Early and late pregnant adolescents and neonatal results: a cohort study

Abstract

Aim:To identify the profile of precocious (under 16 years of age) and late pregnant adolescents (17)(18)(19) years) by comparing neonatal results. Method: This is a unique cohort in which potential confounders of a biological and socio-demographic nature were identified (p<0.05), with subsequent analysis of adverse neonatal results in both studied groups, using the chi-square test. Results: We identified differences in the workplace, first pregnancy, income, labor in the Unified Health System, and cohabitation with a partner. Low Apgar scores and respiratory disorders were more frequent in early adolescents. The need for resuscitation and admission to an intensive care unit did not differ between groups. Discussion: The studied adolescents revealed that they live in social risk. A relationship was found between Apgar scores and respiratory disorders in the fetuses of early adolescents. Conclusion: We suggest the need for investment to prevent pregnancy in this age group, and for prenatal care and skilled birth support, especially for precocious adolescents.

Ocorrências obstétricas atendidas pelo serviço de atendimento móvel de urgência

“…It was shown in the study that the profile of adolescents with gestation at early ages, mostly worked, had no partner, was primigravida, had lower income and performed the birth in the UHS. 18 The Brazilian Institute of Geography and Statistics (IBGE) complements the profile of pregnant women aged 15 to 19 years, with a predominance of residence in the Northeast region (35.8%); 69% are black or brown; have an average year of study of 7.7 years; only 20.1% were still studying at the time of gestation and 59.7% did not study and did not work. 19 It is warned that this group of pregnant women deserves special attention from health professionals due to the physical, emotional and social lack of preparation that gestation causes in the maternal organism.…”

Factores asociados al embarazo en adolescentes de 13 a 19 años en el municipio de Buenaventura, Colombia

“…Estudios de cohorte en poblaciones similares enfocaron sus desenlaces en el ambiente clínico de la embarazada 16,17 . En este estudio de cohorte prospectiva se pudieron establecer variables predictoras del embarazo en adolescentes porque se contó con la dirección del efecto.…”

“…De otra mano, los estudios sobre embarazo en adolescentes se han centrado en las prácticas sexuales de los adolescentes en general, otras investigaciones se han concentrado en las consecuencias y resultados desde el punto de vista físico o emocional de dichos embarazos [15][16][17] . Sin embargo, ha sido limitado el estudio y sobre todo la comprensión de los factores que poseen en particular los adolescentes para tener un embarazo en la adolescencia.…”