresq unc

ioenc zo 'tt ni"tn injunv iagnu z.g fr

ou . 3v t"l:1€rs'tmrrsiturlu tu rffindil r r.l?eu r"ruu

*

riordruuo uaemrnfilufinrion'ittmrol{siuunuldldiaiu tiiirsafil'ir

irufinu:nnaoerradflfistrn'iro$ ga nirr arnndutrl?eutfisu tirruarrrruonsirtmqmro'l

firnatnil rfierfiuorgn:rr{ rirrafiem{ Apgtar score'lu s urfi $au birbh treuna

fii{enril,irn-rrfirnrrii€rdutildrd,wdn:T rdesluaffiodlnfn nrrfrnnnfsfildsraensfti

furfiunrrfinrrh r"rru,r"kv voung nother's progren(Z9) luauiSaw?nr d'rflrwr

clflrrlro.tisitorq tz-rs l iilailficoncrfisudilrnuncfitfinrr'lu sigrt School {urtannr :fi nsrmnr r rfi nilirfr fi tso s st'lro'l uaufl 1tn

Amniotic fluid dfiar,urndtfiorjnfi iodins ta

Neonabal Jeundice ioflnu a finrrfior{oufisnaao fiiisafil'irolqtfiuJaflNhtrldnu

u?osr uftl'loiit{:ru'ir,,:, $unrrr{unsnl tnnoo

nnchildnnnamr.r dtrnfr fi 6 r rc uldld'irfi muunnsir c ar nn.iam ror frrthiatitt

. Herdy eL al,, (so) frnrralnrornrrfioo:rr{deiuii m" Johns Hopkins

AdolescerrL Pregnancv Pnogfram 'luauiXotffinr ,"*iaon il'6' 2519 -la5:24 q'ln

Hrroriaiuhtn:rnrr orsiirn'ir ta fl druru r44 :.'ta til?sutfisufilmrhrduiut

uonlntnrriruurrirfit alnfi1rfins1ilili'rlurceeurnto.ttnr{tfllt 'tair,runmdtnngi'lt

,oon.rni.uflnrios nrnrfiEnr:rjilrJ:.rler:tnrrutnrr u:rirwanrrfiootrr{{uiu'lub

tnrtnrr tr:orfinrrc[n:ndaunrt{finrmrfioflnirnrtnrirufinriog Low ap9ar scorre

uasdfllflrsno{nlrflisdrn'irn6iilnruqrotir,o-$fisdrdru flq{edrdo'irfinudrffio fiil

muu?nrriifi rncdnliln?. u, fi urgdam o{iuu?n.,

Merritt et al'r(eg) rgtrdufl u'rl' z5z3 'irfrnrtrd,n'fiutuo ffinrr

nrrnriruflnfioslumto'larfl ra fl usi'triilunrril[srtsi'l'0rsu'irtm:orars 15-19 !uarn{d{lilldieiu.riiufioru'lorre,rii-urn*rlrdeo4oounlrt t}uunliluslnsirtluril:nnoot

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q'ann rfie$d{dd(zb) fintrwato'tnrrfisnrtdlul'lfma'lqfini1 zo fl

uudsrnnrtnrtrufinfioedslulrrariodlod,',rfi flud

zo fl drsdudnnn'ltst'lsxonn'lrn ttnsnl'Iilftfl'lr

u'lfru

a

lostddOilne1fl Sout,h Cenoline lffifliXotil?n1 :gU-irt n,A. ZSZI-za*a7

lilmsnr:fioorr,{isdr hrses e il non{odrofifierdrftg qrnnrrtfiopnrsfirlrfin

rfrofiflu dsrrnrflronnlrflunsflrrilrufis riiorrj?$JrfiEruftJil'ltaris re-ga fl unrr

nnaodaudrum turrori€drrfir z rdr xodrlro'l 1B-s4 fl unsdnrlnrmrlrttfinrios

dnnnrfl'rotnrrn'lttrtrroriflrud'lnirodr sfi fledrfrg

ns{rtiiflfifinurludrtil:s tnd drulfifurugl^mln.rfionrrr{iududnmrrnti

fisr3rsnsc{rdufiu tnuraurufuu, ltr*ar nrrnriruflnrloe nnuunrn{au$filnnon unc

dnrnrsufi dnaoo rrir rfierfiunrrflnrrltiltu t nfllng

tl

fl?utrl ainfilsna<zs) Bns6ltnfills qdfllr$ flnrrntanrrfion:trfiuirdnmirt

nnoolutxusrmafl?r1d fl u,fl.esls lflnrrndfifirufinutnnnoosirn'ir ro rrja{rtuef

'tnd riiorfisufiuu.unrrri uia srprl fon sfesbat,ional age ltodT tfrfiedrftg 1u

il1io1a.lq 16 fl unrsirn'i'niiorrJ?eurfisufium:o1a'lsil1nn'i1 16 fl n'lsnnoofiott

druununcdnrlnlsxosn'rrflurflnnao X.rn'ir rfinrios usildfinruunngi'ltfi$odr.rfltadrftx

f,ilcslsl 8nl$rrri $ns ililaf'l ntu{r^n<zal

tr,,:ugrurnnfruaoqaa r otot

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6l c -a4alul:rt{Bril1ntlx1n 1A.d. zsz4

riio r r.lTsu tfl$Jfiumrororemnn'iri

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8rsflfl ' rsscrdtanoaltltwglu'lnfi?nt .{rtirnrilnu

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lonrrn{ti.,odgnuoilnflnstnrfin ?monl1ilsl

r n{rnruqradr tfiflrCr fug

rns flAfrm{ np4nnrtd taor

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(Baltirnore)

Hofmeisten

end Bungess

Von der Ahe

end Bach

!{anchetti

and Menaker

Pol iakoff

Briggs et al

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Hassan and

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o

2500-e505 Clenk eb el

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az3

HosplLal flunuiX

I

3otn1fflr'llttflu0s

I Adoleseenb Pregnency Prognem lffnUiXO[el?n'l t8lf ilil l{.t1. 2519-2521 m'j't

lrrcrriaiulutnrwr:fi1diunr:oundotnaao6n'i'l qslfiil r'uonrtniT ufinrioe iasns

e.e ril3eilrfifllfiuiosns ro,a lunrsrrftdruontotonrr ds$nneirsfiuodrl'nfiedrftg

l finuranrodnlrfidnr:ri lufl u.rt.zbee lrnlrtnritrit

o1g ro-16 fl i.gru 55 r'rs d-tdiunrrq$nrioilnaoorfirfirnr rufisnTrlfimruf rdu'r, 't -- - ll

fiun.rr$qnrrd n1Tflun{{n'l}r unrnrrrr?rgfiu{ ril?$rrfieufiutJ1ro1o1sn{l qfiarfiud

r o o 6----^^-^---?-g-^ ^^,i,nlrnaoofla$fl,lltllo Fetal distress nrrnirfiotoltfiflaonillturiT fiat nr*notfiao

nfisnaoo nrtnrl, ufinrios raulsss nnrtunrrogi 1u1:'rus r ul nto { n'r tnqudrnt r o fir t fi

mfminr:mrurlnfi {ruru 5s r.ls

z, ilq{siiftrfirdfiuafnro{nrrfi tnrtt{ietl

z, I rJq{Emrcfirilnr:guariounaaet

Hassan and Falls(11) frngffi BooLh Memorlal

orffinr isu'i1.€ 1,t.6. e49B-zbo5 e'uuJ'lfnltsdu rz-ts fl

iruru#sro{rn'lrrhflmrr{rfit s nf.ruioriomlqnitti rg f,dnrd tfilnrtrfinrtuodruiu

nrrouariaunaoo aian'r:flnrT uu'ir{'ril?un'lt0unrialnaaoiitfuun ft-ililaeian?'1il[nflsi'ld|ln

ludrurutosnrrnrtrudnrioe towu'irlrtorfi.rnriuisiu nauora zz fl

ti r fis'lua qsfi dr urimrtnrirufinrioaX rn'i, n{udldiunr rgunodr s tfietsuo

Dobb and ForL(16) frnrrd Louislana llnuiXaru?nr u.6' e515 Q1fl

ur:oriedilorsrirn'ir rs fl uu'irmroriuild'lfiiunrrgundotnaootirftrsua cc1fi

drrfionrrnrl.rufinrioe a-a rdrmrndudlddunrtguariaunnoofi <drtrulrnn'ir s n{ol

rdurfie'lfiu shnanbz(33) rifiesfl$hCfiunlrrfiel

Handy eL el.r(so) frnrUrrordsdrarfJdrn'ir te fl |g Johns Hqpkins's

tos'ldrns{flriiaqrn

dldiunrroun

m'irnrrfror{a'lunr'r tfruflaorts o.rrt.fino.o

e fitrdrfirg r t'ra r rJtEru t fi elfiuneianr uql

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24

I

Leppenr, et al(s5) flnrrwnso.tn'ttfionttr{ hil u.6'zszg tasflhrrc'ln

{amiimu:rilcrnan?dillitlfllrrlttariomnao 'lut:.rr?sils1tilEi '$ruru s11 t'ltl u'ir

rl:o1o.ls ls-ls fl frdsnrrds{gianrrnnaodouiruuonaslfiirrflonrtnrlrufin'flos ,iiu

irn:rrrf{ogatoal{ Biveriate analysls ul'iT an?ors eo-36 fl qcfidnflnlrairfio

rn.rr6naonnrsufirfistaln'ir ua"riiold lhrlbiveriate analvsis uU'iT irlt?un{.r

rodnlraflnr$td rfiufl

n.tfioottr{1dfin'ir

c{fldAilfiuCfiuifi nr rnnoamnn'ir ors uacdl il'lroldf rulgwnto,l

Tdrrirnrtfinrrtuilru t ndlns haqo f,ryrscl<aor frnrrilqfuitfiansionrrn

firufinrioe iiisuinsrar rsu'ir{ u.a, zszz--zszs ut'iturrnriildrnedmffitd ccfi

offinrmornrrnirufinriondsn'irndrPrunrfrnntrr{odr,lfrfiudrftg rdlrfitnfiu q?srinr

nilr.rfindrgzr firrorfinunrcrodillro'ltil,fR,trfiernrrnurnrfisr'firufinfiofl 1ilfl u'fl. 25?17

cslfidr rflonrrnfirufin$:n

rfieffiidd(zb) dfrnsrtrfl

uudrrrrrorrrnl*lfu rahnn::dutatT ahnnrrlirioen'ir a nf o

rriutfierfiu utqt ggrfiarfi<ae) ras qintr

unsilu'i'l m ro.'n1*i1fint.norrd,dussianrrlfitir tflonrrnrirnflnfiOal tn'ir

Dnnooilotl

u,A, Z5Z4

m:ordmaf.nn":r{?

finafl udtJrus: uasn$c(39) frnurnr rdu:suloinsr t?ti tnnsddo$udt

(Llnnatched case-control) rdnflnnfla{s r dasto',turrorlmtdtfirir rflnnrrflnril

druuoruqiirufinfiosqrno.ro',do.oaoounr1tttr{tiltt1u1ncf,tnon:duarttt$flrurffidnflnil

rsu.irr I!,(1, Z5?T-ZsZg ltnti'ttUndilfintr eol tlEl ndilnruqU 54O titl oJA

nrrfinguu.ir uftrdl*lftlrnarrdfitonrnrdsr t.e tritto.rqf,,riilrrJrnnttr{ tnsfl'lf

or,r.orrr{rfrsr a nfr fiiafiotJn'ircsrdsssionrrtfirirrfionrrnrirufinrios z.o [ti't totI

f\n$rt

t

drrroott,{trnn'ir q o{n

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Cenbens 1t utid tsil'i1{ u.11..25?;! lit1^l'lBnfTt{tfr€n gO,O61 flel adnr:frntr

uu.irn.rrnfrufindoflunuil'rrnrfiolfitq{ 00.6 sia r,ooo m{n11fi{nrrdltn{unro'r

{ed$arfldrn.ir zo fl uasftisitfiml$fr$findfio nl?c?Mtnlrl ntfintrdr ltrsl{ililn

o.rfruldurr s ru nrrfimr n{r{t{ u rt?su t-neilel ndnrT tildnoaouner ufufiu#m'odfi 4

at.(48) fimrrannrrfiten:t{laiuargdrn'ir te fl ''iru'llt 1,71e

rr.Eiflurfiflufiumrnrfrrlrl annrrHrrurru* nlrfionmr{tuiulilil

Conry eL

flfl 'lu Australia

t

toanl.lnrroundomnao rfitflq{flduu'ir finlrdufru#fiuntuuntn{bun'rtnfi

nrr$ unsnrr'Ififir ltnnrrnfiT ufinrloe ,$un.ru.ndqcoiurf irn'ltnrnfi0rn^ntt'na qu

t,

nflofifin.lrnrrnrirnflnfogr"lfiodrsl: rdo'rqrnfistiaurtnurar ruqdrrfiq?tm,snrrtfioI

nrrnrirufinfioe usifinmri, nn:rdmsJrnnrtt{tt:ruuurn", uacldiunrrgunriaunhooadro

rfie,lm qn$dnr,lnrrnrlrufinfiaeriou{rtdr Eesunen(38) rda'ir nrtldiilnrroun

riounnonfiqcfl ilfuCfi ufl qienr s drutnlurnrrunsfl t nil

z,z flqiflnrsdru rors5fiq-flsn$

Hgtchins eL al., (41) flrrurdauufirfisdns$stouptorieild Tenple

Univensly Hospitar lunulSarl?nr tuu'iro u.f1.2513-2518 e'lfltJrrorigi[ a1E

rg fl unsdln'i'l irt'lu 4zt r1fl ujieilrfigufiur1ro1o18 zo-sa fl {ruru 4'-73,2

r1s annrrfinuruu'irdtrlur!r$tunrnrieirttun firrir s'lncr unslfililiaon.:fit

orr,{1ri6r^ro rfrmfiunT rsnmilftfifffinXorurfioortt{ nrrnrirufinfiofl dsnrnrflnrrnuin

rfionr usinrtfinulo{o{ r fiun.l rj?eu rfisuqlndn:r ldlfinoaoln, T lfirfiudnl { nfi 'n

Kesse I eL a 1 . < 42, firrsrnmilfl$fiu#mon.,t r q?rg rfiiltffio tnrrnftldsn'lloo

3u 'lU Indonesis qfn{oilndlilfrilTgg The Coondineting Boend of Indonesia

FerLillby Reseanch in Bendrng lndonesia Q'Ifl Medical School MAtenniby

frorlrcnrf{rfis'}ftmrrnrtrufinfiafl low epgtan score dflflnrffia{tn'lffl uncn1lefl?'let

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a

d.: unnsir.lotir lfifiadrftg

l

26

unufl citritfierr, ldrtfiuCfia dn'lmllnilrd

Aberdeen Scotlend rderfiurruloingrmtnrrltfi

u.(r. z4g4'z5oz r^nrnT rdrfitCtotorflmtrrnr fiil

offinr:nrrnriruflnfios lnmryirmrororiutfiBrird1u o.q,fion. tilctto{tn'lrnirufin{oe

toa raur cfirntnrutifi unutloto'1u1r dor: r nr:ntrufi nfioaqsd'r1ln:ouni'riinrfifi orflu

rfrsrfiu{riluiurt

Genon i rmrs ( 44 ) r rio.iranih r ts$llljncrfi nT rlflufitCfiuzuaiifi tdrsntrillnrt

fioorrr{ ,fiuo..nu.q1diurinrril1dflllr}r?rtifiot n'ir tmt-rrol nlrtlounntrnnlulad

un uflrgnr nr tdr u I mt!fi c-fl s n$ n'l soluadnn rutifrr^ro

inrislti or?nade(45) flnmmrlfldrC:ru'irsflq{flnr{firurRrunfie uns

fl{nil uasnrlstntu'ln'lr{a$il'lttl'l dfiarasia'fi rufinu:nnaaosa',:nr:n1ns'[til u. rl . zszs

unsrl{ifi iruru Bs4 t1B urirflqisnrto'lnr'l rr.du.ouuodtt tr.Hr mar?rs

rn:rXfia li.,rldnri

-rmrl.lflniudfi urlrufi nutfl naoo{o{nrrnodrsfi fi edrfi rg

nsldro{nramir arflufio.r nr:finrrroul'rro1 finuucdodorfrB

ttttb

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t

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n'r {dfinrril $ngmtfifilufinrioa

z,s flq&rn'l,,rfiruq3rrru

Richardson end Dixon(4)

r{rgfi,ftunrrr{u:nr$rutr zlt t'lEt uas6n rg

finmfiotufitcrndn?fi tnr:r{i{no.r liofirhcifi

rrs ftlrcifiufitto{gltmrrltrfi rfil

nriilrl6eulfisil arnflrrfinrrm,irfrnr:nrhilfinrloatuntrr{dno.ramdrsfiflflCrftg trnuioa

e rJo.nc zs,s runqilnilursifinrrr{rufi! nnoffio[ara.orrr{ gz ftlord tlFeut'ffiufipiaenu

gz.s tundlufittosmilt'rtild1fi d.rslrtfitffirg{llttod Fedntck & Adelstein(4?)

r,nrilhsifinr:ufi'rtm:r,{riauT frnmrlfirfit#fiunlrniTufinias ds ni"n""usof' and

Dixon rtio,irn.r:'nrlrnm4nn:8nilfl:s rfiouq'rnnrdrufiln{'rriot orqrfiun't tffEnodfllr

t'fi rir r flErnr:nrl1ufinfio€l

flnnrhu{fisa{nrflirufi ltunrtririol"r dfision.r

fionrr,{ $acilaxo{n.rfio.t:,{'lunrtr{fll1fiudruprrfu ttfl il'fl'2518 t'iu'itnT r

lfirir r^unnr:nfirufin{oe finerlfllfiu#fiuil:sifinr:firufitadrlfifisdrfirg rasnr:tfrsl

nrrnrirufinrioe 'lrndalrreniifirlrrtfrnrrufirXrn'irtrn{urrordlirnsftlrsffinrilfi'!

mnffi nr r t^nonr :nfi T ufi nfiostunniii r 1s loeifinrrtoilonfl n"rfurfitfirfrcrnnul

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14g t,lg trasrnartfittort 315 :re lil?fliltfrsilfiUrlrro.nrrr{ii do rnaaaoop

i

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dad

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fir finnfr llrhugl

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uncnsc(ser d.rfrnvrflc{ards,rrorm:on'tnud1fiti't uflonrrnntu

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t

qur6 or?16orsu frnrrflq{sdilsrr1sdfifinfiilasio#ruflnurntfiolotnrrntu

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fiO Sr fir1m e53O riUet 4t4't5 7lBt

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fl :cil'jrr 1 etflr1nil fi{ er dulrna zsso dlfi{ruru ?75 r1tt

) s,z nrilrrl?flilrfisu lduri en:a'ta1s zo-so fl {ruu 15so t18 iildu...n

nr:dmtirrfi:cilu olnn.rrlfrnaao1trTnrurn ntrd,fiu. n.g eo-3o flnntra

ludr.r rru'''dflru] druruda',t td'uo'lnrisfrnrr

,aur"atrt{tds.

ilfl'1n$ 2530

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rf,uuuUmUrUdam a'lndilef1ad1ilfllfnnafl $nct?ffislijsffiOlltJ1to1 n{g

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taufi r {apnr'odrrttllrfifie-f,dnil qmrlt uacnrru?ntt

noud a fioualurcflofionttr{

ruud g fioilnlu:uesnnooI

flofn arOotana lutsEtsun{nnoo

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s, I flnr"rifinrrairouuudounrn

e

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agfl'lt'lqg

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fii{srot tcrel{nrlt{nndlfirurlra,t

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rfliar r.r uarui t nrr rdfaun

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R'l.ilffi{loo,fiuo.

