Curiculum Vitae Singkat

Nama : Dr.dr. J.M. Seno Adjie, Sp.OG(K)

Tempat/tanggal lahir: Pekanbaru 27 April 1965
Alamat: Jl Wirajasa terusan no:2 Cipinang Melayu Jakarta 13620
Kantor : Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia,RSCM Jl.Salemba raya no
6 Jakarta Pusat
Telp:021-8630257, cell: 081510617317
Email: jmseno@hotmail.com
Pendidikan
S1: Dokter: Fakultas Kedokteran Universitas Indonesia. 1990
S2: Spesialis Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia. 1997
Konsultan: Obstetri dan Ginekologi Sosial, FKUI. 2003
S3: Doktor Ilmu Kedokteran bidang Obstetri dan Ginekologi, Univ Indonesia 2014

Jabatan/pekerjaan:
1.Staf Pengajar tetap Bag Obstetri dan Ginekologi FKUI-RS Cipto Mangunkusumo
2.Sek Jen Perkumpulan Perinatologi Indonesia (PERINASIA)2009_2011
3.Master Trainer :Jaringan Nasional Pelatihan Klinik (JNPK_POGI)
4.Nasional Trainer: Pelatihan Resusitasi Neonatus (PERINASIA)
5.Trainer dari Advance Labour dan Risk Management Course (ALARM)
6.Trainer Nasional Pelatihan Kesehatan Reproduksi Remaja. PERINASIA
7.Pelatih utama Pelatihan Pelayanan Kontrasepsi Terkini (CTU-Contraceptive Technic Up Date) JNPK-KR
Course
1.Fellow University Of California San Fransisco.USA. Th 2000
2.Training Maternal and Child Health, Japan International Cooperation Agency
Tokyo-Osaka .Japan.th 2004
3 Training Obstetrics Ememergency . National University Hospital of Singapore 2012
 ADOLESCENT PREGNANCY

J.M.Seno Adjie
Departement Of Obstetrics and Gynecology
Faculty Of Medicine University of Indonesia
Millennium Development Goals
Target
MDGs 2015
SDKI 2007

23 34
/1000 KH /1000 KH

102 228
/100.000 KH /100.000 KH
 MDG 5 - Target 5A : Mengurangi 3/4 angka kematian
ibu (AKI) dalam kurun waktu 1990 dan 2015

Target
INDIKATOR Acuan Dasar Saat ini
(2015)

5.1. Angka Kematian Ibu (AKI) per 100 390 (1991) 228 (2007) 102
000 kelahiran hidup :

5.2. Pertolongan Persalinan oleh Tenaga 40.70% 82.3% 90.00%

Kesehatan Terlatih : (1992) (Riskesdas)
79,82 %
(2010)
(Susenas)

Sumber:
SDKI 1991, Susenas 1992,
SDKI 2007, Riskesdas 2010
Dit Bina Kesehatan Ibu 2011 5
 Target 5B : Akses universal terhadap
kesehatan reproduksi tahun 2015

Target
INDIKATOR Acuan Dasar Saat ini
(2015)

5.3. Contraceptive prevalence rate (CPR) cara 47.10% (1991) 55,86 % (2010) 65%
modern: 57.4%
(2007)
60,94 % (2010)

5.4. Tingkat kelahiran pada remaja (per 1000 67 per 1000 53,9 (2010) 30 per
perempuan usia 15-19 tahun : (1991) 35 per 1000 (2007) 1000

5.5. Cakupan pelayanan Antenatal:

Kunjungan pertama (K1) 75% 92.8% 95%
Kunjungan minimal 4 kali (K4) 56% 61.3 % 90%
(1991) (2010)

5.6. Unmet need KB : 12.70% 8,2 % (2010) 5%

(1991) 9.1% (2007)

6
 WHO DISCUSSION PAPERS ON ADOLESCENCE

Adolescent Pregnancy
Issues in Adolescent Health
and Development

ADOLESCENT PREGNANCY

Department of Child and Adolescent Health and Development

World Health Organization, Geneva

Department of Reproductive Health and Research

CAH

World Health Organization, Geneva

 Preventing early & unwanted pregnancy
&
pregnancy-related mortality & morbidity in
adolescents
Training Course in Sexual and Reproductive Health Research
Geneva 2012
  Preventing early & unwanted pregnancy
 &
 pregnancy-related mortality & morbidity in adolescents

1. What is the magnitude of adolescent pregnancy ?

2. What are the consequences of adolescent pregnancy ?
3. What are the circumstances in which adolescent pregnancy
occurs ?
4. What needs to be done to prevent early and unwanted
pregnancy and pregnancy-related mortality and morbidity in
adolescents ?
 Preamble

• Two key events during adolescence have

strongly influenced these developments.
• The first is the changing age at menarche,
with median age varying substantially
among populations (ranging from about
12.5 years in contemporary Western
countries to more than 15 years in poor
developing countries
 MENARCHE
• The timing of menarche in populations is
probably affected by a variety of
environmental, genetic, and socioeconomic
factors, but most analysts consider nutritional
status to be the dominant determinant
(Bongaarts, 1980; Gray, 1983; Bongaarts &
Cohen, 1998).
 The second key event influencing
adolescence is schooling
• One implication of these trends is that a larger
proportion of the period of adolescence for boys
and girls is spent in school (Bongaarts & Cohen,
1998)
• Such increased schooling has made adolescents
less dependent on parents and family, and has
postponed the age at marriage, and thereby the
age of socially sanctioned sexual relations
• Both these events (declining age at menarche
and increased schooling) have prolonged the
period of adolescence. Together with a
growing independence from parents and
families, this has led in recent decades to
more premarital sexual relations and
increasing numbers of adolescent
pregnancies.
• The adolescent fertility rate worldwide was estimated
to be 55.3 per thousand for the 2000-2005 period,
meaning that on average about 5.5% of adolescents
give birth each year.

