Health is a state of complete physical, mental and social well-being, and not just freedom from disease or disability is defi nition of the World Health Organization means that the quality of health care must not only individuals but also society as a whole. When considering the issues of health, there is no dilemma for medical professionals because every man, regardless of gender or skin color, who seeks professional medical assistance approaches the same way or practices according to the profession’s rules to help him with his competences. This is one of the fundamental principles of medical ethics that is respected by medical professionals anywhere in the world. Thus, the quality of health and health care is achieved not only in the environment where medical help is required, but society as a whole. But there is one branch of medicine where the situation is little different. It is gynecology.

It was strange that fetal outcome was vigorous in 3 late decelerations, but ominous when it repeated. It was thought that FHR decelerations expresses hypoxia, because the heart rate was fully parallel to rabbit PaO2, if it is below 50mmHg, and human fetal PaO2 is 50mmHg or less. Thus, a hypoxia index (HI), that is hypoxic nature, was sum of deceleration duration (min) divided by the lowest nadir FHR (bpm), and multiplied by 100. Its calculation is easy by computer, though possible by manual calculation. HI has regression equation with Apgar score, and Apgar score was high in 2 to 3 late decelerations (LD), while HI was high and Apgar score was low in repeared LDs, solving the LD discrepancy. Although no particular role is expected by LD pattern, hypoxic effect is estimated in repeated large decelerations and deep bradycardia, namely, numerical analysis is possible in the deceleration and continuous bradycardia.

According to official data of World Health Organization, every year, an estimated 21 million girls aged 15 to 19 years, and 2 million girls aged under 15 years become pregnant in developing regions. Approximately 16 million girls aged 15 to 19 years and 2.5 million girls under 16 years give birth each year in developing regions. Complications during pregnancy and childbirth are the leading cause of death for 15 to 19 year-old girls globally. Every year, some 3.9 million girls aged 15 to 19 years undergo unsafe abortions. Adolescent mothers (ages 10 to 19 years) face higher risks of eclampsia, puerperal endometritis, and systemic infections than women aged 20 to 24 years, and babies born to adolescent mothers face higher risks of low birth weight, preterm delivery, and severe neonatal conditions than those born to women aged 20 to 24 years.