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tr ougrurnrmlt'lillntrufl lr hfl5.6 ufiltuuunumdorn udrrflrrnuoriansunrt$nltmuauinsrfrwtC,do

flrzqdou uac$fillrC{xufril dolrflrtJrfiururu{om

dt6, n'rrrflllT'llrTl$Ioilo

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fi.:fflnanrt Trsmnmntnt'lrldsnrrtflm

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nnoonflrlghdr,$rssslra'liifin', rt'torirlrtdu

t.ldfcrfisurorlrroprfiundffinrr,irmnf;wm Ba5 r'lfl drmrndtttrg:crfrettld

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tndtnardflnr. ; toslf;drruuufr:suil,dnul,fi16rurofirodru$u z rriT m.rf-r{lfinm

totnrtqnrntdnreilan ro'til'lzolors zo-so fl oofltJlrissd'lftinn:rs onp{luuufr

rgu tfildniiilrr-Feur-nsu druru 1550 f'ls losfi{ilnaxfissialilf, i

6.3. 1 rftu, ourrirtordlttcu'i, lndlfiratirIg

u.fl.2530

l

(Sanpling intenvatl dqs

rl J . n L^

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rnrl{ufir drrrufitum,d n I D - ! o-.- ---!-.!r--,- !---

s6so r'rtr riludrfitu'ttd':fl e tdr tot,iril?uffiilf,flsr drurul

?zs x.tg au'ldrirdrttvrir.,rn{tfi':ad'r.: trirfiil a'ss 'llnr:rlfiffildrirrrhfiU e

6,3.2 l{ntntrnldl tRanaom nrrnbens) dldrtml, ri;tfl! tla

t

q"l6rfufirodrrurmosnrllr.lliulrfiuu rlnng'ir{llfitat s fi.rfirfirodr.lurt'lcneu rfit

nrilrrl?arrfictu 1fiql il11n101s 2o-3o fl ilil1fltat 5 fisdldrirnuor'liufirqrna{n

qiltf'lg

I

|l drirl,ruld il?ns{'ltilfirrilr1srnr Aronadnolr}fiTruriT r fiT qmdrcgldn{lrrilhuurfieut

aru tbso t'ls fi,rfrfiT odrsnrrdrlrud$ial:Jfi

- il'lrn'ro'lf! zo-3o fl rnrfiufieodrttT sd r fia mrord'lffmerffi s

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:

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o ,-- -!o.d

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fiol riolr{rntrnsrfrn uncfirfinnolr nirr"tt" rntsiltiltunru aorfir,nud stttx

(Stabisticel Packagle for Social Science)X orlnt;

i

fc'11 t619[',1

a lv7 .Z n',l11tFTT1sU1oilo

7 .2,! I nfifiU:rgur (Descript,ive sbet isbics)oa

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. ulm1iltds.rflrfinC togtd Relative odds

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nt rc untn{our"erfi onrrd

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1? 668

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- nodoilfl .trflTcq.lsno tqmdmuutun'if 'rnrilfinr, unsn iil uFeil tfieil

Icrenfifr chi - square

rlFisutfreil letst{ t -rrJ?$r rfi$Jtir ladeta {doln r?td?1rn:un'ir tn{lfinrr naundn

rd?su rfieumr ildso tn1 ?Bumnfiouunu6afl 'lrnnon rsui r ond$t

|l firnn unen{lrrJtaurfiau losl{ chi - square Lesb

1, o'lg

z, o'Iflil (6'1fi, ntrEl'l)

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nc es.s mru.rro.liaimnoouflrnrurn n:tti,'oe. f;nooo uanrfirultgl'lo1s ao-go fl

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(p = o,Oool l6nrmrndmdmq,,rrorfioaoandl tnrnrd gl

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fledrfirg (p = o.ooor lmrrnrueltmonolfumamrfifisnotn{l <r,rfl{d g)

ntiilmrorlflruuncn iil trlisu rfigutt

deuturjdrrsririnrrlnnu, 41fi rfilitnu

flc ss,e $au 53.2 nrildrdul druiudrurnnfi o dlildrulrn

urtun{'*rror{eiurnn.irn{tr1teurflsu <fosns 13'8 unc

u?ailrclnnfi t <tqgnc 55'ed

drrs6iriffi 'tl,tEt1il'ln

s,s nrildrfiur uncilrc,nnii e drnrm:ntfinriTfnrTffirurnldq'rnuri?sorufiilfl.rfio

untun{nrrrorieiurlaan'irn{lrrFsurfrsu t{oens 4 sav ?12,6 orudrftJr m'ir"n

n')r$rflnehggdr$fiedrftg cn = o,ooo) tunrrnrrcrsrotdrs lnnrirli.irglunt:inrrI r . --- d ^ug,lil1n1o{nrrOrfrldagfl68t ( Sl'l51dn 3)

t

Page 51: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

O n'111\ld 3

38

'iturutaufosautasn.irflnrr unvnrjrrrjtsurfisil'iruunsrlilfiBfinnuun-lrttt

eilrrrtrugfic[auf,.!RrJ

firuil:nr ldru ro:ugfil-flral o

41ill11Jfognc

t

orqneilfinrr <fl1

l4

l5

16

T7

t8

19

3

22

50

113

286

301

0.4

Z,A

6.5

14.6

36.9

g8.g

:?lt 775 100.o

rir rq6€r

d?urdss ruuil'rsr?I'lr

18, 01

1.05I

QTe!.iiltil?siltfrsu (fl)

zo-24

z5-29

30

I, O1O

489

51

65,2

31.5

3.3

t?tf

t Iton?il r ljg{t t uutJ19156.1ll

fl

1r55O 100.o

rir rodg 23.70

z.Bo

Page 52: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

39

tn'lrl{d g (eio)

firuilrnr sdru t rnr3fi l-dtnt ndrflnrr nriilrrj?surfisu-

q-

oa1ll?11

3togRc

oa11l1ll fasnu

I

arsmra'Ifi tflt

ls-19

20-?'4

25-29

30-34

35-39

40-44

45+Vrtilnf1il

111

430

176

43

I

z

z

2

14.ts

55.5

uC,) |

q|i

I.Z

o.3

0.3

0.3

zz

49z-

747

250

54

t7

I

L4

3r,7

.15,6

16.1

3.5

1.1

O,5

f2il 775 100,o 1r550 100.o

trC

n'l tingrdfl?lrils{ rilu1nTn1il

T. Value = -18.5100

?,3,24

4.O7

P = O,OOO

26.66

4.42

a

Page 53: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

40

t;

')r9l1T"lit-ll 3 (tlo)

firurJ:nr tdlu t rlrs5fi e-f, tnn

-o{rflnnortul1l iosac

-odlrrj?surfisu{uu foenc

t

llmes:fu1urfio.r

uontfro't

.992

347

36

50.6

44.8

4.6

700

756

94

45,1

48.8

6.1!

{su{ofiu't

775 100,o lr55O 100.0f?11

X'= 6.83482 D.F. = Z P = 0.0328

1r531

19

744

31t

dn'rm1}ldil1d

d

ufirfl' utir, ugn

96.O

4.O

98,8

t,Z

775 100.o 1r55O 100.of'ltJ

x" = 1?.6000 D.F' = 1

i

P = .0.000

I

Page 54: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

4t

o

n1i1\:d 3 (qio)

fi'l rrilrnr .r Eiru t R:uXfi e-fl .r nl nairflnur nrilrrl?silrfisu

oc1lt?u

DlAgnc

oc1il'tu

Dtognu

t

olfluxoEtdruil?nr:

uriri, u

UDTile10'

firtrg

riur, ritdtu, rirlit tnuntflTtet)

iu:rtnr:, igin,ufia

or?uu?nrrfitRt

zoz

98

77

391

7

26.L

lz,6

9,9

50.5

o.9

343

227

158

666

154

2

ZZ,l

t4,7

to,z

43.0

9,9

o.1

12tJ 775 100,o 1r550 loo.o

xa = 105.4219 D.F. = 6 P = O.OO0O

?

,

Page 55: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

I

42

I sl'lTl{d g toiar

hurl:nr odru rrntlfi n-fi t nn

-odrflnur

--nriil rrj?eu lFtlrlu

o

iu{rs

6rtre

riru't, frdru, rfirld< tflutlTflTftl)

iun{nrt' iliarufie

orflr^rdrttfir

finflnm

'irrsru

1iln:Tu

?'86

65

?.30

39

6

I

134

96.9

8.4

2;9.7

5.0

0.8

1.O

0.9

17.3

4go

93

4ZO

316

l0

z

5

274

27.7

6.O

27,l

zo,4

0.6

o.1

0,3

17,7

775 100.o 1,550 100,oT?Sl

xz = lz9,z4to D.F. = 7

4e'8

31

eo9

107

P = o,0oo

e

rlrstnncn z

ilrutnnfi s

rlrurnnd a

55.2

4.O

?7,o

13.8

8?.4

351

314

61

53,2

22.6

zo,3

3.9

100.o 1r550 100.0t?il

xa = 199'7396

775

D,F. = I P = 0.000

)

Page 56: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

43

tz, nufinuuunr':riruqtnru

z.L rlruifinri4@nriur :orr isdunsnsirJ r il?sil t "ileu

fioatrd ttoflns eo'B unu ez.s nr$d'ldul rusiwrnriilm torisittfi ilruifi nr tXr! r fl u

.'lnn"lrfion:tr{riosn'irnriiltrjieutfisu tfotnu s,z unu le's nudrfiut riiofiqr:ur

rau'rrn{liifirhuifinrrXrlrfluornnr:fise,:rr{ uru'irdlrluqiao.:tr:orfitnosn{l lfierq'ln

tiosas 6.4 ttnc 8.1 nruirfiul unufi nruunneir t odr tfi fiudr frP

ltrJrvifinrrargrflaernnr:fitnrrdrow:orfionosndt <nr:.od aI

2,2 fl,tlnl'lq VDRL

1U!flnilil1ro'l'ltt:uunsnd$ rr]?sutfrsu dru'lungfiarnfl'llen2e vDRL ilnail (f,osnc

go.z slrildrfiul [nuwa vDRL rlnuln 'lndrfis.tfiufi.rnotn{il ({osns !'2

nruirfiul lriunllrtnneirsoEirlfifiudrfirg (P = o,2?7e) ludanitn:rq

vDRL i0{rl..,ro..'fionuonaiil (st1l1t'n ol

z,a nrr r6urJrffiasilrror'lunrr,{flqlfiu

$nu

3.1

nriililr:olieduunundt t rjieu rfr suttl

drulunlldfinrrr{ud'ltt tfoflnu e6.e

gz . e nruirfit I uoinrillr:oritdilfin'l: r {uilrfflrnnirnril r r-Fail t'neu < iaflnu

uns e.6 nrldrdu rdafiqr:urrouron{litfinrrr6uilTt u'irmrolfisnosn{l

rfiltrnfiqgionrrrunfllfiuCilln4o <{oenc l.? $nu o'e nrildrfiul fiilttnfinrfiou

.'lundlmroriairunnn'irniilrrl?s:ltfleu {faflns o.8 uau o.e sludrfiul lduilnru

unnoirrotjrrfifiadrdig (p = o,6zqzt l,snrrr6ilrhfloru.ro.fionutnril tnrflod o,

deuluniti r n€lfi ilzsifinrr4CI tfl anrnnr:

tb

n11$n{ lad

(P= 0.0193)

87.6 llnu

llnc O.7

t

)

Page 57: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

44

O

mr1.!d 4 druu unciosac monrilflnrrua'snrirrll?flutfieu {lunnurqufinrrucnr.l

druamruq

firurhnr sd'u t nru5fi l-fl tal ---oeilflntr'irtru toenu

-$ilrrj?eur"neu

'irtlu ioeau

I704

7t

49

22

90.8

9,2

6.4

2.8

1,356

194

rz5

'661

2

87.5

lz,5

8.1

4,2

0.1

0.1

- ufis too

- r{rufis

- fion:tr{uonxo1n

- ftnr:r{'trirlarqn

't75 1OO;0 1r55O 100.0t.1

* X" = 5.4309

amflllgl1le VDRL

' ldldnnc

ilnnu

&mlnfl

VrHNTlU

D.F. = I P = O.O193

78

679

9

I

10, I

87.5

L.2

t.2

3Z

1r499

TZ

7

Z,t

96.7

o.7

0.5

t?tl 7?5 100.o 1r55O 100.0

J VDRL Ajnillfl | 0Jnnil X" = l,!?71 DrF. = I P = 0.2779

Page 58: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

45

)

nlr,{ii 4 (eio)

firuil:nrsfilrdtn'lll --oqlflnr.r idulEiilrrjiarlrfinilLf rnslj

oe'1il'l1l {ruru , iasnc!

TOSAU

75r

24a

96.9

3.1

o.1

o.3

L.7

o.8

o.1

o.1

1!509

4t

5

I

6

1

13

3

I

7

2

z

97.4

2,6

o.3

o,1

O.4

o,l

o,B

O,2

0,1

o.4

o.1

0.1

- l:nrirlq

- l:nturrru

- l:nnrudulnfinns

- ntslnfinqrs

- lrn-tsl

I

z

13

6

1

I

- lrnfiooianl { nletd$fud

a-aA- ttn00 t50

- l:n rfifl'lfiusioillntoeo{

| -uoufio6aISnqn

ud- 'ltu tTn

;- al|e]

T21l 775 100.o 1,550 100.o

D.F. = 1 P = Q,624?

a

x" = 0.2393

Page 59: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

cn-Nonm1-fi!!!!Il:II

46

t3.

I

ndilil1ror flflduuacffiil t rjtfl u rfi eu dlr'lur!ruriuu?nrrafrnnr:r{ <iosau

Be.s rns sz,g nrilrirfiul uoineium:orieiu'tdmiuuinr:afrnntttilrnn"irn{lrrl?au

rfisu <tosas 10.1 rac z;L struirfiut uu'irfinru[nnsir.!fiuodrtfif,udrfrg

(p = o.oooo) io{rfl-rrmiuuinr:afrnnrrdtooo.ro.fionasnrfu <st'tt.{ii 5)i

s,z nnruii,Jrnnt:d

neiilm:ori'eduuasnriil t il??tu t nfluli!

illf1r'r{ilntfltrfim <fosnu 78.6 Unc ?4'3

r{oeau B,s $as rs.o nrildldut uoinelunrorisdilrfrnnrrr{dnfiflndT ufirriaan'irn{l

rd-reurfiflu ttoeac z.s rns to.o ntildrdul utrirfinruuflnsirlodr.rfiftrdrfirg

(p = 0.ooool lrnnruiiof'lnottr{ooou.ro.filno.:nrfu <n.trod sl

s,a durun{t3o'rnrralrnn:rdrurtqr!

nnilil1To1aslild?il luCIil'lnf ?enTtn'tl

f {ruru r n{o <fosas z!,o) Ta{tn{r'l

fio ,iuu z n{s <iosnc t7,2, unumnmcnttr{toe,ode s n{o

<toflnu tb.s) ttnsillcrtlcottr{tourode a o{o

dtrlurfinnm.orr# iruru o n{t tfoens 16.3) ro,,:armfio {ruru z n{o

,dunonnunr t nfi fir,ru'irfinmilustneir.l

t; , tE018n:f ,i r iloil1411fl RTf nnt{t urfl

ndrrrrsrr{aiu Ceutuqilrafrnntrr{n{o utn,iiunrsnrtt{zl8- 40 drJsrrr{ u:-o

odrrfifisdrftU tp = o,ooo) ravirurrn{rtcreradrltotnrrdrnntt,{1ltn:nrfi,rno.rn{t

,t.tt'tod

3,4

.lsnmnitnrr (fogas 4s.s) rarnwrfia ts-zr flrlerrr{ u?olnnnnno.r <iosns

sz.s) ndlrrJ?aurfitudruluqilrafrnn:rdn{rurnrfioo'tuott,{ ts-l? firJnrr{ u5o

lglrilrnao{ <faanu Bs.B) raca,surfio rfraotfln:ri zs-ao flrjorrf uiolnrlrnnrl

tfasns s?,,2, unuuu'irn{ilm:nrftid*.*'tnorrr{n{o,t:n tdoo'lenr:daT nn'ir ao

de u'lurfu rfuu?nr rah nnttt{dtr oru'', u'lo

nruirdul rasatlrfio nnruuinr:5r'r

a

ndilril?surfieut

I

5)

l. flrlorrf nrn'irneilril?surfiflur5nriofl tiasns o.G uac o,r srrildrfiul tfionodaux'ht

Page 60: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

;

',. 47

nfifiumruugtnrir,rad.t.:-afiedrdru (p = o.oooo) 'lunrrnrrqlflm{olqntrr{,iiofronnt.it ,, E r J --ffiTrini{$Tflxa{il1To'lfrtdalnnl (n1T1{n 5)

I

oslri'l$lrnn'lilnflnfltsstct

l

I.u

nrrro'n s {rutrrnciosnc todfl{lflnr, uacnriilril.:siltfi€ru

n"r{dlrfiltiuutnrr

fiT urlrnr trirunt:iuutnr: nrilflnuroe1il1ll

o10fln8

n{rtrJialrfiuu

,iuru doenu

ft

nr:aJrnn::t{

lilahn:

aJrn

78

697

10. I

89.9

32

1t518

I z,t

97.9

775 100.o 1r550 100.0l',lsJ

xl = 21.59?6

f 1,1 . rJll'lfliun:: r tr6h r

nfiflndtrfir

nnrul?nrt6u't

l*in:ru

D.F. = 1 P = O.OO0O

I

609

19

69

7A

?8.6

2,5

8.9

10.o

1r 15e

164

zoz

32

74.9

lo.6

13.O

2rt

775 loo.o 1r55OT',ltl

Xa = 50.1835 D.F. = 2 P = O,OOOO

100.o

a

Page 61: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

48

)

fl'rrl.rii 5 (eio)

fi rurj:nr.:fir tnr rful?nr : nrirflnrroe11l?u

Dl0flnu

I

{ur un{,l r o o nr ialr oo::r{

o

I

z

3

4

5

6

7

I

I

>10

7S

163

r33

109

106

57

48

g4

zr

10

16

10. I

zl,o

17,z

14. o

13.7

7,4

6,2

4.4

2,7

1,3

z.o

3Z

164

24t

?.40

2,52

zrr

149

103

7t

38

49

Z,l

lo.6

15.5

15.5

l6,3

13.6

9.6

6,6

4.6

2,5

3.1I

t?3J 775 loo,o lr55O 100.0

rir radg

Cru riier r uurJ'rnr5'ru

3,tz

z,42

- 9.8gOO

4. 16

z.39

P = O.OOOO

i

T - Value

Page 62: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

49

Isl,lT1.:dn s <sio)

fi'lurj:nr o61iln1tf!u?n1r

-:qlflnrr-nrilrrjisilrfiflu

tirurt {oenc drurttDTOBNU

a

arenr:d riiolrahnn:tr{n{ou:n < flrjcrrri t

<-lnril1dttTn)

<lsnil1ddos)

<lnrmnarxl

"ldmoJ,nnt:d

ldnru

l-14

t5-27

2e-40

4O+

zl

250

337

5

78

84

2.7

3.2.3

43.5

o.6

.10,I

10. B

91

555

499

z

32

371

5.9

35.8

32.Z

O'1

Z,l

eg.9

tlel 775 100.0 1r55O 100.o

xz = 162.9000 DrFr = 5 P = O,OOOO

I

+

Page 63: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

50

I

n1r1{d 6 nfl qudnunsiiunnoirrfiu :su'irrnrllflnrrunundlrrJieurfiou

nsfiffiilrfrr'til nfrfinonau D.Fr P - Velue

1.1 frolnnr rdu r drs6fie-ddnil-uffi

o'l8xo{d1fi

'Jrurnnnogo'lng

anruaiunma

orflurorfiiuu?nrr

arflumsnrfi

ilrs r nnro,rrirld.ir E'[unrr-

innugrilra

{ommrriudsnlut-

I

T-tesf

x"

x'

x'

x"

x'

1658

z

I

6

7

3

I

1

I

1

z

z3z2

5

o.oooo iF

0,0328 t*

o.oooo it

o.o000 t*

o.oooo *

0.0000 ;N

0.0193 *

o,2179

o,6247

0,0000 )l(

0,0000 ;x

o.oooo'*

0.0000 *

t,2

d:s {fi nr rnr! r fl fl e1 nn 1 :fi s n:rr{

arnfllrnr?a VDRL

dt 3 an11t auil'lflxmsnnnttn

DsatailnflltTUurn:lr

nr:afrnn::d

nn'rlddrnnrrd

x"

.x'x"t

1,3

dr lrtn{t ro i fl l rah nnrrr{

o ren:rr{ r iiomdr nn::dn{o otn

x'

x'

T-best

x"

