Gravidez recorrente na adolescência e os desfechos negativos no recém-nascido: um estudo no Município do Rio de Janeiro

Abstract

The aim of the study was to evaluate the prevalence of repeated pregnancy among adolescents and identify associated factors and perinatal outcomes. A sample of 1,986 post-partum adolescents was selected from public hospitals in the city of Rio de Janeiro, Brazil. To verify the hypothesis of homogeneity of proportions, chi-square tests (χ²) were used. Odds ratios and correspondent confidence intervals were estimated. Logistic regression procedures were used. A repeated pregnancy prevalence of 31.4% was identified and the principal associated factors were: maternal age 15-19 years; paternal age >19 years; early menarche; black or brown maternal skin color; schooling < 5 years; living with partner during pregnancy. Perinatal death was significantly higher in the adolescent mothers group with repeated pregnancy. The results showed that the most disadvantaged socioeconomic conditions were found among adolescent mothers with repeated pregnancy in comparison to mothers on their first pregnancy. The findings sustain the relevance of social policies for adolescent mothers with repeated pregnancy.

The performance of various anthropometric assessment methods for predicting low birth weight in adolescent pregnant women

“…The number of prenatal medical care exceeded the minimum recommended 18 and the average age of the adolescent mother was, favorably, closer to adulthood. However, data from the original research, not exposed in this article, show that, despite the broad prenatal care coverage among the interviewed mothers, the younger adolescents had fewer medical consultations and later care beginning 28 . The most immature teenagers, both chronologically and biologically, have also shown lower weight gain and higher incidence of unwanted outcomes, such as premature birth and low birth weight 29 .…”

Assistência pré-natal no Brasil

“…Brazil, a delayed booking of care and fewer visits, results also observed in other studies 22 , demonstrating the importance of differentiated strategies for this age group. Prenatal care itself should be viewed with an opportunity guidance to prevent a recurrent unplanned pregnancy in adolescents 26 .…”

Intervention Now to Eliminate Repeat Unintended Pregnancy in Teenagers (INTERUPT): a systematic review of intervention effectiveness and cost-effectiveness, and qualitative and realist synthesis of implementation factors and user engagement

“…Policy documents from the UK were also used to explore elements of the theory areas under investigation, applying the criteria of relevance and rigor. Identified quantitative studies that were not synthesised in any 'pooled' analysis Twenty-one additional quantitative studies [112][113][114][115][123][124][125][126][127][128][143][144][145][146][147][148][149][150][151][152][153] were identified as included studies, but were not synthesised in any 'pooled' analysis as they did not report on or contain data relevant to the outcomes under investigation. We extracted data on other risk factors but had insufficient data to perform metaregression with any statistical integrity.…”