Abstract:Objetivos: analizar el riesgo de complicaciones obstétricas y perinatales en adolescentes embarazadas en un hospital de Lima, Perú. Métodos: estudio de cohorte retrospectiva de 67.693 gestantes atendidas en el período 2000-2010. Se evaluó complicaciones obstétricas y perinatales. Las adolescentes se clasificaron en tardías (15-19 años) y tempranas (< 15 años) y se compararon con las adultas (20-35 años). Se calculó OR ajustados por educación, estado civil, control prenatal, gestaciones previas, paridad e IM… Show more
“…The population of mothers and their newborn babies was divided into three comparative risk groups: early teenage mothers aged 10 to 14 years; adolescent mothers age 15 to 19 years 25 ; and adult mothers aged 20 to 35 years 25,26,27,28 . The latter group served as a reference to study the distinctiveness of teenage mothers.…”
Teenage childbearing has been increasing, especially among girls aged 10 to 14 years, slowing the improvements in public health and propelling social marginalization. The objective of this article is to study adolescent pregnancy in Colombia and suggest possible policy interventions. The study comprises univariate and multivariate analyses that examine trends and correlates of teenage childbirth and related infant mortality in Colombia between 2001-2011 using complete vital statistics. The study compares, by relative risk analysis as well, two groups of teenage mothers, aged 10 to 14 years and 15 to 19 years, with a reference group of mothers aged 20 to 34 years. During the study period, the average of annual birth rates increased 2.6% and 0.8% in mothers aged 10 to 14 years, and 15 to 19 years respectively, whereas it declined at an average rate of 0.2% annually for mothers aged 20 to 35 years. Simultaneously, while the overall rate declined, the infant mortality rate (IMR) of the youngest group was consistently higher during the entire period compared to the IMR of older groups. Compared with the other groups, mothers aged from 10 to 14 were more likely to be unmarried, rural, indigenous or afro-descendant, and have less access to health care. The study demonstrates that early teenage childbirth is a growing challenge at least in Colombia. These mothers are at higher risk of losing their babies while being poor and remaining poor. The study suggests the need for policy that targets appropriate education and health care to poor girls as early as age 10 and even younger.
“…The population of mothers and their newborn babies was divided into three comparative risk groups: early teenage mothers aged 10 to 14 years; adolescent mothers age 15 to 19 years 25 ; and adult mothers aged 20 to 35 years 25,26,27,28 . The latter group served as a reference to study the distinctiveness of teenage mothers.…”
Teenage childbearing has been increasing, especially among girls aged 10 to 14 years, slowing the improvements in public health and propelling social marginalization. The objective of this article is to study adolescent pregnancy in Colombia and suggest possible policy interventions. The study comprises univariate and multivariate analyses that examine trends and correlates of teenage childbirth and related infant mortality in Colombia between 2001-2011 using complete vital statistics. The study compares, by relative risk analysis as well, two groups of teenage mothers, aged 10 to 14 years and 15 to 19 years, with a reference group of mothers aged 20 to 34 years. During the study period, the average of annual birth rates increased 2.6% and 0.8% in mothers aged 10 to 14 years, and 15 to 19 years respectively, whereas it declined at an average rate of 0.2% annually for mothers aged 20 to 35 years. Simultaneously, while the overall rate declined, the infant mortality rate (IMR) of the youngest group was consistently higher during the entire period compared to the IMR of older groups. Compared with the other groups, mothers aged from 10 to 14 were more likely to be unmarried, rural, indigenous or afro-descendant, and have less access to health care. The study demonstrates that early teenage childbirth is a growing challenge at least in Colombia. These mothers are at higher risk of losing their babies while being poor and remaining poor. The study suggests the need for policy that targets appropriate education and health care to poor girls as early as age 10 and even younger.
“…El análisis de la enfermedad periodontal y la ocurrencia de BPN/PPT no mostraron asociación con los factores sociodemográficos estudiados; en contraste con otros estudios que describen una asociación positiva entre las características sociodemográficas maternas con el riesgo de parto pretérmino, entre las cuales se incluyen: la edad, el estrato socioeconómico, nivel de educación, entre otros factores. (24,25,26) Adicionalmente, otros factores como IMC bajo, consumo de tabaco, drogas y alcohol, exposición ocupacional, periodos intergenésicos cortos, parto pretérmino previo, uso de técnicas de reproducción asistida, y abortos inducidos, pueden originar bajo peso al nacer y parto pretérmino. (24) Siendo la malnutrición materna un factor predisponente para el parto pretérmino, (28) en esta investigación se evidencia que el IMC bajo que presenta la madre al inicio del embarazo es un factor asociado al BPN/PPT; esto se relaciona con hallazgos previos obtenidos por Schieve L y col, que muestran un incremento en el riesgo de parto pretérmino en mujeres con baja ganancia de peso durante la gestación, particularmente las que inician con bajo IMC.…”
INTRODUCCIÓN: El parto pretérmino (PPT) y el Bajo Peso al Nacer (BPN) y su consecuente morbilidad y mortalidad neonatal son problemas prevalentes de salud. Se ha planteado que las bacterias que participan en el desarrollo de la enfermedad periodontal (EP) estimulan la liberación de prostaglandinas, que, a su vez, estimulan el trabajo de parto, sin embargo, esta relación no ha sido claramente demostrada. OBJETIVO: Determinar la asociación entre BPN y PPT en gestantes con signos de EP en una Institución Pública de Salud. MATERIALES Y MÉTODOS: Estudio de casos y controles con relación 1:1. Los casos fueron gestantes con Recién Nacidos (RN) pretérmino (PT) <37 semanas y BPN <2.500 gr, los controles gestantes con parto a término y RN con peso >2.500 gr. Se excluyeron gestantes sin historia clínica odontológica o cuyos RN presentaron restricción del crecimiento intrauterino. Para determinar la asociación se estimaron OR con su respectivos IC al 95%, siendo estadísticamente significativo cuando el valor de P de chi2 fue menor de 0.05. RESULTADOS: El PPT/BPN supone una posible asociación con el antecedente familiar de hipertensión o
“…In Mexico, based on the National Health and Nutrition Survey 2012 (ENSANUT 2012 by its Spanish acronym), 20.5% of women between the ages of 12 and 19 have become sexually active. This number is higher than that reported in the ENSANUT 2006 (14%).…”
Objective:The objective of the study was to determine if the pre-gestational nutritional status is associated with obstetric complications in pregnant adolescents who attend a third level hospital in Northeastern, Mexico. Materials and methods: Information was collected from 148 pregnant adolescents aged 12-19. Pre-gestational nutritional status was assessed through nutritional screening and obstetric complications through the clinical file provided by the Outpatient Clinic No. 5 of the Gynecology and Obstetrics Service. Results: The average age of the population was 17.4 ± 1.34 years. A more significant number of adolescents with malnutrition were found (34.5% underweight and 31.8% overweight and obese). About 75% presented one or more obstetric complications, with maternal complications being the most prevalent (66.2%). When the complications were related to pre-gestational nutritional status, significant statistical differences were observed (p < 0.05). Conclusion: A correct assessment of nutritional status and pre-gestational nutritional orientation is essential to promote proper feeding in adolescents before and during pregnancy to meet their nutritional needs, thus reduce the risk of obstetric complications and/or complications during childbirth.
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