-- du 9 u -oo d s* illlgn'lnr!illlnnn ilTcoil 4- = o.o5

a

Page 64: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

51

I(z) fl'l?sBnTniautasufimlnaan

1. n11s$n:ndau

1.1 n11utt,ntn{auruecfirnrrr{

nrlllr:errttrit unun{rrtil3sutfieu dtrlurllri"lrn'ne$nrfl{outrsrfitnr:ttt

<tosau 81.z u,ns gz.a nrrdrdul usiurirnrimrrorriedufrnrrcunlnio[rrsrfionrr

nrn'irnairrrlisutfiflu t{oenu 1s.s unu z.e nrildrdul

nmuunrnfiourruofioorrd fi',:ndlmrorieiuununrir trl?sutfisu Cru'lur!finrrsnmildu

1nfinn.:trucfionrrr{u''nddn (iosns 11.s $ac s.o nrildrfiul to.:nrmfio nlrcnr:t{

rfitdruuernnagt (fogny s.4 ttns z.t nriliirfiuld l, a

ttncn'l'lu t cilnttnflailo 1 gnf f nnTU

so flil0'lrf 'lun{llrroritntXsn'irndilrrJ?surfigu <iaens I'e uns o.4' srrildrdul

uu'jrfrnruunnsir.rotirrfifiadrdrg (p = o,oool 'lunrrcunrniolrus"fitnrrt{, n1?u

u ca 8 I la o I - -' In?1rdll lnilfld{tn$cgh:nT:rl BnsnffntRlln1ililnnnaono{rtJ1Tn1lt{td0{nnil ttnunln?1fl

lduornon'truunrndorrrsrfisnrrd'llnriunrorriedurfirt a,ae rdr rarndrrrl?€rutfisu

<n'rr1{d z)

nriilmror{sir ununairriliEJutfrgu drulnllrifrntruunrn{offissunnoo

<iosnu Bz.! uns B1.g nrndrdul unuuufinrrcunrnfrol Tuscnnoolniirfu':fiu

<iasnu tz.9 $ns tB.z nudrdul rdofiflfl['ngr.,'rsndldfinrrrnnrndarrugux0lc

naoo nriilmrol{edtdruluqifirrsrdnatt0{rfllrnnoos'l?r'lr tiognu 6.st ro{n{il1

fio n'r'lcur{rdrrorurorrlrifiuo <{asas s'B)' ttncfllrnaoofierfrcr tiosnu z.s,

nriilrrlisurfisudrulunhrunr:nnoofiofro <fogu z.tl :oraurfio rrsoddolloltnlrqr

nnong'r?il'tu (fosnu 4.8) [nunl'lcnr{trrirtorurror'trifiuo tfogas a.gl drurru

t

Ifl

In

do ,doI lJOl{Q'l f l[1 t il1.1'1 c nflilnilt

a

a

rnindoil:ceroooo6un?fidn:r'1nfir6fl.rfu tir^runmlusrngirrodl{fifludrfirg (p = o.Ge14)

Page 65: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

52

I

a

'lmrrsttnrn{ottrcgunaonro\rm?nrfi,:aosnrir naueirnru,duoroon''truunrndourggc

nnoolunirmror{gdu rfru o.gs ,ri. ,oo,],iilril5eur-nsil usi1.il'irfin'lril$nngir{odrt

'nfiadrdrg (p = o.oooo) 'lunrrunr:nnanfiodoruou'lto'tfiono.rn{r <sn?'tdii 7)

t,s nmcunrn{au:cgsufi{naoo

nrlrrrro, iaiuunundlrf?sufisu drulurjtifinrrcun:ndattctlsuf,{nnotl

<foens sb. I unu go.g nudrdll ughrunrrc$nrn{or:cssufisnnoerlundrlrrcrrisiu

n,,:n'irnrilril?flrfiflu <iosac 4.e unc g.t nriliirfiu riiofrcr:sr,o".nn4udno'li,

unrnfrourcsuufirnnon nai$flrrori'eJruuunrrufi1dufi,,:nnoorarn'irnrir rt13gx gfiux t fas

!

$ac 1.o nrldrdut uono.nfi*r'l"ficrr{aufirnnon $mrsfl unrlnfindodrrlln'luneirt

mrnlieduaon'irn{rrrliflilrfraurfinrios r^,il'irfrnrril$sneir'rod,ofrfifldTfirg<n = o.osss)

'[mrrcun:ndolufirnaoono{rrl1r0rfi',rnotnail unsrirnrrrtrduoroon'',tuuntn{outsErc

udrnnoo ltnriunrnrisiuas,fir t.or rrir rornriilril?surfisu,sr.:r,ld zl

nu 1,? $ng o.z nr$drdul rncn'r,tsnfl rfrooudonnoorfin.rn'ir rdufil t ioens !,2

]

C

Page 66: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

I n'rr{fi z druruunufatlau xo{tnrllflnnunun{ltrJiuur"nuu

53

{r[unnrilnms[nfndoil

firurjrnr.:drunr?uuntn{or - nriilflnsrottcltr?u togns

ndlril?eutfis:Jobl',lll?u Tognc

xt P;value

rBln1 ?sttnlfl na1lTugs9]d nTtn

l|taITJIJ

otl

633

t42

81.7

18.3

11429 9Z,Z

tZt 7.8 55.9105 OTOOOO

t

nrrilrdnrflilfin#

775 100.O

2,46

1r550 1OO,O

I

- fl'l'lsn?1ilfiu1afinn.r

E'xt[sn{nTln

la o- nffnrn|lfl1lfttnnnood lt I- t1ilflttnnoltolsnTfn

i

aiil 36 flrjorrflla6ra- lnilnaoflr|ollfl0l

Io

tnlfl']89t1

J.?n'lnuqjnrl

3

I

11 .3

5.4

l,Z

0.3

o.l

z.t

o.4

3 0,2

2 0.1

9o,2055 0.oooo

16.8795 0.0000

1.0?69 O,2500

5.O

s3

6

4Z

lo

i

n1?uuntfl{altlsgsnnorl

il ra'utll

atl

696

139

82.1

17.9

1f260 81.3

?;90 18,7

nrrlrdflrdillinC

o.1576 0.6914

C

775 100.O 1,550 100.O

o.95 1

Page 67: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

54

In'lll.lii ? (eia)

firuilrnrrfirmmunnrniol ---nqffintrtirtu ioenc

oiiiluj3eurfiflil

,irru ioeac

x" P-value

- rrsriiaoltto{fllrnnooet'lttt'ls 49

nrrnaonfiofio

ur.: rdttolm:orrlilfi

- :naonfirriouriruuo

- :nfiod'rt,o- Tfltfl'lcgl'l

-Thneabened ULenine

- Prolapse Cond

- PROM

- Chorio Annionibis

22

45

z

3

3

Ruptune -

6,3

2,8

5.8

0.3

0.3

0.3

1.5

0,3

74 4,8

llo 7,t

74 4,8

I O,1

9 0.6

2 0,1

I 0,1

4 0,2

11 0,7

3 O,2

2.0579 0,IOOO

t6,7342 0,0000

D

tz

z

I

n''r x c $ffi ndour ssEldloaoo

Vldu|ll

atl

737

38

95, I

4.9

1r50e 96.9

48 3,1 4,?,397 0.0395

'Tltl 77.5 100.o 1,55O 10o.0

1.61 InrtrtdeJ.!ftdnC

t

Page 68: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

55

In'111.!ii ? (gio)

firurjrnr tdtun rtu urFniau nrilflnrr orilrrjtsurfieu

{ruru ioenu {rtru ioenu

x" P-Valuel

D

- nmsfilfiufitnnaet

- irtsnntfionufi.:nnoct

- nmcfio u{on.o tfiudaarrsJ

- nrrcfiotfloufitanoo

- $t|nugfl

- lnfindrd$oln

- EndornebnlLls

13

I

3

3

5

4

I

1.7

trZ

0.4

0.4

o.6

o.5

o,1

11 0,7

16 1.O

7 0.5

z o.1

4 0.3

3 Q,2

5 0,3

]l

3.9404 0,o5

z. !{nnltnnao

z.! olenrrrirfionnorl

t

lflomtnrrnnoo

miurrnriuitunun{l r tfreu tflsu druludnfioo rfu orqnrrr{rcu'ir { 36- 42

flr]nrr{ <{osas Bz.s $au es.o el'ludrdul :ora{x'rfio01qnrrr{rnu'irt e8-35 drJnrrf

rfogns 6.? Bns e,z strildrdill Crunrmnantliun.qen d og-qs flrJnrr{ ntanrrr{

rfiulruuonaao 'ltrnriurT rerrisrmtn'irniilttfrsutfieru (iosnc 5'I unu z.st tll t!

rirfiul orgortiliiunnonlosrade fio ge $ns ss flrlnrrf nruirdu m'irfinru$nnsirt

orjr.r-lrflrdrftu .p = o.o00) luarqnrl{,dnoouounsffirr{rfi$d1ililflna0otrotlil:orf,r

oatndr tsrrn.ld g)

2.2

ndrrllrolittiuunun{lrtFdutfisu drulnrftrnoorlnfr tf,otnu

os't srrildldu) d'lunrrnnooftnrjnfi uu'i'rtnfit6a.:ftt <faanu 31.? Bns

oe.$ uau

34. P 91'.111I

Page 69: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

56

t

t

rirfiul rdofiarr$r rqurcnaiilnnoo'wsrrlnfr drulnlnaontorenr:ld,o--oqoqtsu.'n"'n

<foens 15 [nu re ,z str$drfiut :osnrtrfio nr:airfioto.tdnoonnrslrirfios <iae

nu to.b $nc rg,e flrildrdill drmrrnnoolnslfntdrs nnaodrfiu rnrlrdnfldrudn

lnfirfiflrfir liuun-nrunncir.lodrsfifiedrflr! (p = o.14to)'lmrrnnaetfiorJnfimt

E 'l or.u,duoo0tfllrnaoo^wqilnfilundrmroriuiu t$t o.ez trirtolil'lfo'1fiild0{tnail n11illnfl{no{il-lr?n--.'-----'-----"t' -i

ndtril?eutfieu (ct1ilo'n al

z.g tilr$o{n'lrn

. nriililltnrifliuuaunrfurrJ?silrfisu firyrrrurtt'ts fosns 5o.? rnc 5z-'6

slriliirdu druunrrurtufl{ fosas 49.s $ns az.q nrudrdu tluunT uunndrtosirsfi

fiedrfirg (p = o, oael lttuRtofn1ifl ,nou',roafiona,.:ndl ,st.trod al

2.4 dn1iln1tn$tflnnoo

' o 'uuncniiltilteutfieuflRilil',lftl11gt r

nriilmror{siutirir r^unnrrnsrrslunr:ri snsnaoo uacn'lsfifilnaon Xsn'irn{lrdlaltl

rfieilr$nios riiunonuun'l{dfiA lduunrrluslneirlodr.!fifisfidry (P = o'?e6?) 1u

nrrnrfinl#ilmnou.rn.firnarndr n..il,dsonatnrrnrfinlfiilu tlnriulr:mttiurfiurr't,z7 rn'r mrnartrltgutfieu <gl'lrln"n 8)

t

e,5 nsuundrlrmr:nudlnaarl

ndun:oriuiuununrfurrl?surfiflU drrrlunifrauurrdnlilnlrnrdtnnoo ro

nuttrlt <iognc 8514 tlflu ez.o nrrdrfiul :otntll fio

6,g unc 9. t nrildrfiu) ns[il[dnrmr:nufisnaaotofltod

nriilril?eurfigu rg.6s [nu s,zs nuuttu striliirfiul druiunuuiludnllmlrnufio$aonrir

<ioenc 99.1 ltau gg.g mildrfiul

rrJ?eutfieu tfaenu o.9 unu o.?

drutnnjl'frrir r fi onrrnurnnnonfifiin

usirnrnlrn tfinlfiilulrn{rmtoriuit {tn'irn{r

srrild'rdill riiofilrrnntturundmrrndgl.tl uu'irI

a

ncuur I nstlut (ioflnsttulor

0nn$$1'n1?gTltfl1n?1tl

tJ

Page 70: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

0

'.1t:

: :..,

O

oiln"ir{luFsur

.3 $nu o.8 nrlrirdul nrrrfimruririT r'unt

rdnfia$ tlosns o'5 ttnu o.g nuCrdul:rl

r.ruirfinruunndr .rfifie&ft! (P = o'ozoe) lnnhrffioilnfitotn'l-t

eornrirr tntn{fi etl

2,8

,11

Abtf {l}f8t1il1ne'lr?lt

I

4-? iu <faene

orl;ild{anannodil1

t:I

'i

ujterulfleu <iosns 4 unc a nrrdldul rdonnnourn

1ftu (P = 0'0152) ll{trtilf; {lrroroqilllr

.nrtlrd el

i:".'l

t:

l

.i

I

ii

:i,I.!i,iir:i.

.lr,:l

I

' ::.

i

I

li

qrt,td e i,{tnl m m{uflnrT unun{l uFarr tftnt

. ,t I

28i35.i

96 -: 42

49 -ii 45

ti

<.ltt I

'j

(LI

I

Ifo'lR{

uncfldiluFeutfreu dtrt

{u <isenc ?9.5 $nu eo'r nrildrdul rasnw fro {rm*

.5rmu rz.s' nrildrdul uefrurrirn{l$1'lfrl'lAtfu

Page 71: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

t( l-z ncu,uil I uudsrrrd?llmilmror{ei$ntn'irnriil r rltsu tfieu

srudrfiu I,finnonoun'.r ounjn*'jlno..uunnrlr oarh t'r,fisdr frg

:

<foflns 3.5 rtnc I

(P = 0,016) tA{t

I

ncrttttdnlwrrrnufirnnoolaerafi€,soomtorfirno.rnrir ung-rnruusntir{od'rtfifiadrfirya,

(p = o.00o1) lmrrn:rc'lsncu[ildnrumrnufirnnonsirm{mrorfisnotnil n?1il

,duonooorunildnllJnl:nufirnnaoefir lunrirmrorriarilrfiu g.az trit m{nriiltil?su

rfisu tnrrTod el

D

2,6 frufinnrrn[rnRnao, " r t O ra?nri$ilrror{edr dlr'luqifirirtfinnrrnurnnnoo rcu'irr zsoo-zses nfir

tiosnc 41,8) :otnsmfio 'firufin sooo-s4sg niil <fosnu s6.tl unrtlrufin rooo

-1ses niil <foen y 2.5) niilnltsurfiouCru'lfilfirlrufinnrrnurnnnoo,ru'iri s00o "

-s4se nir <foenv 4r, rosnrmfia rl,ufin zsoo-eese nir <iosns ss.?) $ne

rirufin looo-rsss ntil <ioea v !,4, rtrufinu:nnnoErto€Jradam.rn{lmrorioit rdr

n'irn{rrrJ?flurfisil asBs $nc zgge niil nruirdu uu'ir-nnruunnoi'ttodT t'nfiedrfirg

(p = o.o0o)'lnrlrufinurnnnaolosrofiuonouiro, fisnoonrfu duiumrnrlrufinrloEl

( looo-z4eg nill r^rudnrrCrulmrilmtcrr{aiuqrn'irn4u,,fur,fisil tfoenc lb. I

$au T.G strildrdul uncul"irfinrlilunnsirrod, rfiriedrfir! tp = o.ooo) no{tn1r

nrcq1Billrfl$rnnnoofitdnfiae'hmrorfisno,rnir o..r,tdutro{tn'lrfl[rnnnanrhufln

rlae lmdr$rror{fldurfir a. to rrirt)'rndiluFeutfieu tnrlltd el

z.? antufioilnfimrnr:n

n{un:oriaduuasn.iilrrliiflurfieu dT tluritimanrufiorJnfim$nrrri <ioa

nB gs.E uns gs'l srrilirfiul ugir,JUirnnlffiorjnfuo'rnrrnltndrmrnri#untn'irr rd d -D , Ca- a | 6

nriilrrj?sutfisrl (fosas 6.5 unc 4,9 grrildrdul rfiofiqr:$rrsurcnaiilfifiantu?orjnfirtSturrddrtti

no,$n1rfl firnrirmrori'eiuunundurilisurfiflu drfluqiuunrru Febel Dlslress!t

t{osnc 3.6 [ns s.r nrrJdrdul druRtlc Asptryria lunaiurrorieiuatn'irn.irtttlt

*

t

Page 72: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

59

tsnrltd a ttior

fir uilrnr r d1ttllnfl 'lrnaoo rt!nnilnflr'l

ODe1rzu logau

ndluj?eurfiillolq1mlr togau

x" P-velue

dfrotarnrrnnoor

nnoorlnfi

nnocrfiorrlnfi

IrOO9

541

529

246

68.3

31.7

65. I

34.9 2.t669 0.1410t

1?il 775 100.0

o.87

1r 550 lOO.O

Inr, iltde.!flslfinC

- nnooloe'ldrn?aqcrqrlrg1n1fl r t6rudvr,- tJ1nCI [01 tofloonn1dillt'l?lod

nnoorlosldfrildre

naoodrfiu

?,59

?,06

.6016

B2

34

14

15.o

10.5

4,4

1.9

16.7

13. g

3.9

1.O

*

$tfltodnltfl

d1s

u0s

816

734

393

382

50.7

49.3

52,6

47.4 0.6998 0.4028

?

f?tl lOO,O .1r 55O 10O.O

Page 73: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

st.lT1,:dil I (gio)

fir nrj:nr s ri'1ililnfl 1 TnRorl

-oqlflnrr ffiilrrjieurfisu

{ruru ioenc {ttru toens

x" P-Value

dfl1rm1Tflllfflnno0

- qrenrslu aa drtt.r

aaa$tr?gl 768

6

7

5

z

99.1

o.8

o,9

0.6

o.3

1, 539 99.3

3 0,2

ll o.7

g o.5

3 0.2

3.1136 0. )616

0.0664 0,7967I

ldfiflin < rfroliilr^rr

- snetuarr,{

- n'lgnnO0

nm$rdetfl$fiilC

775 lOO,O I,550 1O0.O

t.zz 1

tto

I

I

doA

,o

n1

662

49

30

85.4

6.3

3.9

1r358 87.6

l4t 9.1

23 1.5

t-? z7 3.5 16 1.O 15.8200 0'0001

, T?tl 775 lOO.O 1,55O IOO.O

Page 74: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

61

?

n1r'rdii e teior

firudrnr rd1[lJnfl ltnaoo

rir rods

':drurilat [rltru'lnr51u

nrrilrdetdilfinC

niirfinur

,irurt iosns

naiilril3eiltfieu

..iuu fosau

I

9,61

l.z8

3,47

9,75

1 .04

1

T-vslue =-2,42OO P = O.O16O

firufinnrtnurnnaoo tnfll

> 4500

4499 -

9999 -

8499 -

2999 -

1000 - 2499

I

2

:1e80

324*

4000

3500

3000

2500

o.1

0.3

6.6

.36.1

41.8

10 0.6

140 9.1

7e8 47.O

554 95.7

ouDil'llfltnilag

tI? 15. 1 118 'l .6 31;0308 0.00OO

1?'J

riladea

drurfieuuun'lnr1'lu

nllrdstdilfitrC

T ' value =

775 100.o

er985.48

431.69

z,t6

-6.1200

I | 55O lOO.O

er998.17

390,97

I

= O.OOOO

Q

Page 75: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

Inr:rod e (eio)

fir rnhnr tri1 ttaf nfl 1Tnnoo nrirrflnur

ottc'unlt losnc

nrirrrjtsurfieuODq1r'llt Tognu

x" P*value

dnrunrufiorjnfimur:nVratlttJ 725

50

93.5

6.5

1t474 95.1

76 4.9

i

1l,5791 0.OUO8I

T1il 100,0 1r550 100.O

- Fet,al Distress

- Asptryxia

- lnjury

- CongienlLel Melfonnation

zo

18

4

2,6

2,3

o.5

43 2,8

1g o,B

I O.1

t4 0.9

t1-3

4-7

>8

616

.t2,8

gl

79.5

16.5

4,O

lrz4l

278

g1

80.1

17.9

2.O

8.97 0.0152

t'ltl 100,o 1r 550 100,o

?