• Adolescent birth rates in the less developed countries

are more than twice as high compared to rates in more
developed countries and these range from less than 1%
per year in places like Japan and the Republic of Korea,
to over 20% per year in the Democratic Republic of
Congo, Liberia and Niger.
Childbearing to mothers under 15, is a
problem in certain countries
• An analysis of survey data from 51 developing
countries from the mid-1990s to the early 2000s
showed that almost 10% of girls were mothers by
age 16, with the highest rates in sub-Saharan
Africa and South-Central and South-Eastern Asia.
• Because the health risks of early childbearing
appear to be magnified for the youngest
mothers, these very early births are a major
concern.
About 16 million girls aged 15-19 years give birth
annually (11% of births worldwide).
95% of these pregnancies occur in developing
countries.
The characteristics of
young mothers are
common across the
regions of the world:
-Little education,
-Rural dwelling,
-Poor.
-Marginalized.
Source: Growing up global: The Changing
Transitions to Adulthood in Developing
Countries (National Research Council, 2005).
Greater likelihood of maternal mortality

In low and middle income countries,

complications of pregnancy and childbirth
are the leading cause of death in women
aged 15-19 years.

Early, unwanted pregnancies are

associated with increased levels of
induced abortion, which when carried out
in unsafe conditions carries severe health
risks, including death. In 2008, there
were an estimated 3 million unsafe
abortions in the world among 15-19 year
olds per year.
Outcomes
• Adolescent girls who give birth each year have
a much higher risk of dying from maternal
causes compared to women in their 20s and
30s. These risks increase greatly as maternal
age decreases, with adolescents under 16
facing four times the risk of maternal death as
women over 20. Moreover, babies born to
adolescents also face a significantly higher risk
of death compared to babies born to older
women.
Outcome
Potential risks to the adolescent
mother's life prospects
•Pregnancy can bring status for a married adolescent in cultures
where motherhood is the core aspect of a woman's identity.

• On the other hand, an

unmarried pregnant
adolescent may be
driven away by her
family, or abandoned by
her partner & be left with
no means of support.
Complementary actions needed
at different levels
MACROENVIRONMENT
POLICY

HEALTH FACILITY

FAMILY &
COMMUNITY

INDIVIDUAL

MICROENVIRONMENT
Education
Increasing use of skilled antenatal,
childbirth, and postpartum care

Policy-Level Actions:
– Expand access to skilled antenatal,
childbirth and postnatal care
– Expand access to Emergency Obstetric
Care
Individual, Family & Community-Level Actions:
– Inform adolescents and community
members about the importance of skilled
antenatal and childbirth care
Health System-Level Actions:
– Ensure that adolescents, families and
communities are well prepared for birth
and birth-related emergencies
– Be sensitive and responsive to the needs
of young mothers and mothers-to-be.
 Teen Pregnancy and Education
March 2010

B ecause the relationship between academic failure and

teen pregnancy is so strong, and because teen preg-
nancy affects the educational achievement of teens them-
They are also less likely to read simple books inde-
pendently and to demonstrate early writing ability com-
pared to the children of mothers aged 20-21.4
selves as well as that of their children, those concerned
Children of teen mothers do worse in school than those
about educating young people should also be concerned
born to older parents. They are 50 percent more likely
with preventing teen pregnancy. Moreover, given the in-
to repeat a grade, are less likely to complete high
creasing demands in schooling necessary to qualify for a
school than the children of older mothers, and have
well-paying job, it is more important than ever for teens to
lower performance on standardized tests.3,5
finish high school and attain post secondary education
when possible.
Parenthood is a leading cause of
Overall, about half (51%) of teen moms have a high
schooli  d ploma  compared  to
9  8h
%  of  women  wo  di n ’t   school drop out among teen girls.
have a teen birth. Young teen mothers are even less
likely to graduate from high school. Fewer than four in
The relationship between education and teen pregnancy
ten (38%) mothers who have a child before they turn
works both ways. That is, teen pregnancy often has a nega-
18 have a high school diploma.1
tive impact on education, as noted above. It is also the case
Parenthood is a leading cause of school drop out among that school achievement, attendance, and involvement
teen girls—30% of teen girls cited pregnancy or parent- helps reduce the risk of teen pregnancy. Put another way,
hood as a reason for dropping out of high school.2 staying in school and getting an education helps prevent
teen pregnancy.
Other data find that less than two percent of young teen
mothers (those who have a baby before age 18) attain a
Teens who have dropped out of school are more likely
college degree by age 30.3
to become pregnant and have a child than their peers
Children of teen mothers are more likely than mothers who stay in school.6
who gave birth at age 20-21 to drop out of high school.
Teens who are more involved in their school are less
In fact, only about two-thirds of children born to teen
likely than their peers who are not as closely connected
mothers earned a high school diploma compared to 81
to their school to get pregnant. Important aspects of
percent of children of later childbearers.3
school engagement include grades, test scores, class
Children of teen mothers also do not perform as well as participation, homework completion, and a perception
children of older mothers on measures of child devel- of support and connectedness with teachers and admin-
opment and school readiness such as cognition, lan- istrators. Planning to attend college after high school is
guage and communication, and interpersonal skills.4 also associated with a lower risk of teen pregnancy.6
TERIMA KASIH