Social Aspects of Unwanted Teen Pregnancy Management: a Case Report
Keywords:Teenage pregnancy, unsafe abortion, unwanted pregnancy.
Background: Teenage pregnancy is an increasing problem worldwide. It correlates with higher rate of
maternal and perinatal morbidity and mortality. Social issues would complicate the management by delaying
therapy, stigmatization of the patients, and even initiation of child abuse. This study aims to present a case of
unwanted teen pregnancy in which social aspect plays a significant role of its outcome.
Case: A case of 17-years-old unmarried woman came due to abdominal pain and abnormal uterine bleeding.
She had pregnancy test prior to the admittance with positive result. Her family found out about the test and
forced her to come to emergency ward in order to confirm the pregnancy. Examinations showed that she had
ruptured ectopic pregnancy, bilateral pyosalpinx, and endometrial thickening. Bilateral salpingectomy and
curettage was done. The patient chose to delay having treatment due to fear of being found out by the family.
Teenage pregnancy is an arising health, economical, and social problem in Indonesia. In addition to higher
risk of morbidities and mortalities, it is also aggravated by social stigma of having extramarital sex. Family
support plays pivotal role in determining the outcome of teenage pregnancy.
Conclusion: Teenage pregnancy is a complex problem requiring comprehensive and multidiscipline
management on physical, psychological, and social aspects. Social problems would aggravate the situation,
potentially delay the management and exacerbate the outcome
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