Page 76: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

i

63

ul [as

I.J

snilnfi s n1J nrrrrJieurfi€lun'lrcttn:n{ou ttasilnfl'lrnaorl ruu'ir.rn{ffin

neiiltrl?sutfieilt

UrAOsr1uilfnflnr1

r&3n1?s$n?fl501lTc8Bn{n:Tn

n1?uInTnfolrSsgunnoFt

n m s [nrn{o ur u guufr '] nnoo

(A01fln:ln til0Ra00

nr:nnoofioilnfi

dn''rlm'lf nItnnnotl

rlrflto{n1rfl

oc ullildn1un'rrnilfi {fl n00

as$tildfl lmrrnufi ': naoodr

nnT ufiorjnfixanillrflDOUil1ltilnmtflufnnnoCI

?ut,n1rfu1lfnflu?flnnanilos

o sd u se 1 tl'l u?lIilil'l:o'lltfl iln ! nao 0

afi^nnoaan D.F. P-value ; uu tn?1il tdtlsdtlunf

rl

r*

a

x"

x'

x'

x^

x"

x=

xt

T-best'

x"

x"

f,-test

x'

x"

I

1

I

z

1

I

1

1goe.95

1

I

1419.71

I

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o.oooo

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0.0394

o.0000

o.1410

o,7967

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o,oool

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i

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rx

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t*

x unnri'htodrtfifiedrftpr.rafifidtgftJ J = o.os

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Page 77: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

64

TUTJil1C90't'1{'tiln?ilFtilI

I qtr O on1 txql g tllfl '1 f tflr'rlfg'l u'ra

al?t*ttosil'lro1 olfiuro{d'l'rt ]tjtr,nnlduri rwrdodoT drl

il: virrnrrnrg r fl eqr nnr rfi o ntrr{ nr r r 6urirstrnrfi r nrr,{

{rurun{.rra r nr rdrnnr:d unra'rsnr:r{ rfiomr.lT nnrtr{n{o urn

a DAOIfl?ilnilo1Etilqego1{9

rtabala

3, I lilon?unilo'lfltnnnoB016g

g.a rfioounldrflor?Mo.,rnrfirerdaaur'!

nniltJ'll5l1?BtulldlilalxunlJQ'l$ n'I1'rfl [flsnTnttSlt9

inrufi l fr nnsrntnfou*snfi ,:nrrda',r n'ir nEir r rjEsu r figil rdailqn!, I

m:onisdu ar?r^riu{r,g rnuonflint nnufrL:rqnlr {sinrufiqqogar,.adtfrta::d ttflnei1{c'lnndilril?EJurfisuodrrfirisdrdrg <p = o,oooo,

i

rur&eo6ar3lflailil'lfol?Btlt 1r{r rxgl tll ttto{rtlasuofl rilon ilnl?BllTnnxoilTsg8n€nTtn d0ig

tlraolnirnall r TJTEJU tiFJil t fiononounr

'rafiflnrufrn?'ulusrnsi'l {rodr sfifiedrftpr rnfifi ( p =q

o.oooo) mlilrdfl.lta$n1?s$nrndour"srfinnirr{ 'lnnrirtrror{sdr rm'lurfio'tunu

uonriio{r tfitr z,zeunc s.ts rrir rasnairrrlieurfisue;rilri'lfiu .n'.trr-rfi rol

g.z rdontmtdrsot?ilxo.:rl'tro'l

ndil$rrflriedu arfluurifiT u il{r.: rirrllr [ncrfltnrnrril finl,tcunrnfautg

I (- , r ra a J - -6a a ! | au e o:urJcfirnt:rinsn'jT nairrrliitlil rfieu riionodoun'l.rdfi^n rrufinruusrnsirrodr,!fiilgnlffu

t'

(P = o,oo4z' o.oooo, o.o113 uau o.oooo nrudrfiul oaauriiuonosn,l'lsuJn:n{ag

,rr,rfionrrdltorflr^rdsnairr rosndumroT {eiilrfiu z,ss} 4.ss, z,sztt

rrir mrnriarrl':nillfiElusnerfrfiu tsnrlrii rorq

BAe 2.27

, unciilt1dfl'lr ig-a6tl0un1itnnfl ilu?lflail

q

fintsun:n{uur"u,

o,ooo3, o,o43zt

Page 78: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

a

nrilul?flilrfiern'rildrdu <r,rrod ro,

{

s,.4 liionrr[n$d?silrc rnnrirldri.rslunrrinulus.lurn

nrirm tor ieirnnrJ: u r nn fi n tl u unrndaurrerfi r r,::d6.r n.i r nii$ r ilifl u r fi fl u

tfionnnomrsnfifiuunriililrrorisdu dfirirltfiflilrcrnnfi t, 2 uns s finrrpunrn{ou

t"erfionrrd $slflsiroodr.:fifiedrfirg rrnn{rrrltgrrfigu <p = o.oo1o, o.oszg,

o . oooo strildrdu t usithuntrilusrneir.tadr.rfifladrfirg lrnrillrrondnrirlfiirsilrs r nn

ii a .p = o.eoso) o..u,duoro{tfl1?uuntndaurrerfionrrri lunrigprorfefl rfiu

z,olt g.zrt e.?B Bac r.gs rri't totn{rrrl?gurfieun'uiirdu <grlTroii r0l

nriilmrorftiildlffi unrfirlru{finrrnil r funr nnr:fi o nrrr{

ntn'jrndl r:Jieu rfiflu riionnnamr oafi firufinrrilugrnsi.r rotir,:fifiedrftg{-. --'^-dY -!q-r- 9e- - .- at I t rv I-tmalrfi ldililr cifi nr rdru r 6leqr nnr :fi .: nrrr{ usi lrimJnr r lunngir o odr o

fifiadrfrg ttndldfirjrc{fin'l:dCIrflflqrnnr:firnrrr{ (p = o.o50b) o..ulds,,1oo{n.l?u

unrndottuerfilntlf'lrnrjurrerrtail rfil 2,67 .Lau e.ag rdr mrndlrrlSsur'nsilouJn1!a10il (gtlt'l{R 10)

s. 6 liionruqudrenrrr6uil.lsrosfirn:rr{

-t

ndilm:er1 ieil'nldlnr r r {ilrhsrm;fi o ott,{-r --t-, ra a in?lflntJujtgiltngil tltat un'l{dfifoflfinrrilunnsirradrofifisdrfty tn = p,oooo)

usinaiilm rnr iuiudfi nr : r {uilrerurfi .r nrr,{ nfi ufi n rr s unrnfouru grfi .r nrrr{rioan,i r ndl

til"rflutfisurrnu'triulnruunncirtodr.rfirisCrfiE (p = Loooo) nl$rde,:flagn.l?u

flntlcunrn{ou

*tustfi,!nr:r{

(P = O,O00O)

Lii

I

arr&3l|n'l? s ufl tfl 50ltf ugu 9t{t nT?fl d {t

i

P

Page 79: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

66

t$flrndourcurfion:t,{ lunriur:oriail ,fit z.zs uau o.83 rrir mtnrjilril?eutfiEJu

n-ruirdr <sr'lr'lofi tio)

r u t J u a , -!nAilil'1:61'1?Ell$nil1TUUtfl '1ll^f 1 flnTTn

tltl

,rerfi onrrdn tn'irnril t il?gu t fi eu!l

3,7

lr^frnn:ri t-s nft unc 4+ nit fintc$tlrfl{or

r do nonomr,s dfi fi uufi nlilustnoir .: odr sfifid,td, firg

{nttn

Ini{EnT{

(p = o.ooo, nornri*lr:nrigdudtiurdrno:rd fin.rrun:n{au:rflrfi

usilduunrtr$onsir{odrsfifiodrdrg lunritlrrordhimrJrnnrr,{,p =e nril trJ?su rfigil usi'lriwlnrril$onsir.lotir sfif,edrdrg

:"Elo , 9094 ) nl1il tagdro in1lu$ntntolr:sguchlntTn 1 rnrirm ro r iaitdntilr dr nn:rt{'

o6nnrrr{ r-g n{o uo, o o{.: tfiu o.ga, 2.6? $ns z.es td1 msnrilrrJierutfisuIou,a

nuz{rdu (sl1f1{R 10)

s.I dooruqsfu3;Eignr:drdolralrnnrrr{nftrr:n

,ruofionrrd nsn'jrnailrrjieurfisu tiionernounr.rdfiFnnrfinl$nnsir{od, sfifiud, ftg!t

(p = b.o0o) $nsfidilmror{EJd$dtiudrnn:rr{ finr.rsnrn:ilarrcgsfitnrrdsirn'irndil

nriilmrflrisiildlrfuu?nr:rfrnartr{ r-s o{t nn' a* n{'r finrruutrndol

usildunrrilunneiroodrlfifladrfrg'lun{unrordtilrulrnnt:r{ (P =

0.. ur, duoro { fl "t I u utnn{aurnsrfi ': n:rr{ ltndurtorielriildm alr nnrrri,

afrnn::r{ r-g o{{ un, q n{o tfil o.ea, 2.6? unu z.es tdt aoon{lrrl?flutfisu

nruitdu tsrrn{fi tot

ndilm:orisdrCnmdrnnr:r{ lulstftt'Tdutn lstrmnno{unrlnrmnntr fitt

n1?u$ilrflfournsrfionrrdnrn'irnri! uFflu rftru ,donoanunr.rnfrfrul'ir nrlll, rnriuiu

dlrahnnr:dlulrrmndnoonnoa.r finrrcuntn{our"erfitatrr{ unndr.rodrtfifiadrfrg

lrnn{lrrl?surfisu (p = o.oooo) t}urunrTlunntir.todrtfiriodrfirg 1ln{uurtordtr

drn'iT

{ruj?surfrsu

o.9094)

'

Page 80: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

67

a. Jov

a,1fln1ln tr lnrlj'lduffl.r. o g ((P = o.z6t6) nllxtfls\:t0dn1tc[nrn{ol-hrcesfrinC:,ilo.t

I u rd , aav d ---naillrrorrieiuimajrnnrr,{h1nr$'ldnifl lmmn'nno0$acfiilr$r 2.o3, 3 rtng 2.65

,rir moniil,rt?uu,ltilsnrli1fiil (n1i1{fi to)

n1:1\:fi 10 arilnrr l il?su rfisun'r'ls[n:ndoucliltrerfi .!n:rr{ItOl

tuu?'r {nnilnflul$nvflRtltt

rrlisu rfieu nor riioorunild?silqissir r",

UOeaEJnnflR?ilnil

ilix' D. F. P-va1ue nru rds':flrurinC*

t'11\:Uutl

-tral. ttstllofla1fl8

Oclillilaila

$0ntilon

55.9105

t7,70ao I

37,4600 I

8,1874

2o.5161

6,4237

19,4731

30.6636

o. 1154

13.0499

3.3960

o.oQoo iN

o,oooo

0.0000

o,oo4z

o.oo00

o.0l 13

o.0000

o.o000 *

0.7940

. 0.ooo3 ,x

o,0,432

rx

x

2,46l

2,?,9

9, 15

2,53

4.93

2.92

2,27lrI

3.98

1.33

2,33

2.94

t

2, 01fiffio{x.|l6t'lr9

BltulI

fu{r':,tn1x'rg

rfltnffl?Tll

D

orfumarnrfisbtilq'liltn'lt1tl

tfrsgrTfltTl

' iuntnrr ilinrufre

Page 81: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

68

fl']r1.!d i-o <sia)

flc{€rdnnnrunil

rjrc rnnd t

rjrc rnnti z

il:c rnnli g

il:ctnnit a

rjrsifinrr{ru ffl sq'l nn'',:fi .rnr:r{

1dfi Fo.z5s6 I

fi 9.g269 1

58,4998

o.oo00

Limafrnn:td

10.9097 I

4.5587 I

zL,0672 I

1.6064 1

o.o12g 1

24.0?,26 I

e9.3790 1

0,0920 1

zo,z304 I

az,tzzil I

x" D.F. P-value

o.oo10 *

o.o3z8 ;x

0,ooo0 tfr

0.2050

0,0000 t*'

o.0505

0.0000 *

1.0000

0,9094

o,oooo

0.0000

0.7616

o.o000 tt

o.oooo )*

duulml$la8{f,rnilflf

2,O8

3,27

2.78

I .85

Zr67

2,43

2,75

o,83

o.84

2,67

2,85

2.03

3,00

2.65

5,

1

1

r-gn{o' 4 * o{r

B. u'lrlnrrd,iiomol'.rnorr,{nfourn

lsrrrnnurn

lormanoo

'tnrnnnrn

t[

||r

)

x rnnsir,lod, rfirlodrfirgnl.:dfifr d J = o.o5

Page 82: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

69

a

fi':gflq{esirsq

r iianruqufirsflt{snr rdlr r miioEiorfis orflmo {rrlrro'r orflma rdrfi ilrs rnn

mtrirldoirfllun'lrinu'nte'ru'rn ilru{finr:arxrflsq'rnnr:fioarzrf nrrr{lrj.rgtsrfionrrr{

lriularuustntir sod'r.tfi fiadrdrxtunm c unrn{orrcsunnonro om:orfi sno rnrir

tl

+

{lrlrn{.:totnr:olrnnt:t{ rncolsnrrdrdomdrnnrr,{o{ourn r.nrirnriluror{eitt

finrluunrndartseunnoortnnsirsq, nn{l rrl?au rfrgl rfinfioe 0,,nnrilqrfln1rnndaun,r{dfifi

tflerm{nrrc[nrn{au?sssnaoo lundurror{ndlodruu,jrr o,zs-r . ga rdr

rdiElur-nsu asnranfi ll) i I t

n?'ltl

IT0{flnil

t

I

l

Page 83: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

e drilnr : r rj?su t fi silnncunrndoulurcs"naoo

70

ruu'ir t ndrflnrl ununrin

r rlieil rfieu un,,daotunloirflflq{ileir {",

.dqeBnnfln'1ilnillll

x' D,F, P-Vetue nlUrdci,:flrdnc

In{ilil61

1, rrndotiorftt

1urfio.:

uantfiot

o.95i

0.?5

l. 13

0.95

o.76

t.a7

l,3z

o.90

1.34

1.30

o,96

1.07

r. ls

o.94

1,02

i

0.95

o.q4

*2. olauna{il'1f01

g, or?utatdr"n

tttu&u1lt

UD1ile1{l

,tn1t'ttl

tflrnlflTltJ

U}:ile1ilDn1n1g

tflEgttfl?rtl+

t

iu:rdnrr ilinrufir

ilrctnnfi t

drurnnfi z

.ciltstnilI 3

I

ilrctnnfi q

s. ilruifinrrdru rfrecrnn'ltfioottr{

-!

Vtoutll

ail

0.1576

2.8704

0.3880

o,otz1

o.4561

0.3495

z;oo5z

o.1640

o,450u

0.9809

o.0336

0,0453

o,o103

0.6034

0.0000

0.10u 1

o.0000

I

1

1

1

0.6914

0.0902

0.5333

o.9100

o.4994

o.5544

o.1568

o,6855

o,50zz

o,3220

o.8545

o.83 14

o.9139

o.4373

t.0000

o,7492

1.0000

Page 84: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

In'lr'l\tit 11 (eio)

ilqieiinnnrilnil!l

xt D.F. P-value nrrilrde,tflilfm#

6. fl:lIl {urJrsmrfi.tn:rdVtotlnl

aIJ

o,1841

o,oooo

o.oooo

o,1969

o,1076

1.3075

o,to1z

a,?,572

o.6679

1.OOOO

1,0000

o.6572

o,7429

o.2528

o.7433

o,6leo

o,941l

1. tr6

0.88

l.09

0,93

o,2z

o,9l

1.09

7,illdlrslrnn:rr{

r-gn{oa + nf.t

lnrmnurn

lgrrmnna.:

lsnilrndrn

1

1

1

I

I

I

o - -&--' -^:--r- . . --!e1r?ilnt sx0 il fl 'llt^J1 fl fl 1Tfl

* * rnnsi'lloth,,rfifltldrfiryn1sdfifi d "f = 0,o5

B , rilieil rfieunrnsunrniourussfidsnaofl ruu'i'r.lndilflnuruaundil r rj?eu rfisu rdo

nfln$d?sflcigriri"-t-

s,1 rt'anrunilrire,ffidogodg

n'irninrrlieurfisur6nrias uau'lduntmlilunnth{otiro"lrfiEdrfrX tn = o.o75z, o.soso

nahmrorftriu rrnttriiat unuuofrriiat finmcunrn{orrcsuufi{nnao {{

nrrrt, tttloul?c[ilTrifloursssudtnaaoltndlmtollsdl rfiu 1'83 ttnu

Inrildrdut

t.ab rdr sorn.irrtj?susfisunr$iirdu tnrrsfi tzlq

Page 85: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

7Z

'

t.

t

t2,)

naiilm :or irldudnrfi arfi r^r il{r',: 6rsre rnuflrnr:ll unciu:ldnrr u?o

iXia'rufir fintuun:ndouteusudsnaoeunneh oarnndr riltsu rfiEru rfinrios rfionnnou

YltrasovtilljuFt'l 1 tJunfl n1 {og1 dilllgf, 1 nr!

o,zg4g I o. 47zz srrtldrdulfatdnajulrroriglt tih 1,47, o.95, 1.os $nc z.tt ttit lo,,:ndtr:Jigutfigljn1ildrfiuIrit-'

J(9t'lt1{fr 12)

3.4t e t Ja, ql, e u

nnilil'r?otiginfr-trir -tf i'ls-[un'lrfnylutrlul Rnflil:u r nnrtt finrrcunrndolut)E;dt

tsgciln {naonunfln1 {.1'lnfln8J I iltgil I nfl u t nfllloI

t danonounr mfi ^nlfuum 1 ilrnneil ir

odrsfiflad'rfirg (F = o,6248, t.oooo, o,z|Zzt 1,ooo nruirfiul nrutrdgsmt

n11u$ntnfaffiusuufi{naaolunrillr:origru rfiu r.4o, o.B?r 1.55 uns tos ttitmtnrfu til?eurfisunr$drdu <snrrsd tat

finmufrnindolnri&m:nrisiu'n'tdnun"fi rJrc{fi nrr{CIrfl alrnnrrfi ,:n::r{

tsflsrfi\:anaoatndrndiltil?surfisu riionnnounr,rafifruu'ir nrjlmroriuiudllifirtru{a

nrrafl tflsq-,nn',tfionrtt{ finrtrunrnfiau:utJcud',!nnaornnsirsqrnnril rrJieu rfifluodr.rfi

lunnnrimr?uga,onrfi (P = o,F3zs,

nr ril t ds olo {fl llsunrndoilreesufi .: nnoorll

3.5

e

a,z _rfionrgqildrearflmounrnrr qr I cl tb g D t,nriurroriuiu or?u uriiiru fuirr drns lnuflrnrril finrrsrnrndoutt

rssuufitnnood,,rn,irndiltilieurfrsilrSnfios rfinnonounl.tdfi^nldulnrril$stnsiroadr.r'lrfielnt

drfirg <n = o.5368, 1.oooo, o't?65, o,zrt4 ctrildrfiul oa'tilrde{loul?s[ntfl.r-

lf,tl t.44, 1.09, 4,zl uRv 1,49 ttirtotnrin{ailr ussud.: nao olrndilm rnr iedurt

r:J?eu rfieusrriliirdu t n1rr.rfi

s,s riionrrnldreor?uro{ar-il

aan1{f,osl

1.OOOO,

Page 86: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

fisdrdru (P = 0.0316)

rflscrnnrtfioo::d (P

m:ortsdu i{ldfiuaufirfudfinrt4r1tflsqrnn'l:fion:td,fil r.71 $ag 1.eo

nriil r rlteu tfisunrilirduI

r(nr:rrfi rzl

himnl rusngir mdr t-nflsdrfiru 1un{ur:nrdfirrr{ft nr qru

= o.9913) nlilrdetltrnl'lcunrndaurugsufilnnoo'ilo.rnrjll

{rirto.r

ndilm ro tiaitdlrinnr r t 6urhefir, fi .: n:tr{ -ilnr rs umndaurcsvufi I ilaocr{ s

n,jrncfurrl?surfisu rfiunrtnoun'rtafi'nuu'irfinmrtttstnsir.:odr.rfrilEldrfirX tn = oiot27)

. usihhun?ril$glngir sodr rfifiudrfirg'lunrjlmrorii-nnr: t 6urJruo*rfiontrr{ t p = o . 3685 )

o..r,,6ig,on0{rn1'rsuflrndor:srsudrnnoErlunrilm:errteiu d"trilun"finrr r{uilrflr*tfio

nrr,{ rfiu t.sl uau o.zs ttit to.:nriurrjieutfisunlilii,fiil tnr1tf, tal

B .? -rrnanruqldrsdrurun{{toInT rfilrnn:rt{

n{ur:or{eildldmqfrnntr,{, alT nn:tr{ r-a n{.r un, o* n{t frnms

unrn{ourusuufi.tnndnq.:n'irn{lul?surfieurfin'fioe ,iionoaaunl{dfifi1durunlilltnnsi'l.l

odrs-ilflgd'lfir! <p = 0,2496r O,gzSZ, O.4959 slrild'Ifiil1 m1l,tdgoro{nlluuntfl

doursesufi{nnon lunriur:oriaiur$l e.6o' 1'41 uas t.se r?irtomrilrr$eutfieu

nril.irfiu .n'ltrod tr.,

nillmrErtirJdudlrajrnnrrrfhlnrlldurn lnrmnnot $nclnrmddtl finrtl

rcunrn{ourussufirnnoo6.rn'irn{r rd?su tfisu rSnrios ,dontnoum{dfifildutlnt1il$nn

drrotirrfifiudrftg (P = d.eooli o.5641r o.'0?36 nruirdulcd

n?1iltf,B\t tiln'l?s

unrndourcflrufi.lnnii,e, lundlmroriflduiimilrnarir{1u1ntil'ldddo'luou.t1rt rfi{ o. ozttl

t

attnu 1.ee tdttoondilrrj?eurfiflu enuildil <st1r'lsfi tzl

Page 87: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

t74

ttdtsil?'l\:flqilnflU1 ttRcmr"l{fi 12 nTJnrrrrl-rsilrfisu n'r?s$nrfl{oilruguilfi{nnon

n{p rrJ?uu rfisu unu rdonrunld'leflcdesir'0',

0deegnnfln?ilnil x' D. F. - 4 qu aP-Velu€ n?1iltn€J{drnlnd

n{ililnI

1. ttnfiodordtlQotil tila{

ouon tilof

4,2-397

3,1647

0.4486

0.3823

o.oooo

t.8270

l,zag7

o.3895

o,ooo0

1.0997

0.5168

o,0752

0.5030

0.5363

l.OOOO

o,1765

o,z7L4

0.5325

l.OOOO

o.?p.43

o,4722

o.6243

l.oo00

o,2722

l OOOO

l.83

1.95

l,'44

L03

4,2t

1.49

0,0395 t* 1.61

t

1

t

tD'rtsJllln

s!tile1it

!n'lT1Et

tflrfl?flTttJ

t,n1t1rl

rnunln?Til

I

I

I

1

g. orfiffiordrfie3tual{

D

o.2398

o.oooo

1,2055

o.oooo

|,47

0.95

1.65

z.+l

1.40

o,q7

1.q5

1.05

1

1

I

I

iurrtntr igin,ufir

e, ilrg rnntowirH.irslunrriffirffirurn

drurnnfi t

ilrrrnnd z

ilrurnnfi s

*

rjru rnnd q

Page 88: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

75

I

st1f1,:d tz <sial

flqisdnnnruflst x' D.F. P-Value nrrilrdg.ld$finC

t

s. ilruifrnr:duarufurd

-tt-

Vtatil1l

il

^ d r I I6, fl',lftQumgnils0{niTn

VtoIlJIJ

aTJ

' 4,6t7'l

o.0001

6.ZOgg

0.8096

.

