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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
She quit school when she learned that she was pregnant. I am now waiting for my friend
to marry me once we are capable of managing a family.
I realised its not the absence of arms and legs that prevents me from doing anything.
Fear is preventing people with arms and legs from doing things! he said.
The biggest encourager and biggest discourager is you. Do not let others and
circumstances dictate your life, he said, directing it especially at victims of bullying.
Vujicic, who has visited Malaysia a few times, kept the audience entertained as he
imparted his message of hope that also saw the attendance of Women, Family and
Community Development Minister Datuk Rohani Abdul Karim.
I am inspired by him as well and I think he conveyed the message of self-esteem to the
audience, said Rohani, who expressed her appreciation to Vujicic for inspiring Malaysians.
She also launched Vujicics latest book, Give A Hug.
The event was organised by StART, a non-profit organisation serving underprivileged
children through visual and performance arts, with R.AGE as the official media partner
.Obesity
by audrey edwards
Food for thought: Malaysia is ranked sixth in the Asia-Pacific region for obesity and
tops the list in South-East Asia for both obesity and diabetes. AFP
PETALING JAYA: Obesity needs to be highlighted as a disease to underline the gravity
of the condition.
Two health associations want the Government to move public awareness in this direction.
Malaysian Society for the Study of Obesity president Prof Dr Mohd Ismail Noor said the
situation had become more urgent because there were more overweight children now.
They do not recognise that it (obesity) is a disease. So, no one cares and think it is okay
to be fat. Once you treat it as a disease, it will make people aware, he said.
He said obesity was the underlying factor for chronic diseases such as diabetes.
Obesity and being overweight are among the risk factors for type II and gestational
diabetes which occurs during pregnancy.
Malaysia is ranked sixth in the Asia-Pacific region for obesity and tops the list in SouthEast Asia for both obesity and diabetes.
Deputy Health Minister Datuk Seri Dr Hilmi Yahaya recently said that there were about
three million obese Malaysians and the number was increasing while there were about
five million individuals who suffer from varying degrees of diabetes.
A sedentary lifestyle is among the main factors for the high incidence.
Dr Mohd Ismail said some parents thought having chubby children was a reflection that
they were well-fed and cared for but they did not realise that the child was likely to be
overweight during puberty and this would continue throughout their lifetime.
Once you are obese, it will be a lifelong problem, he said.
He felt that the reduction in subsidies in items such as sugar and oil would compel
Malaysians to consume less of such food items.
You can always introduce food stamps for the poor so they are able to get the item if it
gets too expensive once the subsidies are removed, he said, adding that it was a double
whammy as they would have to spend more on medical treatment if they fell sick.
Nutrition Society of Malaysia (NSM) president Dr Tee E Siong said while obesity was
not listed as a cause of mortality, it should be considered a disease in Malaysia when
communicating to the public.
This is because obesity is a major risk factor to many non-communicable diseases such
as diabetes, heart disease, stroke and certain types of cancers, he said.
My main reason for calling obesity a disease is so that the public can become more
aware of the dangers of the condition.
However, in calling obesity a disease, I certainly do not want it to have negative
implications. For example, the obese children and adults should not be discriminated
against, he said.
He added that the main point was not whether obesity was labelled a disease but it was
for all stakeholders to give adequate attention towards preventing obesity with the highest
political commitment.
It should be beyond merely establishing strategic plans and action plans. There should
be a systematic approach towards combating the problem, he said.