Teenage pregnancy is associated with maternal and neonatal morbidity. Some postulate that it is due to biological immaturity, while others postulate that it is due to inadequate antenatal care. The objective of this study is to compare the maternal and neonatal outcome between married and unmarried teenage mothers. A retrospective study was conducted from 2009 to 2012, where mothers aged below 20 year old were included. Maternal and neonatal outcome was assessed. A total of 750 patients aged below 20 year old delivered at Hospital Ampang. The trend of teenage pregnancy decreased from 3.1% in 2009 to 2.2% in 2012. A total of 578 (77.1%) mothers were married, while 172 (22.9%) were unmarried. Being unmarried was significantly associated with unbooked (p<0.001), preterm birth (p=0.00468), and lower birth weight (p<0.0001, and unpaired T-Test with 95% CI -0.2607 to -0.0933). However there is no significant difference in the number of mothers with hypertensive disease (p=0.88428), diabetes in pregnancy (p=0.39602), mode of delivery (p= 0.055 vaginal delivery, p = 0.4419 caesarean section, and p=0.9097 instrumental deliveries) and NICU admission (p= 0.3779) between the two groups. Unmarried teenage pregnancy is associated with a lack of antenatal care, preterm birth, and lower birth weight compared to their married counterpart.

Introduction: Baseline information on knowledge, attitude and practice towards HPV vaccination is crucial to establish a progress track on the current HPV immunization program. Aims: This study was designed to assess the knowledge, attitude and practice towards human papillomavirus (HPV) infection, cervical cancer and HPV vaccination practice among secondary school students in rural areas of Negeri Sembilan, Malaysia. Methods: A cross sectional study was conducted in several schools in rural areas of Negeri Sembilan, Malaysia. The respondents were selected using simple random sampling method. Data was collected by face-to-face interview using standardized and validated questionnaire. Data analysis was done using SPSS version 21.0. Results: A total of 380 respondents participated in this study. Females scored significantly higher for the knowledge items compared to the males. Majority of respondents (86.6%) indicated their intention to get HPV vaccines. Willingness to be vaccinated was significantly associated with the level of knowledge of cervical cancer (AOR 1.658; 95% CI 1.018-2.698; p=0.042). Gender (AOR 3.289; 95% CI 1.999-5.412; p<0.001) is a significant predictor for someone who rejects vaccination due to side effects. In this study, 89.8% of female respondents had been vaccinated against HPV. Conclusion: Respondents showed poor knowledge level despite high HPV vaccination practice. Intention to get vaccinated was significantly associated with knowledge of cervical cancer. Therefore, it is necessary to educate the community members on HPV and HPV vaccine as HPV vaccination is the most effective way to prevent cervical cancer and its related diseases.