1.3e55

0.9678

0,4636

1. 1666

0.8326

3,UO18

o.o316 t*

o.gg13

o.0127 t[

o,3685

o.2496

o,3252

0.4959

o. ggol

o. 564 I

0.0736

1,71

1[90

1 .81

0.25

2,65

1.41

1,39

o,62

1 .66

timnfrnnrrr{

r-gn{.1

a + n{,r

lmrmdurn

lsn$rnnos

lnrudnrn

1

1

I

DI

I

I

a; , ag0'lgnTTn t ilail1af ''tfl nf f nnt it lt?n

x rnngi'l{odrofifiadrfirgn'l'tnfifi fi o{ = o.os

ilq{Eleir.r"l

.lrCro4, I lriofLlunilo1g r?onago1rlg

reloo6ndurronialu t tot'lu t ilor naaoftarjnfi fioen'irnril r rl?eu rfieil riiailodailnl {rItq

+

Page 89: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

dfrfi uufinrrilusrrisir',rad'l'0fifiEldrfr! (p = o.oots)

n r nir neir r r.lisu r fi su r $nriosfV t 2 | | ao o u

$sr ttn{un?1ilu0fl n1 {09'],$ Ilrgd't nr!

4arafltu,dan1'ril lng { no { fl ltnnootajoilflfl tufl nilil'] ro'l?rlt[ r 1n I n0 { $acllon r ilo {

1.oe l?i1 ra{niiiltilirJutfiEJilnlilrirdu <nrr.:fi rsl

nnoofierdnfi

o.5615)

0.64 ttnu

trR2r tnnron rilo{

lutnailillTct1?gT1ltt

(P=

rfiu

orflu uriri'ru iu{rr 6rrre [nc tflserrflrmt nnoEr^anilnfi

rnnsi'r o cr nnriu r il?su r fieu r finfiotr "l - -aatl I r l du o ut ilano60u?r'r \1f,fl sl t8Jilun?1ilugtnn1 {rog1 {nlgdlnrJ

(P = O. tt7g, O,!77g, Q.5Z4Zt O,O59O nf$dffiUl ofUrdutto{n.nndogt^ruonjnfi

lunrirmroriuiu n.rrfil 0,z61 0,68, o.Bo udc l.sz

rirdu tsrr:roii rslr

4.2 rfrontunldrsorflflto{ilr:or

4.3

U'T6t',l'tgtlt

lEonrunildrsar?uso rarfi

llaatil1to{flnil r uttjil tn8uqlil

I

nrjllrrnn{triudnrfi arfir,r iu{rr firmfl !nBnrflTTil unuiumlnrr itd

rinrufiq nnoo^anrjnfinrn'irnrir til?surfirlu r6nfios rdonenounlidfrfildunlnrrilunnsi'r,!

adf.rfifitrdrdrg <n = 0.?388' 0.g041 t Q,Q74?t o.?dl? gtfildfdUl mrilidg,:tot

nrrnaaefinrjnfilsniiunroriflrudnrfioriudsnirr rfiu o.9s, o.6zr r.4a ttns t.16

trir msnd$d?surfisu nruirdu tgtrrofi rgl

't4,4 dianrunil'nreilrrmffio{ri1lfi . n{ll.rrorrt}liudnAr. J ^ ^! . - )l{ire rj:urn# rr nnonfiorlnfidrn'irn{lrrl?rurfiuu liiononoumndfiAnflnrr{uorndrs

I r t

r l olar e lr .todr'rfrfiedrfirg <n * o.oooe) drtndllrrol'ls1ilmnl tdels rjrsrnnd z, 3 trac 4

nnaofioilnfi urrngii rqrnnriil rrj?su rfisu rFnfiod iohlwunrT unngir rod'r.rfi fiudrdrg

(P = o. a4tzt o,$gzz, o, tos6 nriliirftJl n?.il,dssto{fl1?nRoofiorjnfilundilm?01u ] dar 6lrr I t ''lulr Riln'll{e1flilTcrnnii r,2,3 [nu q rfiil o,sl, !,2a, 1,oz [nc r.zz trirro\:t-

c nairrrrliflurfisil nT Hzirdu <n.trofi ts)

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77

I4.5

nrirmrorietudlilfi rnufi rJrcifinlrXru rf,aernnrrfi rnrrr{ nnoofiorln'slunngir r

arnn{ltrl5eilrflsurfinfias tfianonamr'rnfifi1dr^ruarr$usrnsirrodrrfifiedrfrg ( p =

o. 1152, o.9891 nriliirfiul n?'lo,drroro{n'lrnnoofiorjnfi lunrirtrtrrorrfg?uiildfiunsIt

firhcffinr:{r!rflmrnn'r:fion:tr{ rfiu o.es $ns r,os rilrta{ndilrrlisurfieumrildrfiu

,srrn!fi tsl l

t 4.6 danruqildrsnrrr{uilremr#rnrr,{

--q-nrirmrortedudldfiuncfinr: r (uilrflrilrfi rnrrr{ naoofiail

rln'l{q1flnnil

rt

trJ?eurfieur6nrios ,donnnoun'rrnfifi tir^runT rurnneitoEirsfiriodrfrg (p F o, tsazl

T

I . oooo ) nrril ,dsrro dfllinnon'arnrjnfillndil$r:oliedt dLifiunrfin'rr r SuriT emrfis

arrr{ rdt 0.86 Kns o.s6 rdr rornriilr:J?eurfiau nruirdu csrr:rod rg}

:

4,7 tdanriuQldrflririlrun{rra{nr:alrnn::,{ 1

-i-rn{urrrnr{uild'tdlrr^lrrmr:d, drnnrrrf r-g nfr rnu a+ n{q nnonfio

rlnfi uonsi't{crrinfu rrj?gu lfiflu r$nfatl tiiononomr r ofifi1fuunrrilBnnsi.i,:odr sfifie

drfirU (P = o,9525' o.gsgg' o,rzrq nrildrdul o.1,,dgoro{tfl17nn0nficrr1nfi1nrutdrrnellmzoriattrill 1. 13, 1.01r o.zg rrirrorn{lrrltaurfieunr$irdu cnirlod tgl

4. I rijryq$.uurrJ*t,i,iiuoff n*tdnirm-----rr-l-rurC.JorrJ

niilm:or{siufirrahnnrrr{ lulnrrnnii r, z unu g nnooftoilnfi rnnrira

crnndilrilinurfieur6nrias,ii{lultaurfiupr$nfioa,iionnnounr.rnfifi"tdr.run'luunnsirmtirrfifiudrffx (p

o,9307, o,gztlh o,dezt gtrildldul

t

rfiu o'ze, o's4f o.Bz rdr mrnilrrjtsurfrEiunrildrdil tqrr:rrd tgl

Page 91: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

t78

.rta_tradrcil?1 \: nnilfl nu1ttacflail I ilTgil r nEJilst1t1{fi 1s dldn'lr r:ltElu rfisunrrnnoofioilnfi

I

unu t fianunildrfl flq{eeir { ",,t

rrgatuaeEJ?rnflRlilnil

!9 x" D.F. P-Value aT rilrderfufiXC

snsulfo

Jrui&qnaHonffl

'[trfio.:

lan rfia\:

oriluto':lrror

udfiru

fu{T.r

firtre

tnuntfltfit

z,1669

10.3 lg I

o.3370

1.8146

1,7990

o,4057

3.5657

o,11ZO

1.0560

3,7767

o,0767

0.0013 tx

o.5615

o.64

1.09

0,76

o.68

0.80

t.3e

o.gg

o.67

l.4a

1. 16

o, 14 10 o, 87

Ir

J

2,

3. olfiilio{dl"il

t4.t473

o,zt7t

o.oo00

2,5739

o.1779

' o.1799

o,5242

o.05go

o.7388

o.3041

o,o747

o,781?

o.oooz

o,6412

Q,9977

o.1086

Ivb:ilc1{bn1n'tg

rnsntfllT&l

1

I

I

Ifu:rsnrz f5inrufie

q. ilrg rnnnordrldirehnrriffirusrurn

rlru rnnd tI

ilrurnnfi z

rlrc rnnii a

1

I

I

I

51

2n

n2

77

t?

I

O.

1.

1.

1.

f

ilrsrnnfi a

Page 92: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

79

tI

n111nfi 13 (si0)

flq{efinnor!nilITx" D.F, P-value nrrlrderflilfinC

1

I

1

1

l

s . rlrcifinrrf,ru rflgcrnn.tfi oot:,{

-{

VtatLtil

d

IJ

- d r I I6. ftltteuil,]gnilsnnflttn

"-util

ail

Or85

1;05

0r86

oi96

1, 19

1 .01

o,79

o,76

o.B4

o. 87

8.

I

7 . riru':tn{.rtar{fl1lohflnl:ti

hhrd,nn:rr{

r-gn{.1a+n{s

orsnrr,{ riiail'rBhnffi rr{n{ srrn

ln:r,ra,,tn

lsnmnno.l

lsrrmnnril

2,4730

o,oooz

2.1981

o.ooo0

o.oo35

o.oo31

u,3ggl

o.oo75

o.8001

1. 1567

1

1

I

I

I

I

o.l15B

0.9891

o.1382

l.OOOO

0.9525

o.9533

o,t2t4

o.9go7

0.371 1

o,u'gat

n( rnnsi'htodr.rfifltldrfirgn'l{nfifi d / = o,ou

n?iln$drflflc{edrwr

5.1 riionrunldrsrrnfiodorftl

I nliililrtorifliurrfl'hrfiasuncuanriio.: fiauuuudnlrmlTfllrfirnaoorrir {,:

Page 93: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

ICtt,aI ilAnlilnilO?go1XU3A { il1T01

I o r a rlflnilil1T6r1?gT[ O',]Il^t uJu',llltt

I

n'rrnufi{naooair n.:n'irnriil r il?gu rfieuttrr d - u 3IUJlJlU rJFtcnltilflnlu?l',]Tfliln{nnoogn

n'irn{rrrJteurfieu rfionodaun'l{dfifiuu'irfinrril$slneirsfiroti'r'rfifisdrfirx tn E o.o1le,

o.o1oz nrildrfiul n.rorduoratnrrfrnuuilttdnlrmlrnufirnnaoeir rfiu s,zo [ns

z.bs rilr sornri*lril3flurfiflu <sl'ryr'rfi la)

UDVfuir,,r rirtrg [nutflngnflTttl "ilncuuudnru

d6arroltiianoraornr':4fifir^ru'irnriilflrrorisru orilu

r I au o 0ltnnfl 1 \] Otll d ltltfjn'lffU qrnn.iil ril3gr rfigu

I

P = o.o3o1) usilduunrr$unneir.rotir.:fifisdrdru'lunairurtoror?uiu{'r.: rirtts nnu,t

rfltcfrfltfrJ (p = o.ogzot e,zoL3e 0.zose fludrdut nrrr,ldtlota{nuuttuf,n1il

nr:nufitnnoe'sir lrndrrlrrorifliu orfiu udritr fu{rr uRsfiur firnru

4,2o, g.69, 6.g6 uRu 4,g trir tornaiiltrj?giltfieiln'liliirdu ,n'ltaoiit

ADaa5.3 rfraRrlnldrgorTuio{nrl..-t-

drld rfit

14)

*

nriurrorigitdnrfiorflr,r iu{r.r rirms rflsnrnrrl unufuntnrt uiaiX

iarufii fincruudnrunr:nudrnonod. asn'irnrhrilteurfieu,t'"nrnnunl'tdfifi 1dilu

nrril[sfnsir{odr{fifiedrdrglilpn{mrfiu (p = o,rz4s, o,szr4t o.basz uns

o,srzz slrildrdul o..u,duoro{nc$ilildnrunrrnufi,onnoosir lrndlm:orterudnrfi

orflu fu{T { rflsnrnrril unclurrtnll {5iarufil tfi:u z,at, l.su uau g.s6 rrir

to.:neiltrj?errfisu nrildrdu,s'rrr,,:fi tqlI

naiililr:orieitdmrltfie ilrs,nnfi r , z, B unc 4 finuuuudnrunrznufirI

nnoodr n,ln'irnrir ril?sil rfisul|t , donoanrnrtnfifi r.ru'ir naiilmror{sdidfi d11{drsilrs r nn

fi r fins[rildn1]m-lrnnfirnnaosir $nneiroodrrfifiadrfirglrnnrirrrl?uurfisutp = 0.014?)

5.4

usitiuunrT ilusrnsir sodr.:fifiudrfirghneiurrordfi*, r nnrirld.irs ilrut, nnd t, .t

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81

1.53 uRs

+

t

4 (P = 0.1929, 0,4474 Unc 1.OOO n,lildldil) n?,.tiltflEhtto{nu$Utrf,n.t!,m1Tflild{

d q I u r Jor cr,r I

nnandl -lrnailtrt'r:o'l?gr1rfliln1tta'ulilturnilfi 1, z, B $ne 4 tfiilit

trir ro,rnrilrrjitlurfiflustrildrfiu (n1r1{d 14)

naiililr:oriairdldfiunrfirJruifinrr{ru rfloarnnrrfi ,rnrrr{ fincurrunnrlmlrn

ufirnnandr n.rn'irnril rrlisu rfiflu rfiononounttq r r nfi fiuu'i r nriilm :orr {niutiltm r€utc?n

nrr4rurfuarnn.tfioott,{ fins$urnnlunrrnudrnnaersir unngirtodr.:fifiudrfirglrnnnil

rr-Esiltfiflu (P = o.ooo5) ugililuilnrril$nnsir.rorirrfiriadrfirg lrnrirm:ordfiilrs?'fi

nrrqrlrfieernnrtfionrtr{ rp = o.ssoz) o..r,rduooo{rnsuilildnrunrrnufionnoorirll

naiutror{sdu tfu z.zo rns t,ez rdr aosnejruJigurfieu snildrfiu (sr1t.l,!d 14)

s.G ldrooronldrsnl:r{lrilremrfioar:r{

nriur:orrisdudldfi nr r r {urJrsmrfi on:td fi neurmnrunrrnud.: adoodr gs

n'irnritrrl?flutfiflu rfianonaunrsafifir.ru'irfinturunndrsodrlfirisdrfrg <n = o.ooo1)

$sinriilmrodeitdfinrrt{urJrsmrfioorrr{ ndufrns$uffinrwnr:nudooourui. fioen,ir

nriilr:J?eurfieu rdanof,oilil'l$dfi^ntiuunruunnsi'rrodr{fifiadrfirg (p = r,846) n?.ril

,duoouonrriludnlunlrnufirnnaosir lundilm:ori'edudtifiuncfrnrrr{u:irernlrfionrri

rfit a.B4 uns o.qo rrir m.:niilril?eurfisu nrildrdu ,nrrofi rol

s, z lfron, gqildrst$rilrunfrrornrrafrnnrr,{

nri&mrorisildldlrutrnn:rd, drnmrr{ r-g n{o unu a+ n{5ailflcttilt

dn1lln'ltflttd,:nnoorirXtn'i, n{l uJtsu tfisu tdononamrtnfifiurdrnriil&rrorrfisdliitrr t "'- - '-'i-'-- i--"-' '

drnntrr{ o* o{o fincuiludnrmr:nudlnouori.', usrnei'r sadr':fifladrdrgarnnlfu r rlieu

tfrsil (P = o.ooso) usilduilomunndrrotiro"rfiadrfrg llniiur:errd"trimntrnnr:rf

4,77 t

I ttauafrnn:rd r-e o{o ,p = t.oooo, o,z44z flr$rirdul oau,,duonadncll[ttflfl,ur

Page 95: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

a82

nr:nufuanoosir 'ltnEilurorrdt driildilrohnn:rd, a,lrnarrr{ r-, o{o udc 4+ o{o

rfiu r.zb' .r'6e unc g.og rrir rornailrrj?Elurfrsunriliirfiu <nrrsd rol

5.8

naiurronisduiiilldrnn::d lo:il'rddo{r un"lnrmadu froruuuanlfln.rrfl

ufitnnonoir nsn'irneil rrJieu rfi$J rfianonomrsafiSnnlir naiil$1ror{eiuiiurahna:rr{

ltlm:lrniidrel fincruudn'rlrn'rrfludrnnaodrunnsir,:otirofiflfldrdrx crnn.iilr:Jieurfisil

(P = o.oo68) Lhunrrlrrnnsir.:odr{fifludrfrg tunailmrorfimalrnnrrdtlln:gnii

do\: (P = 0,3312) oa'.tutdgooa{ncutrttdnrunr:nufi,,:nnongir lmriur:ori'gtufim

alrnn::r{1u1fliil1ddo{gnud'trl sfiu r.87 [nc z,sz ti-t ouonriu,,ttur,fiuur.r]ri.du

,srr:rofi to,

nr:rlii ta nlJnrrrrJ?sutfiau nvrrilf,nlwtrtnudrnnoodr ruu.irrnrilfinn Bns

naiilrrJisurfisu un", fronrunilfirfl ilqise,ir r"l

+

rJqdsfinnnrunl x' D.F, p-Velr.re nrrlrdg{flxfinCa

thrlftjo

r. rtniioliorde

1lrfio.r

uontfio.r

l

tr,[ilu']l| ]

U3tlJQ','t{r

trn1t1g

lnuflTnlfil

15.8200

6.3277

6.5149

4,70t1'

3.0.241

1.6391

I .6004

o.oo01 *

o.ol lg

o.o107

0.0301

o,oBz0

o.zo18

o.zo5B

,t

x

I

1

I

3,'47

3.eo

2.63

i

4,TO

3.63

6.06

q. do

z.

t

Page 96: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

83

tn'lT1':fi 14 (9io)

'90elg?tnfFr,)ufil|

'I ri,itx' D,F. P-Value arilrdsldxfinC

g.0lft^$aof,rfi

iu{T.r

firnE

TflU{ITflfTIJ

fu:rsnr: igiarnfil

drurnnfi z

rlrcrnnfi s

rjrc tnnfi c

s. ilrufnnrr{rI rflsmnnrrfi ffirr,{\||toIIIJ

fi

2,3549

o.9591

0.4036

0.7963

5.9497

I .6949

o,5770

o.oooo

12. 0651

o.3569

t o,@ol tt,-;':l -: -*. .

