With teenagers becoming more sexually active, doctors are sounding the alarm over the rising number of pregnancies. Experts are urging  concrete measures, including proper sex education and a wide range of  sexual reproductive health services for teenagers.
KLANG: More Malaysian teenage girls are getting pregnant, with a major hospital recording at least one case every day.
According to Dr Mohamad Farouk Abdullah, senior consultant and head of Obstetrics and Gynaecology at the Tengku Ampuan Rahimah Hospital here, about 14% of the 12,000 babies delivered annually at the hospital were by teenage mothers with many of them unwed.
“We  thought such numbers of teen pregnancies were only in Klang, but I am  also hearing of similar scenarios in the other six specialist hospitals  in Selangor,” he added.
“The youngest girl to give birth at our hospital was a 12-year-old girl,” Dr Mohamad Farouk said at the “Pregnant by Choice, Not by Chance or Force” seminar. It  was organised by the hospital in conjunction with its Family Planning  month.
The Health Ministry recorded 18,652 births by girls below  the age of 19 last year compared with 5,962 in the second half of 2010.
Tengku  Ampuan Rahimah Hospital's medical social welfare officer Nurul Azira  Mahamad Jafar said she had been handling at least one case of an unwed  mother every working day of this year.
“The highest number of  referrals I have had in a day so far was 14. These are our children who  are pregnant in their teens,” said Nurul Azira, who has been handling  cases of unwed mothers as well as rape and sex abuse victims at the  hospital for the past six years.
Most of the pregnant girls are referred to the hospital by clinics.
This  is because teenage pregnancies are considered “high-risk cases”. A  teenager is twice more likely to die from pregnancy or childbirth  complications than women in their 20s.
Most of the girls come to the hospital complaining of discomfort such as stomachache and spotting.
As  part of the hospital's protocol, the doctors screen them for pregnancy  and once confirmed, they would be admitted and the family notified.
It is also part of the hospital's policy to provide antenatal care and treatment to them, regardless of their marital status.
Nurul  Azira said pregnant teenage girls under 18 and their babies were  protected under the Child Act 2001 and would be referred to the Social  Welfare Department.
In most cases, the girls became pregnant because they were in relationships and had consensual sex.
“They are also from broken homes and low-income families. Some are runaways,” she said.
“We  have to establish rapport with these girls. Out of fear, they won't  even confide in their family, so we need to gain their trust to be able  to get their family's contact details,” said Nurul Azira.
She said many parents expressed shame when told of their daughter's condition.
“They  are afraid their neighbours will know,” she said. “There are also those  who are numb to the fact because they feel they are unable to control  their daughters.
“We will usually refer these girls and their parents to the department for counselling,” she added.
Nurul  Azira said if the parents were unable to take care of the unwed mothers  and babies, they could surrender them to the department.
She cited the case of a 13-year-old girl, who gave birth at the hospital recently.
“Her  parents said they could not ensure that the girl would not get pregnant  again as the father of the child was still living in the same  community,” said Nurul Azira.
“So the parents agreed to the girl and her baby being sent to a department home.”
  
By IVY SOON newsdesk@thestar.com.my/Asian News Network
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