Obstetric profile of pregnant adolescents in a public hospital: risk at beginning of labor, at delivery, postpartum, and in puerperium

Abstract

Objective: describe the obstetric profile of adolescents at beginning of labor, at delivery, postpartum, and in puerperium. Method: Cross-sectional descriptive study with 85 pregnant adolescents, selected by convenience, referred by health centers to a public hospital in Mexico City. Risks were evaluated before, during and after delivery and in puerperium, and measured respectively with the "Previgenes" that compose the Reproductive and Perinatal Risk Assessment System. Results: socioeconomic status, occupation and education level had influence on the emotionality of adolescents in relation to labor, whose obstetric risk was low for 55%, medium for 35%, and high for 10%. Risk in labor was low for 55%, medium for 18%, and high for 27%. Risk postpartum was low for 50%, medium for 25%, and high for 25%. In puerperium, most adolescents (90%) had low risk. Conclusion: most adolescents had low risk in the stages evaluated. The study contributed to identify strategies to approach risk considering the vulnerability inherent in this type of population and favored the conduct of appropriate interventions for the respective needs.

Comprehensive evaluation of the risk of lactational mastitis in Chinese women: combined logistic regression analysis with receiver operating characteristic curve

“…This finding is consistent with previous evidence [29,30] that the primiparous women were found significantly more frequent in the mastitis group than in the control group (OR = 2.233, 95%CI = 1.602-3.113). Primipara without previous experience of childbirth lacks healthcare knowledge and preventive measures for postpartum rehabilitation, breastfeeding and lactation mastitis, but also faces the adaptation process of new roles [31]. Therefore, the primipara is in urgent need of comprehensive and meticulous guidance [32] by strengthening interactive education about the pathogenesis and prevention of lactational mastitis, so that when suffering from nipple dysplasia, cracked nipple, engorgement, plugged ducts and galactostasis, they could take effective actions to alleviate the uncomfortable symptoms of maternal breast distention and pain.…”

Retrospective analysis of adolescent deliveries results

“…Literatürde yer alan çalişmalarda adölesan gebeler arasinda sezaryen endikasyonlari sefolopelvik uyumsuzluk, fetal distres ve ilerlemeyen eylem, obstetrik komplikasyon da preterm eylem olarak belirtilmiştir [7][8][9][10]13,16,19,21]. Adölesan, gelişme sürecini bitirmemiş, öncelikle iskelet sistemi yönünden tam olgunluğa ulaşamamiştir.…”

“…Erken doğum, abortus, bebekte düşük doğum ağirliği, konjenital anomali, eklampsi gibi gebelik ve doğuma bağli komplikasyonlarin daha sik yaşanmasi, anne ve bebek ölüm oranlarinin yüksek oluşu adölesan gebeliklerin riskli gebelikler olarak kabul edilmesine neden olmaktadir [7][8][9][10][11][12]. Ayrica DSÖ (2014) adölesan annelerden doğan bebeklerin, 20-24 yaşlarindaki kadinlardan doğan bebeklere göre hastalik ve ölüm riskleri daha fazla olduğunu bildirmiştir [1].…”

“…Türkiye İstatistik Kurumu (TÜİK) 2015 verilerine göre ise, 15-19 yaş grubundaki her bin kadin başina 25 doğum düşmektedir [6]. Sosyoekonomik ve kültürel farkliliklara ve bu dönemde artan riskli davranişlara bağli olarak yapilan çalişmalarda %1 ile %42 arasinda değişmektedir [2,3,[7][8][9][10][11].…”

Avaliação da satisfação de puérperas em relação ao parto

“…2 It is considered that the risk of maternal death in adolescents is two times higher than in the rest of the women in fertile age and four times greater when it comes to minors of 15 years old. 10 One can relate the high frequency of adolescents in research to the fact that the hospital in question be returned for follow-up and assistance to the birth of high risk, since age is related to an increased frequency in the appearance of specific hypertensive syndromes in pregnancy (SHEG), premature labor (TPP), intrauterine growth restriction, among other risks associated with pregnancy. 11 Determine if the high-risk pregnancy from the presence of preexisting diseases, clinical conditions caused by gestational process, as well as the clinical complications.…”