;* S E1,.,l.B4do .':"i1.

,:. ,, .-1 J... ' r. .l

*i-.,

. .:i

2.47

1.5e

3,36

3.37

4.77

1.53

1.b3

2,70

1 ,8?

2,94

0.{ol

ti,ti'1..4s

1.62

3,ffi.- [

rr.,ril

";,.. .d:':, '

I

I

o.le49

CI,-3,274

o.5252

o.3722

o.o147

o.lggg

o.44?4

t.0000

o.ooo5 t*

o.550eJ

s. nrt t{urhmnvfi'lnrr.li

\,1

'lsi;"-._i

I

4

rilrdrrrrta

-3nf0.' .:

,Et,.nt\|

l4.9le5' ' .:,

0sr14ll*|'

!":-1^ ,. :

l ...ri. '+ ' ':., ',

!i"-''j. i .. ..

Oi

f .i3559..-g. g lge

'.j.:

' . t:.:.:i rr:''"i..

l"': . t..

T.

tij

Page 97: Pregnancy outcome in adolescent mothers at Maharat ...mulinet11.li.mahidol.ac.th/e-thesis/scan/17668.pdf · Antenatel cBt€r postparbun conpl iceLionse ighL wene sigtnificenLly difference

84

tsl'1T1{fi 14 (eio)

fla{efinnnrunil x' D. F. P-Value nf filtflEJ.l

e . oren:r:{ riiolralrnn:rdn{,rurn

1fl:mnurn

'tnrilrdna.l

lnrmanu

o.9443

7,3310

0,33 12

o. 0068 t(

1 .87

2,52

1

I)

a

x rsrnsirrodrrfifisdrfiruill{dfi'n fi / = o.os

6' ril5siltfrsmrrn[tnnnooirufinfiofl :su'jrrndlfinnruasndrrrj?slrisu rfionrrq4

drflflcinsirw

6.1 rfronrrnrdr€Jrrnfiodordflqr-| --u-,!- Q c o a ? . t - r I

naatm:or igru r tn-[u t fio $ u,auuofl r fia s fi nr rnurnnaoodr uilniotl d \: n'nnnrJlqljq

ta o d oo a | | du o uttf:flut-n€!u rfrononaunrrnfifiuufin?lslnflnsil{adrofiritldrdry <p = 0,00r1, o.o0oo)

t',.urdgoto{tnlTn[Tnnnoorhufinfiosllnaiumrerrieru rf,tt z,oa uRv z,ze rilrrorqt

nrilrdtsurfieun'udrdil,s'rlrofi rsrt

n unrorrtuit orflu urirJru iu{rr drrre rnulnrnrflrrrJ fr.nrrflurn

E.z rfiontuntoitaolflrlla{il1161'r.-l-

(P

(P=

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a 'irm :ordsiunnooqn:nurzfl qsnnaoufi rimrudruuonaann t n'ir nril r r.Fsu r fr eil

or. riiu o.rnn{umrnriairunalrnnr:r{{T nonrui unutildnu'lqdqu{rfutllflto {t

n.r:firrgn{.r{ffia rioufirnrrri rffiT s1dldfir1eeufir1err iarfirtfinrrnlonutwiruro

nnonlrur,strmnro rndoild

4.1.1

ril?sutfrflu

rdolrildnruqldruflrielm uudrnttiunrndolrrsufi .lnrr,{tun{llrrnriuit

a..rnirnrirurrJ?surfisu uncunneirrodrsfifi€rdrftU tp'= o,oooo) uaurirmrnrds-tdilfmd9t

2.46 <sr.r1!d ro) dsannrrflnrldfiilf,trdilufrl,u{od a uno.r'iroripfilflqisdfr

uno r tf r $l'irnoto rgrlaeqcfi

tEEn{u

I nrrlfiufiudfitnrru unrn{aurrerfi tnrr,{

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t

{

riionrunrdrefll{e rfisrfiu rsniiodorfrfl orflu ilrsrnnto.trirtddre'lm'lr

fnmugrilrn il:sinnr:drurflsqrnnr:fitot:r{ n'rrr{uilrsr*rfioot:d drtrun{tmt

nrrfrnnrrd unrorgn::r{rfliolrd, no:rr{n{rutn runnr:i ror'',rrffogadruluqidtuuir

r, I dq r- -.- --^-u I

nttuun:n50lrTc€tcf, {nTtn lilflo8JtJ1:611?Eltllqq rsngi'r taElr tfifiedrfrglrnn{l r r.Fuu tfisu

sn r{r arfiaT ?uiur1tfl1r r firhu{finrr$CI rfiurrnnrrfitnr:r{, finrr r 6urlrsffrtfirnt:t{,

firirldire1ilnr#nurusr.urnilrurnnd e qldtunrmttnnrdrhlnurugrural, "td$'l

afrnnrrrf uaudrnnr:,{'lu1srril.nurn nnoviruon tufioqlnolrJ fi.:fr6nir,rnto,rflq{e tffiri

dflufiuCfiunl: rfionrrc$nrndorrserfion:r,{ riioficr:rurr, rfiurirnrrl rdstflilfin#fiul

.irsir loefidrruu'jrr o. Bs-l,84 unuuanfl'td'irrfiuflqienrtd,ttttrtrulfie-fi':nloir

m n rrm to rtifi ldiunr rqnnriounnoolri r fis't l^to

nnnrrf,nnnaonfio tfiurltl{lllna{t Hutchln et

Bnu Baird<aol dr,ru'j. u.rmd,ntolrtrd. ntnT uld6

n{ntTfl [ng Poliekoff(6u ), Leppenb eb at ' (35) ttu'itnrrqlundaunnoodfiq"

dlillrnannmcun:nfiou:retrfisotrr{1d DotL end Fonb(16) uu'irntrentrildttnfisl3 tt tu i

d.:rrucfi rnrrrifilodfru 0'rrl, fl'rrqundo$naan Baudnlil I flruXfi n-fitnll|otr0'

odrtlrfin'u nrrfinrrxod Hessan and Falls(11) nrrfl{'ir uf irmror

isiuqsldiunrrouariounnaorfiuodr.rfr usiarqquldnurrnilosfiilnrrsunrndouqrnnrt

fi o nrrr{ld douilr sfi ':

o r g r fi urlqitffdoddltr,Cnun rru untnfau:"tlrfi t orrt{

4,2 nrtsun:ndo[tsgsnnoo

nrirlrror fi sda {'iln r ru unrn{olruesnaaolnd r fi s l fiu rroutir,runl il[nneir tlduooar!-rrtde

odr.:fifisdrdrg 'Llnrrntuclgxodntrgum:nfallcgcnnao (P = o.6914) druiunrllfif

nrruunrnfio$ruflcnnon uu'irrrsoddo{rfla{nlrnnons'l?u'ln1un{untoriuiu frdnn

drudqsn'iT n{luJieurfi€Jil (fCIBnu 6.3 $ac 4.8 srriliirfiur drnoonfio,rfiunrtflnrra1

no{ qtnrl rfisuf,idd(esl fir,rufosnu 14,s1 lundumtor{eiu unufosnu s.a 'ln

nei$trj?sutfiflu rdrrfierfiu Hassen and Fal r=irtt, u,r=iio( tB) r Aznar and

. :i'

al. (.41) r' Conny et al. (43)

cs"ilwngian r r u un:ndaut c gs

?

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tBennebt ( 12) r

siln'ir t? fl

Marchebtl and

Bochner( 11)r Isnael and Woutensz(l

fi nr:nnoofl 'l?11'1ffi sn'i1il'1101fr?1tl

woutensz(63) iintrirm:oriail a1g

usiunneir t q'lnn'lifi fl ulno d

Menaker( 10) UAs CbaLes(14) duu'ir urror {gdlfi nrrnaonsllil'l u

I

lrro.riaiu uuiosns z,e dseirn'irn{lurlsuusfiEludiluiosnc ?.1 rns$slnsirsodrsfi

601m:Eitzalfitrdrdrg (p = o.0ooo) annr:finsrnaondoofiunrrfrnrrm.r dilfisle{ 6or1qr

iiuunT:fioflndril:uuirtnrrnfiudott?tn:ru iotlac a n'qgnr rfiemidd(e5)

l - 5r ' rrorisdil uac{oflns 0.9 1unriilrrl3flutfisu usirrelrunrtfinrrSagau 1.7 t[nailil q e

to{t Masto( tB) [as osbor:nne eb a1. ( 18) ldmn'ffrfuflngi'l{?odflT :fioflodfu

tuu,ir.lnrrnfiudol t?tnru uauunngir.lqrnnrtfinglnod Dtt€nhoelten and Beumsn

( 1b) , Dobb and Font ( 16) , Bochnen( 11) 'n*dUO t?lnrfunUtUn{UlT :Or{AiUXt

wnnr:finprn{t{uurrerfinnomomfnnaosl?uT u'lundlmror{aiuqtn'irn{l

ril?surfisu tersldrnsdm:finfluc'lnrou"frnuoro,$n1rnn0CItt1'lrltttl'i'l z drlls rsi

olqesttelflei1{te'lflr1s{1m1rfins16ils, ,iioo..nnrtdru$oflerilno{fl1Tnnnoul.uaud

usrnoirtftnanlilll$sinudn, td gnf,fis unuiinrtgnadomnoot dl tdunrrflnrrhrsgu

11fnl Hessan ."o ,", , =, , l' , O.ouoruu, ,aoioo{tflltnnang'l?1l1ttf ugo'nudsunrao.r

lrirfiu go drlu{ Clu:rsgiluflqrfufindlililerrssctrnrrrerfiudssntnootirfiu 24

drfur do congr" end Rendetl(64) 1ufl u.rl,esoo rorilfasau 10 no{ffilt{$lneu

perbosram lunrrrdrnnon lur, Etdrlrnmonrfloto{ 2 ttrrfitilnr riourdlr{r{ruuu

naoo t.ttl'irrmrlosrsdtflmrrnnaoilnfrouonrrr{urnilrs$r$ rr drfut uncfiofln'ir o

drtlrttn:r,{ufio qs rfirld'irfuurnrrnnoorflturilfrrfiun.rniinrmmtlaltiunnuufilsld

ornnr:fl nrr o{.rf,*n. tnaoofi odo r iio oo. nnr tfr odErdrurbu'i r t nr tnfiudo.r r ? -r

t

td rrnr'lun'rrnnoomr ni1 zq Jirfu s

cufidumrtlgioillrrllttncnl?nald uns

a

oiT n'irn{ltiltnurfisu

drrnr:nnoofiofio rfio oo.nn.rfioflodutcrrjr'onrtnuncdot tfl on:u lun{l

nflc Booth urirfirn, rnnoolrun'ir go {rlils

srudd(64)'hfl u.rl.asts'[dns',!rufi{n"lf1{

nrru trnriilmroriEduc,irn'irnliil uJtflu rfieu n.o,iiooo'tntu r-ufluif,idg mcnrt tfionqlt

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I

nrildradro r1s{lunlrfinrlruecriou finrurt:oritiun{ilorenirn'ir tz fl frdos r?',:

,dtddu-o-,--Q----t^-----^^?-,'nrlurnl1n{ $srrrlorrlifl!rfieufiuwanrrflnrr'lundun:or{oiuorqdrn'i'r eo fl fineuuu

,;;;tr.;; ;; nrrfinflodrrrslr'i1{nlrnfiudoo,aonr...l lun6uu.rorfirno{lriusrn

sirrfiu riiofiqr:$rfi.:flodrunr:afrnn::r{firnrtatn{llrtoriuiu'rq

drlrlnuu?1sl']fl11nnil

rrlisurfieu <iosac 2.5 unu to.o grrildrfiul doorqorrfitt'fiomnfiild$il'i1n1rortn

rfiufirrtu 'ludngflrrdldiunT rmu'lqqun rfirrui.: iflcdfl unsfioflil'lq'lunrrrir4finTnst{

fiflnnrr ri,iadre rufiofiufiiir^ruoT nr:'rlorjn'sr 1erfl'lsi:o'1fi rfiontrnnoo rduuuruufiri.:'[riaru

rufro dsf,lruanrrfinurn{0f,fi.:r^nrfiodru'lufl'r{tmdfiildrl fio naiumroltffiufirceefinosa

xo{fl1tnaoos't'rurud{ uoiuunl:naaofierfioqrnnrrfiorfloririlno\:?l''l?flfiudos t?':nnudrtl

u.no.nf*rnro *rnrrfinrrfi .:ul'irderdruta tnrrnutnoootlirufinfios tun{unror{fldudtqt

nrn'irndrtrj?eurfie! <fosnu 15'1 [nc z,o flriliirfiul uioumefi.rnr:ndtfioqrn

$r :n r isdufi m o r Snn'i 1 ?r1ifle1 fl neiil r rl?eil r -nfl u fi s a r q r fi uda4nnfi unrluti r fi errhr nn-

nr:nid,,:nrirr1,fi

4.2.t

rrlieur"neu

r iioldldnrlnlfirefl q {nlo", un"riionrunild:nflq{srdsrfiu rtgli{odorfle

orfru ilrs rnnm.:rir1d.irfl1unr:fnurusturR r.lruihnrt6rgtflunrnnrtfitnrt,{ fl1i

r{udrstrurfionrtr{'iruruo{.,rtotnrruhnarrtd(d , t&

r,[Rs 0 1 flnT Tn t ilOll'lfrl'Ifl ni Tnnl d ltlnq

runnr:i r nt'rrt{n''' onfifrtiuunrrmrsneir todr.:fifiadrfirl'lunlsuntntoutsscnaoqxa d

lr:orf,snosnrit,r.r.ofi rrt Bncdlnrrilr?ietflilfinCfidrrsu'i1s o.z2-!.sz'i.r

rlfiraonlrfiXru{o z $as s uasarilld'ir orqldldrfilflq{edfi6n6r.rnsionmcunrnioil

Sugsnaoo d':nonndo.rfilnrrflnnxod sukanich et' el'(19)r tlou Dvwen(zo) dti

uun?'llluonsirrso.Jnrrsun:n{ou:sfl"nnoo'lunafinnroriedrununrfurr.lttJu tfisu

rda'jrnr:Erunriounaoerccfi6nfunmnn'ir [nudfiud[llnrrfrnrrsa{ cornv e!. al. (43) r!q

'nm'ir orqleildrfiuilqierdereionrrcunrnforruscnaoonotm:o, ieit usidilfuCfiil

e

t i r a e o v l,--- r- 4.t- .-., g !rrfrgruudr r{uroflrfiil it'rulg nOsnnlliln(53) llu.)ln.lTleilil?gn0{il1tn1n$cndnTTn

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I

tllnuuu'I1

t

rfiuilo{trnfiuArlutirfionrrnnnaofiotlnfi fil erent and Heald(65) ldnu:rlfioln

a1 nunlfldnrfi t r fi0fi nrr arufltfiuC:rui r t o 1 fJ$aun 1?u[nrndourcscnnoo

flc{snr{dlr rdotrfi rn:u1fir-f,{nil fin'li$ddud'luntrcunrn{outcssnaoomnn'jrors

snr{u1un6iefiJ1ro1a1ss,irn'ir rq flqq

rrto.fi onornril drulurltifinrruun:nfiorrceyufi {nnao rrsiuu'jrnriileJlro'l

ifldufrn'lruun:nfiourvrlcufi{nnoo ntn'jrndtrrJ?eurfi€lu (iosnc q.g tlau 3.1 slltli{q

!

rirdlr nnu rfianodounl{dfi'nwld1 n.tfflicqlgro{n'ltc[n:nfiatud,,:noorouooaroafio

na{nriilunnsirrfimdrrfifiudrfirX (p = o.osss) lun{rdfinrrurn:ndouufitnnao uu'jr

lr:orts:ufi1{ufilnnon'ltdstldltiintn'jrnriiltil?flurfisu (fosns 1,7 uau o.? olll

U.,Ur, '

d'lt irnrrrfior{oufioo^olu.rrn,fioord{nnoo 'luneiunrnrtaiuXln'irn{l

r:lisurfiflur6nrioe dtaaoada.rfiunt:finurml fltr,rtrl n{ndl'rnn

g{rd'l?n[(23) fiuunlsflntfiooufitnnoo'luneiu6:o'riaiu {osneqett

z.gs tmrilril?e!rfreu ras d'en:r rfismidd(as) uunriurtorit{lfildufirnnoo

toflac o.ea unciosnu o.rg lundtrrj?eurfisu druiun'ncnntfiooufi.lnnoo ufog

Rs s.ss'lunrilmrolirJru [nciosns s.ea tun{ltil?flurfisu t1sd1iln1lflnsrmt

fleind qrurinfina uac flflfrud nnnqnmsrl(26) rrufllrcontfionud.rnnoo'lldnrrdru

tndrfifl,rfiu dru$r${osav z,z riiorrJf,Eurfiflufiurrgtrmrtflnur'lugirtdrctnn tdt

coebes( ral r^rtt'ju,rnritriufildufisnaoo4.rod, .rfifiudrfrgernnriiltil?eurfigu clougho

( 6 1 ) rflln 1'lu'sln t {aud t naooluniilm:or tsdua.: n'ir ndl t LFsu t fr su'ttlot

annrrflnurel{ti uuirnrruunrndauduluri t$unrT sfio r{a fi0fil{ufi ..:nnaEr

un"ntrrfinr{a tfinrdoildlnnosr fiorfonr,rtfrlilnn'l?E Endomebritis uns[iln[sfl)

,is r f,uar,ordn',n.rnquflo.:fiil1d dsrrtnncunrn{atarnnrrflnrro{sfriar,'fir oti1 o'le

'/.aduarilorqrn 16fl'tr1tilfinta4n nruns rfiso'lunrriiqds flnanerrutt, trarttnrteuamrol

tlnu d$ltJlEl

r,at uacfagnu

I

a ufi rnnogrr,fru o o'lnn. s 1r ousrur nfiutsurfl drurirfl diiluinr:l,fi r {rdryt tounr:zi tsiotfi

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105

4.3.1

oriuurl?surfiflu

rdohi'ldnrunildrsilq{tl'lo", tlu'irnrrstlllrflfioillcscufitnnao'lunriilmroris

im.:n.jrnril ril?su rfisu rnsuflneir.tfiuod'rt"lfiadrfirgqrnnfiil tilSsu [fisil ( P = o. o3s5 )

ttl

uasrirnlil rdetfrilfin#rritfiu r . or udot'irorefierm#lfiuCfiun..rttntndou :cscud.l

ori'luaT ruqrano {t r {rufirfinro1rnqi iiiufiotolturrsinrftidr,frutfiun.ttsu1e'irutu

{rl, admn tfiunirdrurr rfitrdfrori r iiofiqr fl'tritrfiuirurutui{l, tErrrinfiuufi t naoo'lu

1: suerurnnn ou-1ro. f; r no snrjl r ofi e r ?irfiu z iu d.ror q'tJilnfi r'hhrunT"ttnrnio[:stls

ufi onnooefirn'irnrru r$uc? s

t

nnoo rirr{ltjflrmufi5rudo z d'i1 nrlsrnrn{oilrcssudtnnao'lunriilil1:orifldu

[nnsir{c']nnril zo-go fl

riionrlqdreflq{srdmfiu rmdoqiordu orfru drudfinrrargrflaernnrrfit

a::,{ nr:r6urheuurfisnrr,{ ilrsrnnrirld,irg'lunT rinurusrura druruer{oto\lfl'll

ahnnrrd raso.lgnrrr{rdomdrnnrrr{n{outn wnnrritn:rrtfnrsnfifinfiuuu'ir

urror{sdil-ilnrrcsn:n{ourugcufi$nnocr duludlduornoirsodT t"lrfiedrfirg ernnril riltsu

rfieu en r{u ndlmrordlilfirJru{fiXru rflsqrnnrrfioott,{ uncfinrt t6uilrflgntrfioottt{

