Adolescent pregnancy is a complex issue since it has been associated to adverse fetal and maternal outcomes. Method: This is a cross-sectional analytical study, having as a data source the medical records of pregnant women at a reference maternity hospital, located in the northeast of Brazil. Data was collected on maternal age, gestational age at delivery, birth weight, type of delivery, 1- and 5-minute Apgar scores less than 7, and fetal deaths. For the analysis of data, two groups were distinguished according to age: 1) girls aged 13-19 years old, and 2) women aged 20-34 years old. Results: A total of 1642 pregnant women’s medical records were included in this study, 28.1% belonged to adolescent mothers, and 71.9% to adult mothers. In the comparison between groups, there were significantly more cesarean deliveries to mothers aged 20-34 years (p<.001); and a significantly higher proportion of preterm deliveries in the group of adolescent mothers (p=.0239). The other study variables did not present statistical significance. Conclusions: Adolescent mothers are at higher odds of preterm birth, and since this factor is associated short- and long-term adverse outcomes for the neonate, there is a need to prioritize this age group in prenatal care.
ObjectiveTo conduct a systematic review and meta-analysis to evaluate the effectiveness of non-pharmacological measures for the treatment of iron-deficiency anemia (IDA).Data sourcesMEDLINE (via PubMed), Cochrane library, SciELO/LILACS and EMBASE up to June 2021Study selection and data extractionWe identified all randomized controlled trials (RCTs) that used non-pharmacological measures to treat IDA including iron pots/ingots, or food use were included. The outcomes of interest were hemoglobin (Hb) concentrations and prevalence of anemia.Results479 studies were retrieved from the databases, of which 4 duplicate records were removed. After, all titles and abstracts were reviewed, 23 articles were considered potentially relevant, and were read in full and checked for eligibility. Three articles met all inclusion criteria. We also conducted a manual search for citations and a further 8 records were identified and checked for eligibility. Eleven RCTs were included in this review. Estimates showed that the use of non-pharmacological measures was associated with a statistically significant overall increase in mean Hb (MD +0.45 g/dL, 95% CI 0.05 to 0.85, p=0.03). The effect of non-pharmacological measures on the prevalence of IDA was analyzed in only 5 RCTs. Participants in the intervention groups were 2.78 times less likely to suffer from IDA than those in the control groups, OR=2.78, 95% CI 0.93, 8.29, however without significance for the overall effect (p=0.07).ConclusionNon-pharmacological therapies have a positive effect on iron balance, and can a useful adjunct to programs to prevent and treat IDA in at-risk populations. (PROSPERO registration number CRD42021261773).
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