Fertility rates and perinatal outcomes of adolescent pregnancies: a retrospective population-based study

Abstract

Objective:analyze trends in fertility rates and associations with perinatal outcomes for adolescents in Santa Catarina, Brazil. Methods:a population-based study covering 2006 to 2013 was carried out to evaluate associations between perinatal outcomes and age groups, using odds ratios, and Chi-squared tests. Results:differences in the fertility rate among female adolescents across regions and time period were observed, ranging from 40.9 to 72.0 per 1,000 in mothers aged 15-19 years. Adolescents had fewer prenatal care appointments than mothers ≥20 years, and a higher proportion had no partner. Mothers aged 15-19 years were more likely to experience preterm birth (OR:1.1; CI:1.08-1.13; p<0.001), have an infant with low birthweight (OR:1.1; CI:1.10-1.15; p<0.001) and low Apgar score at 5 minutes (OR:1.4; CI:1.34-1.45; p<0.001) than mothers ≥20 years, with the odds for adverse outcomes greater for those aged 10-14 years. Conclusion:this study provides evidence of fertility rates among adolescents remaining higher in regions of social and economic deprivation. Adolescent mothers and their infants more likely to experience adverse perinatal outcomes. Nurses, public health practitioners, health and social care professionals and educators need to work collaboratively to better target strategies for adolescents at greater risk; to help reduce fertility rates and improve outcomes.

Hospitalization of premature infants: parents’ perceptions and revelations about nursing care

“…Premature birth can be associated with several conditions like maternal age as some studies have shown that extreme ages (< 19 years and > 35 years) are associated with prematurity (7)(8) , as well as the level of education and antagonistic social-demographic conditions may also be associated with it (3) . Therefore, education and training are methods to promote knowledge and health practices to social changes.…”

The use of long-acting reversible contraceptives in Latin America and the Caribbean: current landscape and recommendations

“…While many population studies about SRH planning in LAC treat the region as one unit, the use of LARC varies widely between LAC countries (Haiti, El Salvador, Honduras and Nicaragua are classified as low- and lower-middle-income countries, while Argentina, Brazil, Colombia, Chile and Mexico are classified as high- or upper-middle-income countries (, last accessed 29 July 2017)) and is highly impacted by government programmes and country income level (Tsui et al , 2010; United Nations, 2015b). This is especially true in high-risk groups such as adolescents (Souza et al , 2017; Svanemyr et al , 2017; Villalobos et al , 2017) and low-income women in rural settings with limited access to healthcare (Schuck-Paim et al , 2016). There are millions of low-income women in the region who are socially and economically disadvantaged and have an unmet need for contraception, often resulting in higher rates of UP (Marston and Cleland, 2003; Sedgh et al , 2014).…”

Fatores de risco aos desfechos obstétricos e neonatais de mães adolescents

“…Enferm. UFSM, Santa Maria, v10, p. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]2020 vidas presente e futura dos jovens pais podem determinar a desistência dos estudos e a inserção precária no mercado de trabalho, especialmente em grupos populacionais vulneráveis. 9,[12][13] A taxa global da gravidez na adolescência vem diminuindo no estrato de 15 a 19 anos e mantém tendência de estabilização entre meninas de 10 a 14 anos.…”

“…quanto mais avançada a idade da mãe, mais adequado é o pré-natal. 9,19,[24][25] As demais variáveis analisadas (peso ao nascer, idade gestacional, tipo de parto e Índice a necessidade de uma atenção diferenciada, que aborde as especificidades desse grupo etário, além de ações educativas e preventivas. [9][10]30 Nessa perspectiva, estudos internacionais sobre a efetividade da intervenção em saúde estão sendo desenvolvidos, cujos resultados vêm apontando para uma educação sexual abrangente, envolvendo vários atores e espaços.…”

“…Entretanto, houve significância estatística indicando maior percentual de mães de raça/cor negra ou parda nos estratos adolescentes. Esse achado corrobora com os resultados de outras pesquisas, podendo indicar situação de maior vulnerabilidade quando associado a outros determinantes, por exemplo, a escolaridade: estudos realizados no Brasil, tendo como fonte o SINASC, evidenciaram que mulheres adolescentes com baixa escolaridade e da raça/cor negra realizaram menos consultas de pré-natal, quando comparadas às mães adultas com maior escolaridade e da raça/cor branca 11,19. A maternidade, para a maioria das adolescentes, ocorreu sem o vínculo com parceiro, ou seja, sem a convivência do pai, seja biológico ou afetivo, o que é uma realidade semelhante às encontradas em outro estudo 11.…”