,Jesln1nl1ilrns{nilunfl.rrirfiu 1.?1 ltnu r.er n.lildrfiu uioficrrrrmmfl'jrrfiuneiunrarron

fipn-rufi uaovir orq"trildrfiuflc{Etitfifinfiilnsiontsunrndar:uElsud',lnnoorf,H',:flqfti

r6er usifir-edqienrsfirurrndadarde orfiu rlru rnnrirt{drelun'ltfnu1lfirurnfit

a ilrc rnn fiilrs{Anr:{rJrflunT nn'trfilorrli finr:u{urJrsrru,fioort,{ {rtrun{wa'r

nr:rhnnrrr{ rnuolsnrldriiamalrnntt,{o{totn fifiAnf,nnsianrrs$n:ntautugsufil

naoofi?a drafiunurnr:flnrrrat .clerk(34) druu'irnrroundounnaodfiq, rfirtlq{fllilfi

Bniilnsionr?sun:ndorrusuufi{naofl loffirudrlrroriuiut'rldiunrrgrrnriounnoofi fi

nruiltnr:gundxnlux*rfioorr,{ qsfinrryn'rrfior r{ouarstn rfiaoufi{oantd. $nsrcsu

Iflnil

I

J

ar rnr'lunrratitr tusruraufi .: nnonqudr n'jrodr.rfi fiudr drg

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f

st''tild1du)

$ns o.9

4,4 if;nr:naoer

nriur:orfitnal rilr'luqinnooilnfi uncldilJnrlilunngi'lrodr',:fifitrdrfirg'lu

druirnaaofi orJnfi 'ltn{rm ton {aiufi dsn r

sa.g nrildrdilr unuuu'irnritlrrorisiufi

dflrrnrrfirairfiqtort6noannr':u'fiTfiatdrn'irnnlur:J?autfisl <tosnu 10'6 rns 13's

fl1Tnrul18to,gi6nlrnn0n (P = 0. 14oo)

drn'irnriurrl?flurfisu <f,oflau 31.7 ttnc

rqidffi'rnr:nnoorirfil'lunaitetr:otr{uru4tn'irnliil td?Elu rfisu ( iosn Y | ,6

straiilfiur doannr:flnurlnfirfigrfiunrrfrnrrta.: flsisni qmrinfiqa uac

nfli^nr{ nnnnnoror{t zo I fiumr:t^irfior tar rdnoonnrtufirfio.: lundurtor{s:u{oflau

'[unrfurrlte'utfieu rtsiunngil{qrnnrtfrnrrxon nAnrl tfieu

aind<zsr iiuiltoenr s.g 'lun6i$ilrrorr{s:il naufognu z'g 'lundttrl?eurfiflu rdl

rfisrfiufl3u{r{ nindr,:na rac dililrJ'ls qddlrrr(uB) unrnrtiqei ^qfl'tmrd(za)

uunr:airfiorarrfinoonnrwrirfiar'lunrjlm:orieiu drcmntiottac 4.0 rrl3eurfieufiil,

T1g{t1ufl1tfrnur'lugirtilrctntl Handy eb al<gol finrrfr ;onns Hopkins Hospital

uudnlnr:airfio rar ,6nuonn',.rurirfio,,r ro{il'rroliaiu'hln:tnrtrJiurlltnrronariourqtl

nRaoiosac tg.s uautoflns 14,2 totiaEuuonTnr

iludgr:rnr:airfin r or rdnaonnr surirfio{so r$rrorifliu

totieduuontnrsnrr Young and Meneen(1?)

fogae 10 Hessan and

Falls( 1t) r Azner end BennetL( le) r Duenhoelber( 15) f.run'ff[iffiOtOT t6n

oanmwfirfiar'lunrignrorisru nrn'jrnrhrilisutfisu nr':fiu{T rtfiil Machebti andrqlll

Menaker(1O)r Bniggs eb al.(11)1 Israel and l{oubensz(63)r Leppenb(35)

| | u d, t' t' q- - -r-.--- ----o-..1-. j-^^t-^-l-., -g.-,',,q--,.' I

u'irnr:rirfinrortfinoannr':ufirfio.tltn{unroriuit drn'jrnrilrd?surfreu tlsi

MussIo(rsl ldt^ttlnlliluslneirrsarn'l:EirfiotortfinoanmtufiTfiotooou'lro.fi{do{n.iil

druiunr rnnoorir fitfiu ilufinrilc s du r figrfiun'lrflnylno,r fisffldAA

ff[1'lnnnn

unc flAfird aqnqnorodtzot fir.rufofla, z,z lunailurrnrisdu unsioens t.z ttf.aoQlaoq---- --- 'flnrJrulsurilslr rnnrfielfiunrrflnrrror fl?r^rtrl n{a6ltna unu dillftt'ltl Qlt{?tl$(23)

'lrnrirm:orier'uiu unu{aflau z.og'lunriilrrlteur'nsu Bflnoir{qrntt

t ql

to.e unviognc 15.1

iiuufosnt 2,74 1

nr:flnrrta': nilinsi

I

a isrlurrdtzal fiilurfisofofln" o.gs'lunriilxrrnrtsdil drufu

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?nrrfinmtusirtilrc tnfl Osbourne( 18) ' Hassen and Fells( l1) r

( z 1 ) uildn:1 d1ln1 rnnoorir fi ul1naiilur rotr ieiudrn"irndil t il-rsu t fi sutti

ilildflrlnltonoorrirfiultnritlrroriflduntn'irnril r rl?ail r fifltl

dnr nr rrirfio t o't r finoonnr turir fio l'lundum:or {edu tunrrfinuro{o'iltinu

fir..:a..: rfiatd?flurflsufiil:rstrunlrfins'l'lutcucrioup rdrt fl?usr{ ndndlrnn rau

d$tillg n{d?ti$(zgt tdufog av 2,74t Aznar and Berrnett( le) uuiogns 3.14

rsiriio rrl3eu rfieufiule..trulurssuufi.: cs1,ru'irod'ludslldruit'lnfi tfiflofir tdunr:flnrru u C a a b .^tat deimd nrulinfrnn uufognu 1o'g Herdv et al.(30)

qq

"Durtogau 13.s fitfi

duriia,,rmqrniinu'tr fia.: mnluilqefiu nr ruhfio, o'l, finoonnr .rurir fi a'o r du,duodr',r lr n

fl1rn1{d'rrnrrairfio iflr$ nfirrfiao uncerrlfiflruu rufionruarmrn'lunr:ificdg

nrrsduflresiom:orunrnT rnldrsr uaunrrfrnu.o{0fifi0*'il dslnnr:d'rfio ror r6n

D D o r e r i t r r€t--,-a..----d- /r-----aann.t{tm'lno{ rilnnilill:6l11gtu snfl1'lflnil tilTertl lnsu Innfioe orq tfiosqrn ti]unrr

9tq

finrrlundlmrcrrigdu o1flmnn"ir tz fl d,,:rratrrtcscufifiil'jrtfinufitirfinurnrt

fioorrrinornnooti drrdunrrfiflul?o{ Goates(14) ttdc Dwyen(ZO) dlti*orlur'&

BSrfl gl1 {n0 {fl niltJ''l To1 n {n0 {lI

4,4.t

rdotildnT unlri'rgrJc{fl't0", uu'irnr:nnao^alorjnfim,lnriurtoT {uiu ldunn

s{roatirrfrfiadrfirgarnneiarrrJ3eurfrsu (P = 0,1410) rirnlurrds$flurinC o.ez [f,o{

,fiua'r. r{.tfiu n:cfln tfi.!nr.ur.ufionrrrir.:rutotitld re?rgunrnu#sfistuo sionr:

U:flr'lilg'rlJ1fl

,.fl'l:l^l'lfln1lfl

ir org1d"ifir$uflqindfrrufiuCfilnrrnnoofro:Jnfi u^rrfiunrrrJfirnonllfiXrudod z ti'ir

n'lrnn0nfiflrjnfituniiun:or{stuunnsir tfl nneiil r rlisu t fisu

riionrunurireilq{erfifl'lfiurmdodarflg orflu drcrnntotrirl{irelunrr

il:sifinrrnrl tflamnnrrfioott,{ nT r r €uriruu,',rfionttri {rurun{.:rot

runs o 1 sni:r{ r iiom af r nort,{o{o otn 6,an'l ti I ffi r sdnr t nfi fi dr u'lud1rlr,ru

nrliluonsir dno{tfl1innoofioilnfr'lulrrorfirno'rnair riT mT il rdsrflilfinCsir o,G4-! .77

Khwaja et al.

Mon i sson( 66)

I

I

at' I J vQ a

gn [?[flnilil1To'rn01nfl tu rnn tilo nt

runrnrirdfirirldrire'lunrtinurugrurn d:e tnndn I

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108

t

t

I

r.irfldrinsrusrurnloirfirdrurur u?o rfiufinrownrjriifr trtruSruufir d u rJaolt ulllljQlg?ltl

uu(uarom 1 ilf, r,tl{u$ fl 1rfl 1 lnaonajnilncl fi o{o. o riin,0 e'1nnniui'lror lu r fia t raufi r fl rlr!1ilu61n {t

T1s orqqcldiun"l?oual$ilfitdulenxlunti tpri.,ate case)d6oux{rf,181'ltnolla ?uq$gt

uncfioflu'lc'lunrrfira'slfl1dn{finnnrrilorfiunr?crnin{oul{rioueuraodolnttoti't rfin t qr

6 E r t rd d VDu dt C-, --- | | q I o attaufl176nU1-ll1^iu1'lnAiltiltEillngu t0lllnltO$AtilUl^l[flr n{fl?1nflilil1101?fJiU a{41eiltuntl

amr{rtidn:lnlrnaoofiorln^sl'lrn.ir rrl?sil rfisun.rn'irnaimrro, isdu doafiunuunr:f,nur

rod r{rdx ri'lenortozr iir^ru'ir firhgiildiuflltouarfiufrrrtu (pnivabe case)gq

nrrddudfi:rnr:ai, fiotartfinoonlrwfirfiot IRU Haddad and Lundy(68)

eradt'b!61!de6ost:r1fl1'ra,l9toro't rofloonnl{uu11to{tfl{nu"lu PnivaLe case rdurfigrfiunllanulno{

Lepperb eb el(85) uu'jrnr:ouariounnoodfi cgfufiuCfiuif,nTrnnoner''rfln"j101fl ttac

ninrr rfisuaiadtzsr fir.ru'ir

nn.'uruou.rerrlddmiuCfiunrrnnoqfioilnfi

4,5 nguuudntunr:nudonnoo (Apgan Scone) lu s uT fi

ndllrrorfi',:ao'rn{r riru'tur!frnuuuilnfl1}rlrlrnufirnnoo rdr ro drun{riifi

nurrildnlumtnilfi':naaodl < rrirfiuu?oeirn'ir zr lrnriun:or{sru fio'nrrdrildds

n'irnrhrrj?sulfistt <tosnc 3.5 $ns r.o strildrdul riiononounrrdfifiuunrril[stnsir.]I au e e , ' u I t a

odrt"afledrdrgrareir tafisnc[uldnrunrrnufi{naoflxodrlrrorfirnorndr wnnrrflnurnocr

ndorfiunrtflnurtao firiisni ruurinfinn rnc flflfiild nnnnnnrrdtzol fiuunrnuu

dnllm1:flufi.:nnoodrn'ir e'lil'lunairrrj?gilrfisu ttfl& conry

u', ro'r {urun.r n'ir nrit r il?fl u r frsu

s illfi dosas z l,lnrirm:errisdr rrasfo€ns 4.G

eb el, (48) uuncwudnllml1flilfi{nnoodl 'lunitlt

llnu$nngi'1$c1fln''llflnr1x0s Hay and Boyd(9) ii

wdrnsuillnnrunrrnudooaoodronrnriilmrords:r fidn:rdusirn'irnril rrl?su rfiailqit

dtu zo"L"rrnan(38), Gern end Petzold<z7t lduunrtrtnntiromsncuuildnluntrfl

ufionaoosir tl s uifiroonlro',fionornduI

4,5,1

aqctJ

I1.1111'1

tr4rrca

Dnilflflr'l tlRsfl Ril [ uTgu I n8ilq-

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Ir iio ld1 dnlrn leir fl fl q ie'l o",

rurd.-j-nailil1 to1afl Tmnc [iludn1un1 Tnl|n { nnonn'l

tl

$nneirsodrrfifirdrfirg crrinliilrrJiieurfisu (P = o.oool) rirnrrlrds,,rdufinC s,47

rudo'.:,jrorfl rfiuflq{eiifinrrufrufiu#fiunsuruf,nlunlrnufiitflaooril dtnonnfiolfiunll'or1ru

{od a ii'i. ornuunnlunlrnilfirnnoodrlrnainm:nrisiil roneilitc'lfln6iilt:lieurfisu

riionrunadrsflq{grfirrrfiu rwriioqlprf,a oriu rlrctnmo{ei,'[drirg'[unr:

inurus'lmn drurun{tro.t

nr:afrnn:r,{ uorolun::d riialral'rnort,{n{ourn dru'luqiamnrti tnrrr#nr tafi^qfilntm

nrlgrnnsir{no{nuuutnnlurlrrlufi.:ernoosir 'lunejltrrorununall til?eurfisu rdur6il

flnr{um:orar?r^#l{r.: drtrs frur rtrntu r4r1d, nrfiorfluiu{.t ,i'lr.tl firilr fir

diu r{r1r iunrnrr fgiarufiq, firhctfinrr{r!rflaarnn.:fionrtd, finrrr{lrire

n*r#oorrr{ rlrutnnrir'l{ti,s'lun1:tnurilsrurn il:crnnfi z, 3 [as 4' l*ilrahn

n:r,{, mahnn:rr{ r-. o{o unumdrnnrrdltlrrrldutn unoo'iruone''tnflq{snrt

r]rsifinrrnq tfluarnnrtfi oottd nrr r {urlrflrutfi onrr,{

t

I dt o . o 3 6l

rnn*oflfllrFruttuilf,n1!m1lflfia{na00sl1 tll

dxn'lltto{til1To'l rdur"oEnfiu Hardy ebt

raa36loltnnailnnoon qu$nuul[xdn1uTl1Tn01 mn

s urfi drn'j,isduuontn:tnrr rou connvt

riruorsudr flcftirudr'f,riufiufle{snrsdrutrlrugfia-fl'rnl qtnTu $ncnr:iu:J?nrr

v a u s ds - !r--- o

Er,ir rJ6r? 1ilnilulrn'nunsuiludn1iln1 tnufi t nnaa|{ir dsnfiunuunr:finnms Gnan and

perzotd(zzr iirur"irurrorieruldlffiansionuru$dnlililrrnufitnnoosil 'lu s urfi rtng

Zuckenman( zB) mdr rdo'[ti6i rnrsdn'l{dfifi uu'i1o''tflna{mio'tfin'lurflilfitCrfutrodJ t d rileegrtta?lrnEl?no{t fio nlTottn

tl

t u r 5l d da - .,l,lll11tJ1fO1igTI til tffi dfl 1f nilfl1t

q

eb e r . ( 4s ) uu'jrilq{Elnr.:dru r etruSrucair fi n'rrdriiuCfirnrurucnftmlrnei'l

j

4.6 ritufinnrrnu:nnnoo

ndun:o'rieiu'lfrrirrflorrrnurnnnoorlrufinr,odu a,ees ni$ dT lnriilril?suqq

rfisu z , gge ndu ,fionrnounr.:nfifruu'irnaiililrror{eduftftrufinn1rn$innnaarlers rodsltt

[grnsiroodrofifisCrfiilcrnnrilril?flurfisil (p = o'0000) ttacuu'j'rnltn$tflnn0ofirnf,n

s urfr

el. (3O)

t rios'lunEilur:nlisdufidnrrdrufiarn'irnait rrltsu rfisu< iosau ls' 1 rnt z. e slrildrdulqqt|lq

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t

Ortaalilnnil tilTfliltnEJU

q

I

I

rl

drnaondo sfiunrrfinrrxo n d?fl 1,trr*r,lr{ < ga firunr:nornooootiruf,nrlofl'lunrlur:otr

isru foenu zo udviosau ?.2 lundrrrl?sur-neu uau deifld nnrrlnfiqn uacdflfiur{

nnnnnmrr{<aotqqiluiasnc za'e lundilillrotriedu uncfoenu tu.z lunrilrrJ?au

rfisu ain:r rfieudiad(25) uufosnu rz.e 'lunrimn:o'tiflru [acfasns 6'89

110

runrailinei ifllmtd(zat uutosas l0.s'lunrluntor{uiurfiot- I t

r:l?eu rfisufiilrssrunr:finrr'lusir.:dru tnfl ilnfll:flnrrnoonda{fiutrssruno{ Hassan

4.6.1

ruj?surfiau

dvrvb b q gQ I I e r4t-, ----^?--^-.a-rfia ld'tdntlnldrefleirl'tot ul'irn{rtrlrrnriuiufinlrnrrnnnooilrulnfioantt

end Falls(11), Alexander eL al.(31)r Briglgs et dl.e Osbounne(18)'

Zuckernan(eg), Aznar end BenneLb( 12) ltdu Donnelly(69) dSuU'ifdslffdfUmr:

nlrnuinnnoo'firufinfioe'luniiilmror{fldun'rnirnril til?el tfisu rsiumneirtqrnnr:finsr

sos coares ( rq.) frtrumrnuiflnnonrhufinrioe lundartrrorielil'lnd rfia.:fiun1fu rrttulql

rfiEru (iognc t9 nns 18 flrildrdul unc'Infirfifl,lfimrrfrnrlmo Poliakoff (62r'

Monnison(66) u,nc Gtank et, al.(34) fiulntrnu:nnnooritufinfioglundllrrorigdiltl

iaElac !7.4, 16 ttng zo.o mudrfiu

wnfllrfinurn{rfifiruu'ir dnrrdrrto{n''rrnrrflnnaoirufinrioe ({ogns ts. t

'luneimrrerriaiu uau{aflnc z.o lunailrrJisurfisul nrn'irnr:fintrsos utrt.tsl uruflu

uasffis(zo) fl il.fl,aszz duunl:nurflnnaorirufin'floeluiwiounrr.t1flm iosns 6

xo{rn'1rnnoofiouos, fio'f,a'''.riin{a'lnrcrfisuif,iiednuflneir.tfiu $nsn1tflflsro{ofitfiun'rtdtodq6

uflnflnur tou'tc&t1ro'lnnaounrnilttlfl unc rilun{mrafios fflronoolulrsug'tu'larril1l'1tr

rnr?'ldAm usinrtflnurro{ urlr^ln :trnrfiu fu flnurcrnnairfirodrtmnrimrg ntrr{-atltttd Jo e gB | -o--'--q-!!

r'

fi unsan rufr ilrnnoo alanl:f,nyrni rf,uu'iur rorr"fl ru'tririr t fi ornrrnnrn t ^notirufinriofl

il:ulrudor rdrrosnrh ril?flu rfieu d.rnoonfio.rfiurrtl.!'lunrrflnrrfiu", dlrtdnrirtnudr

' dr naeye< sl rdo'i'rfin'rrudrorurrfiu:vuirrrrrorluncnlrn'lun:rr{ 'lunrr ta?rgrfiutsl

r{r tiuun'r rnurnoou orlrufinfio en t

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I111

n'i'rn{lrrl?flutfisu Bnsunneir.ladrtfifisdrfrX rrnn{ltrJ?eutfieu tp = o'ooo) rir

arril rdsrdrfind z. ro udor-irorflfrnrrilflrfiu#fiunrrnornouuotlrufinriosdtnonnfiosfiu

n**fr1rufio , ii.i.n.rnurnoooorl.ufinriofllun{ltrlrroriuitt uslfleirtqrnn{ilrr-Ftrutfieu

riionrunld,lErilcienrrdru rrordoqiorflu or?u thutnnmteirl't'iretunrr

fnrrilEtrura ilrcinnrrnrXrflelrnnrrfitorrr{ nr:t{urherntnfitnr:t{ {urunftms

nr:afrnn:r,{$nuarsn:rr{siiomalrnorr,{o{turn dlrludfif,tnuwirnrrflrrflnnoorhufln

fiou l1n{gyrror{eiuunnsirrodlrfiflgdrfiruqrnncirrrJ?eurfieu ent{umtnrorflr^lrriri,u

