1.Low birth weight infant among teenage pregnancy in Terengganu, Malaysia: A cross-sectional study
Siti Fatimah Samsury ; Tengku Alina Tengku Ismail ; Raihan Hassan
Malaysian Family Physician 2022;17(1):44-51
Introduction:
The purpose of this research is to determine the factors associated with low-birthweight (LBW) infants in teenage pregnancy.
Methods:
A cross-sectional study was conducted in Terengganu, Malaysia, from January 1, 2020, to May 31, 2020. Records of teenage pregnancies in 2018 were retrieved from the Maternal Health Record Book and Pregnant Woman and Postnatal Book Registry. Simple logistic and multiple logistic regression analysis was used to analyse the factors associated with LBW infants in teenage pregnancy.
Results:
All 357 cases that fulfilled the study criteria were included. LBW infants were the most common perinatal outcome among teenage pregnancies (19.3%), followed by preterm birth (9.0%), and both low Apgar score and stillbirth (1.4% each). Factors associated with low-birth-weight infants in teenage pregnancy in Terengganu were a teenage husband (AOR 2.0; 95% CI: 1.01, 3.96; p=0.047) and a mother with a low level of education (AOR 3.07; 95% CI: 1.20, 7.85; p=0.019).
Conclusion
Teenage husband and low level of maternal education are significant factors that need to be addressed to improve teenage pregnancy outcomes. Interventions to improve these factors should continue to be encouraged.
Pregnancy in Adolescence
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Infant, Low Birth Weight
2.CONTAINING AN ISLAND: CORONAVIRUS (COVID-19) OUTBREAK IN PERHENTIAN ISLANDS, TERENGGANU STATE OF MALAYSIA, IN 2021
Amer Taufek Abd Wahab ; Siti Fatimah Samsury ; Hafizuddin Awang ; Effah Leiylena Yaacob ; Arfizah Ahmad Daud ; Muhammad Solehuddin Ishak ; Nur Almas Alias ; Nor Hafizah Ghazali ; Ahmad Hanif Abdullah ; Mohd Anuar Abd Rahman ; Kasemani Embong
Journal of University of Malaya Medical Centre 2023;26(1):64-69
Background:
The spread of COVID-19 was inevitable and has not spared small and isolated communities, including the community of Perhentian Island in Besut District, Terengganu. Managing clusters in small islands can be difficult, given the limited resources. This study explores the characteristics of COVID-19 cases and the experience of outbreak containment at Perhentian Island.
Methodology:
A retrospective study involving record review of COVID-19 cases and at-risk individuals registered under Perhentian Cluster were retrieved from the Besut District Health Office COVID-19 online registry from the 16thAugust2021 until 6thOctober 2021. All notified cases and close contacts who fulfilled the inclusion criteria were extracted and analysed using descriptive statistics.
Results:
A total of 1,093 community members of Perhentian Island were screened of which 170 (15.5%) tested positive for COVID-19, while 923 (84.5%) tested negative. Among individuals who tested positive, the majority were adults (52.4%), male (51.8%), Malays (98.8%), and villagers (96.5%). Clinical characteristics were categorized into: asymptomatic (55.9%), had no known medical comorbidities (90.6%), low-risk groups (87.1%), vaccinated (57.6%), and admitted to PKRC (97.1%) for treatment. Multiple agencies were involved in the outbreak containment of the Perhentian Cluster, working collectively and in good coordination.
Conclusion
The outbreak was attributed to community gatherings and close interactions among villagers. Prompt actions, targeted planning, and inter-agency collaboration were the key factors in successful containment of further spread of COVID-19 in Perhentian Island.
COVID-19