6rrrs n.rfroriudrrre iurqnrr dXiorufir,'$nrrr{uil'lEmtfitnrtti firir'l{ire

lunrrimuslma rhrrnnit z unudrsrnnfi o,'[rimqlrnn::r{ unsdrnnr:r{11'tslrffia

nrfl rirnrrilrdesfufinC o.ss-a.ls uaors'iruonqrnflqisnrsfiruorq flqierurir'ilfil

rfi1ilc{anrsdtrrrnuxfiq-flsnil qrn1il ununrriuu?n., fifiaof,"usionr"lilfrilfuC'lunrrn

urnoonofi.lufinrtosldrfiu tisnfiuauunrrfrnrrrot inrifl{' ortqn{atasl dr'ru'i,:Ts1d

m.:n:ounir ar?ura.:'uorrfinr, ldlfiudfiuntrnurno.uorl.ufinrias un, nflfiur{ d0n{ns

rtr{raer urir mrororflurnugnnrril flflqr rfilflqisdfluilCfiunrrnurnnnoofirufin

riotr nlr6 ortrSocsrl, qierin: nlufindtez), tlf,B dru?fl noeqafiud<ssl ttll

'irnr?snrr r6urhffi$"firor:,{fio.rdduCfiunitnurnnnonrirnfinrioe fl?nn drgrtd<aor

q?sr{or nm,rfind<g?) Bnu r{td tgltfiar^et<sel, qfin:r rfieuniadtzsl $ns

fiaaf, qtilruu:rssr uu,jurrorLiuruJ'rnnrrdqufioffinllillrnulnnnoorlrufin'floaq.r

n.i,rnrildl,rr^hnnrrr{ nrrflnsrlueiridrs tngl Kessel (42) uu'irnTctnlurnl:dr

orflur'l{ut*nu qudtfiuCfiunr:ntlrnouuorl.ufinrios Cornv(43), HuLchintatl utt'i't

rnrglruud, flduCfiunlTn$tnnnoorirufinfiog Hassan and Falls( 11), Dott End

' Fonb ( r e I uuirnrrounriaunnooti rfissm qs'ilalnsion'lrntt?fl nnoorlrufinrios uncfi odao

n6o sfiulnnrrfrnurms Easinan( 4o ) u'irorqldld r fitflafu rfisldfrAnf; ilnsionrmurn

nnoorrlrufinfiofl usiflq{ercnsrfiur{os, fi rasfl'rr$$niiotnnoofifinlrilfl$fiuCdre d{rrgln

girrfiunr:fiflr1ra{t Donnel ly( 6z) d"rri",n',rnnrno^uttl.fifinfiosqunsqolun{unrorr

N

I

t o'rs 15 fl nnuoirlottnrilors zo-zq fl

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rrz

)

finunrsdffi losdiIil.ir nr rn r fi oludfinqs-$irrlrnl rn I ilfl {1 fl m nn'irnr:n t uffi s

fi dsrtrdru rderfiil r udnrtndnsosndrsfiu

'io rfiu

llnc

1nfir6g.rdur1s{1ffififialru1mr tldflr1sl lrwsrilrailu1l'1tr[nfrltflm flu'6'253o<?t I

iiruflndruto{til1tntuflit'ltl r tuetufit rrirfiu 1'o3 t I druilneh r rl5eutfifl mruir

dodrunrrn rueu.lnfldn.ir r5nrioe olqqs riiorq'lni6nr:{lfiT odr,saontrflnrr rrd rfiu{oiln

dnfiunr1ufi r fi rotir I itfi to t rlrcd'l n:dfl nrrl'fi

mrorfioaotnlil drlluritirirtionr:ntrtnnnoofiflin usin{ll,todaitfi

n'rrn rfinlfiilu uacnltflstlflufisnnoonrEIlu 24 JiT fus 4tn'irn{lril'ftlut-ngurdnr1ag

uufoflnc o'g [nufognu o.7 1un{ldnnnrt tfi ornr:n rfio"lffiutund$mrErr{eirtt

rd-rsurfisil tir'lnfirfisrfium:flnrrsa{ ail?nei tnlr,rpdtzal iiuunrtnrfinltfiult

iogns o.B usidrn.i.lnrrflnrrsor dsisnt quTinfiqa unt nflfilt{

dqa{not.rr{teor duun, :nrfierli?ultn{untnrtaiu foenc s.s $nsifosnc 1.1'Ilt

nriilrrj?gutfreu ununonnfiosfiunrrflnrltor! Hassan and Falls( l1)

flr,r'lun{unroriait4tn'irn{l rrl?au tfieu, usi ootnnoe lten ( t 5 ) $as

uu'irmin rfi erliitullnriililltnrisdurdrn'irndil t rltsu t fisiltt||

druiunr tgtr cmfi tnnoolunrjllrtor iaiu uu'i r4.r n'i r n{l r rJ?uu r fi uu

o,e) riia{orusnn{l artuqn'lietltttotnrtnrd{naoo mil$uum{t

quuu'irfififlsrrlu r du rfiedufi .rno tndl dssl'ln'lii t o

4,7 dnlunlTflulflnnocl

ndrmtnrieiiltnundil t il?su tfieuttt

fio dgtlnrrnrilrtdrgsianr:nturgfid 1oo n1 rdrfiu 1oe $ae tro nudrdu

I

nriilmrsrritdu

e

ilmnrmt'nerli

Sukantch( 19)

<fogns

t{tgglleo.8 uas

l{onth(72)

?

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113

. irmttungffi tilqminrsto snrriiufimaoo6gtiltguliltJll .

i

tln{lmio, tailununql

0

dl t1trnlTsl1gt

l, Nonmal folspd

2' ConglenltEl nalfonnetlofi

3. Condltlon essocleted wlth |tnmgbtlnity

4, Asplryxte developed In labour

z

2

2

I

I

1

rdlfil

Ittrlrofin?n

,tiunndrs

a d rtrr -. u q - -. --!-A -rt. 1c tfflr tn'l'rd1 tilnn1?n18n0{n'}?flilnraa00 tttn1Tflnr1nt{t tlt

dlrrng?nil

n,rzni,rufinfiog,uaunria aspnyrra' d.r rdtnr r

unuufilrlddre usi6n e me dt rfiffi rilqnnnrlffinrtudrill tflofl

qrrlrldgrnfir r rmrufioad, flsrmtrlnddfiunftnrnndr unni

Bacflnlm1?flBrfinnoolmiunrorigflunundil r rFnr rfitru:. '" t .....;,' l' t

,I

;

rdotil'fi nrunildrgilq{slnn,, :'ll'' r,nJ'i'l nlrn r fi otr

orirrfiftrdrfrga'rnn{rnFaurfigu tp = o.?e6?) ri, nrrlrdss&tfinC t,+ dt1$rnn

,j

1, '.'

?

0tfens speclf lc cordltlon

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onllfiSrudoii z ii'ir nr:nrfiolifiu'ltndur:oriaiu unneir'lqrnnriurr.Feiltfigu Bf,ch!

t

Iolct'tfl1'l

'iro rs 1dld:lciedfinmlfllfiuCfiunrr tfiolfflu

annrrflnnnfludulnrrf,nurto.t qunmfi tut:tl?rgtszl flruu'irmrorarg

zo fl tifinmrflduCfiunr:rfiolfiilu druflc{niil^ru'irfinmlfllfirCfir,nr:lfio"ti

3r,r fio ur:orii1*i*nahnnrtr{, -nnrrr{urJruourfioottd, nnocr'worjnfi, naaorioudrutn

$ncfinlilfinrlrsidrrtq ununr:flnslton 6til1^n qtrndnrfin<zsl lorflnrritntrrd

firurj: l?rdou unuuu'irorsldldilqie rdsreionrrsrrsil?tir rfio $nunoondatfilnrtflnyt

no{ DorL and Forr(16) iiuu'jrnr:onnriounnoo[aulflilt{'ll|u finl,dilfiu#fiun''t:nU

rfio"lifrr,l lrflu Genonimus(44) -nuuirlr:orisrulilldtf,unrtilstroitfl'lrrfier't{fiu rdu

rfisrfiu Kessel eb al .<4?; tluilnrtsnuln{urnr:,a ot d q o du u lo

o'r xu rx nr d vur r uriJq iefi dilfi uf fi unr tnr sd?rir r'uo

qio1il

,frnoo.nnlrn rfiorlf?r,rf irrrufios firfileirirannrilnilflc{e tfiofintrnrrilBslnsirt

nr:flnr, n{tfi,runnrufietilnfitatnttnlrnfinofio fl1lu FeLal disLress tlflu

!i.:rfiem$cnnon n.trfionoonnfiofludrsncuilrdfilmr:nufisnaoo (Apgar

fitrlrlrtafrrtnstudriltodncrurdnr{n'lrnilfidnnooudr uonqrnfiufi.:uu'ir

olufinrlrsirir rtffio rnei$mrorisiufi':ohn'irndu rrl?au rfisu r finfios < fosns o . 5 unc

o.g nrudtdut lonruu'irltnrilmrorfuiufinrrnfinrt 4 t1s usindilrrlSsutfisu"lnrrn

finrr ra :rg fi.::rsnsrfiflnernnrnod tz

I

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Pregnant' Adolescent, ln I NubniLion in

Lactation. EdiLed by WorLhin3ton - Roberts

Jr Wi lliams SR. 3rd Ed. St. Louis t

Publishingr l9B5 ! ZO7-32,

4. Population Reports. Youth in bhe 1980 s I Social and

Concerns. Population InformeLion pnoslramr The Johns

Univensibyr Series M. No'9 Marylendr 1985 I 350-78.

5. Naeye RL. Teeneged and Pre-beenaged Pnegnancies t Gonsequences of

the Febal - Malernel Compebiblon for NutrienLs. Pediafnics

1981i 67 | 146-50.

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Mosby College

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Adolescenl Jarnaicen Pnirnignavida, An J Obsteb Gynecol 19731

116 ; 34-8,

lO, Machetti AAr Menaker JS. Pregnancy and the Adolescenb' Am 'J

ObsLeL Gynecol 1950i 5O t 1OI3-UO.

11, Hassan HM' Falls FH. The Younsl Primipare. Am J Obstet Gynecol

1964i 88 l 256-8,

tZ, Aznar Rr Bennebt AE. PreEnancy in the

Obsbeb Gynecol 1961i 81 : 934-9.

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84 z 442-4,

Adolescenb Girl ' Afit J

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I Hanper & Row Publishersr 1987 : 1-6.'

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18. gsboqnne GKr Howat RCL, JOndan l,tl, The Of$tEtric Orbcome of

Teenagle Pnegnency. Bn J Obsbet GynecQl 1981f 88 t 215-21'

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t ?'1, Khwaia SS; Al-Stbal MHr At-Seleimsn, tO' El-Zikleh

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*. Sbeven RE. The Febus and Nerply Bonn lnfant t..,]Pnenabal Envlnorunent, Znd Ed. Sairrb

MG. Obstetntc

Acba Obstet

lnfluence of the

Louis t The C.V.

lfosby Companyr .197V,,a

zs. fl3usd ninfirtnn' d$ilil1u q{{'lr?tr.

zszot fld zg, sfiud 7 r e67-72,

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2524r ffi zr, otud o r 24e-54, l

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n.i.r -eo fl. inarfumCrfnygringrrlrf,nnmrf$fin (flslnrdlnrnn{l

dlxlowlfirludunut6n. h?niffirfis lurinerdelfion, gJ526.'li

:z6, flsin{ qnrlnfiqn, flflfiild nqnEorod' anfl'ltfisrnrdtowrtnr{eil'

r?estudrrddlr 253or'fld'zo', ofiud z t 86-e?'

ZT, G1arn SMrlPEtzold AS, Chsnestentstics of the i,AoUnen Errd Chtld tn

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g ta o In'lfn{tnrrnr[?Et7lt' dlfa?T1d

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1e5

t

1983r

Er

B

I

?,

t(611f1:$d1rl1dflf )

26?8,

. AnbenaLal Cane end Educetlon ofl

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95. Leppenb

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az. n?nr ???sl{rl.- nT rfi'rnrrr{dsiu. tmrflililfiFryrlltnflflldsnrmlfu?Fl

d'Miffinmtrsillcr' fuflerlnerds rmrtnsrde$fion,

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OonpnEhenslvE

AdolescenLs I

NZ Med J 1986t

Ar6ng

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t sfiud r r ss-42'

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97. q?grin: flil1,,l86tflr niln1s u1nsfln. nrrfinurfinriluill16t']lilsii'hftil tfiomrnul

u:n r finrlrufinfiofl . r'ts{'l[iisnlFti{'ln'lr1{tllu1nd1s'lrs{nfl'1dn{ n$u

sB. u..illx uusrfisr'fl. flc{eiifiansionlrrfronlrnrirrfinriotJ. inerfiiluCtFrygrinar

flldnrilmfiufin (d'ts.ntrf,xtl'tdq{) R'11'l0u'lfisuiuns t6n. firufininerfis

nulinrJldslfion, g,5?.4,

99. fian"u ulrjtcg:,tllilrggr fi:fifisrnsrn:,

A 6u I a -a-enfif,u?i. rfiilflT drfirrrfiq,

fl c{e r dn r3o o urtor"'it'lririr r fioalinrl xlruqnd, rfltrsl

l^rg1u'] Rtl1dgt{ ilil1inerdgil^uon. fl1{t lm{ilil1lLfil, z5z7 .

drn?

A tu I

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775-82,

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$rflnnonra{il'un1ns. inerfumfiI?rygrinrrrtldnrilu'lfiufin <tntu5nfl )

?rT{rQglTTslll.I

41 .

42,

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4s, inrisni

tdrnltni$ifie1, rirufininsrfie ilurindrfisrfion, z5z?.

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46. flAirud dflndnmid, rJciflfifinrT ldlfiuCfiurlT ufinu:nnaootannrrnfisirn'irilnfi .qq

i ne't'ruuCil?rygr i nu'r rt r nn:ilu r fi $fi n ( n$c ttt^rlsrlr nsl{lt ils u r ar r m 6 ud I

d.1n.rn1 r r e?rgfiu#ttns1r': uwuiltc{1nr . firu?rninfl rfie uurinfl rdelfi on,

2,52,5,

47, Fedrick J, Adelstein P. tnfluence of Pregnancy Spacingl on OuLcome

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t

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sB. fitnr eiu6, fl?qn brtrrqind, r^r:flfi omirruJ. ilEtd'turia.:dur3or,luuenlTallnnTTn. fl1{il?ffr r flo{oll1ilgtnoilntl n1ilou1ilg flTcnl'l{t

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ruufttur trt:rXfrlnncdrnilildstrfi sfiud 6, u'11.z5so-45s4 i t-?.

60' Goldberg GLr Cnaig GJ, 0bsbetnic Complicabions in Adolescenb

Pregllrancies. S Afr Med J 19831 22 s 863-4.

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62. Poliakoff SRr Ablanba GA. Preghancy in The Young Prlnigravida, Am

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63. lsreel SLr Woutersz TB. Teenage ObsLetrics. Arn J ObsbeL Gynecol

1963; 85 I 659-68.

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lJl|1ilnT t O.S. Printing Houser 2530 t e51-61.

65. Grant JAr Heald FP. Conplicebions of AdolescenL Pregltrancy t Survey

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z 297-301,

67 . r{udr drsnar, nrrfrnrr ril?surfrsufiruuuntrnfifrnuned,:nrru1{ilrufl1: tcu'j'r{r

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38 Yeen Experience ab a CommuniLy Hospital. Obstet

Gynecol 1978; 51 I 133-7.

69. Donnelly JFr Flowens CE, Creadick RN, Well HB, Greenber.g BG,

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PrerraLunity. Am J Obstet Gynecol 1964; 88 I 918-27.

?Q, rJrrl{sr u:rufll, rtn fisnncfl?, ofudfl iindmfiuC, fl1rflnrrflr{flsir.t,,dfi

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illf1lln: I o.s. Prinbingf Houser 2530 : 6l-71.{

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a''tgtt:r{ rfionnoo, , . . . . , . . fiilort{

nrrs$n:n{orrsgcnao6t

( ) o, "teifi

( ) r. "r lduri

J

) 1. Prolonged second sbage

) Z. Obstnucted labour

) 3. Placenta previa

) 4. Placent,a abnuptio

) 5. PlacenLe netained

) 6. Poon mstennal efforL

) 7. Cond prolapse

) 8, PROM

}

) z. nnonlertrldfiildrEl

) 91 5111 lglJ.. r......... r r..t

( ) 1, nnofl:lnfi

( ) z, nnoofiodn^m

(

( ) 3. nROotoEJ'l{rnio{oo{rgnn'lrl

l6

17

18

r-T-tlfilur:iilaro*',fii1

26-27

z8-29

so-31

135

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t

a

rudo) 4. AJlgIO t01 [Onoofl?llituulna{t

) 5. nnao?ilfru

r e. firnrsrfrnJ

) 8. dilT 18U...... o '... i....I

oU t,tl tfl

qus|flraoniladnnoel

,n1?Efio rflon1.! [fiufldf, ''l1c

J

floufi 4 {oiln:uecufi':nnoorl|

22. n1?suxrniaunoiil'rro'rudsnnoo

( )0.ldfi( ) 1. fi Vl I

t6[tfl

) 1.

)2,

) 3.

t

?,3.

?.4,

?,5,

26.

t

) 4. n1'lufiotflaud.:nnao

) 5, tla,nttfjfl

_i) 8. 01lt 1U11...... .. o o '. '...3

rwlno{n1tfl

( ) 1. d,]g

( ) 2. u0,,:

?o,{ruilntatnlin$tfl!fro. .. . . . .. ..fliil

nuu,1|udfl'll,tn1Tnilfi{tnaoorl1l S il1fi,. o r. ,,.Rctlllll

dn'lilnltfllt:nnn0n

( ) r. fiffisl

( ) z. ldfiflisl

19

zo

zl

22

23

t-T-tlfilur:?ildcoilr{fil

3e-33

35-38

39-40

4t

136

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r---T--T

??. nnrdarlnfiro{illrn

( ) z, nrflnreluffirr{

( ) g. nlgflaon

( ) 4, nrrmdrnnonnrelr ze {rfuo

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) 2. Aspl\nria

) 3. InJuny

) 4. Malfonnat,ion

) 5. Fetel disbness wibh Asptylrle

(

(

) o. 1d'lf

) 1. fi

(

(

(

(

(

4?-43

44-45

I

zs . d'u'ultufLnrnrfinfrnr1llt.rffiril1nilfi ,oaaos

l

I

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t'' .:,r,:

l l' ' ,,

a

n1floflt')n !.

,aadq r.e a qflnnn r! tllnlr?lg

a

J

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138

:

:

tnfi fi ii'ldlunrri r n:r urf,fio{o

xr=Yr=

or, =

Rr=

cr=

n=

E=tl=

2. t-test (24)

1. Chi-square besb (24)

r.1 dnrfr?liltl

z [-l'- |x = ) \ | o"i.j - n(tLJ LJ

i "t'Degnee of Freedom =

I

l.Z ffia r=2tc=Z

(n-l)(c-1)

a', R. c,

Degnee of Fneedon = I

n{mioud i no{fi?$ilT y, i = 1, ,,,,,,di

nx1ilfi?o{nojo *., v, tufirodr,r

atnr?iln?'l&tfitotunrfi i

r

c

*

c

niialdogii i tatfirudt x, i = 1, i..,.,

toenrrldnnr F-tesr riianonol 6,' = 6^^ rrifirfrr'ld r-resu'Ana lvst s ril?su rfiErun?'rr..nflsirsrornc[ilrrsds tersflnnrdrfifia

t =i

I

sP" =l

6la1?rJ3o{n11nfira,!dou{d ixltloto{fi?oEi1! Rr = c,

eirnrouil'rtlrotndrr;xr, v, llnqnufi

' t,

C,

ln

x.-x.----"'-1,/n1+ llnz

xtr? - rcxtr12 , nr, + xztz ' tt*", ). /nz].

Nr+N"-2t,

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nrrlrdsof,ufinC tn"taLive odds)

'ir ruro o n{lfl nrrdtiiufl qie r ds,t

iruurotndl ujieu rfieuii'loiiurlq{g rdgs rdu rfierfiu "irmuro rniilflnrrdldiuilqie rdeodu,rd-tdld "{rluta,:n{r r rliuu r fieud't,fifuflq{siiul rdr Gsrfiu "'

1?668

nrfuuJigurfrgu

139

t-, - t, st1

l

+ (n2 - 1) s"z

"r*t"-2

(75)

ilq{srdgs nrirrflnrr

V Dut6lfu b

dV tV t,elsl l6|llj

= grd

b.c

B=

b=

F=

d=