História gestacional e características da assistência pré-natal de puérperas adolescentes e adultas em uma maternidade do interior de Minas Gerais, Brasil

Abstract

The scope of this research was to analyze the gestational history and prenatal care characteristics of adolescent and adult mothers in a maternity hospital located in a city in Minas Gerais, which is a hospital of reference in the macro-region of health of Jequitinhonha. It involved a descriptive cross-sectional study. A total of 327 mothers were interviewed between May 2013 and March 2014 using a semi-structured questionnaire. With a sample of 255, the number of adult women was predominant. With respect to prenatal care, 324 pregnant women had medical appointments. In terms of the location for prenatal care, 79.2% of adolescents were attended in the public health service, while that percentage was 60.4% among adult women. Regarding the type of birth, 54.7% of mothers had normal delivery and 45% had cesarean section. Among adolescents, there was a higher percentage of normal delivery compared to adult women and this data had a statistically significant relationship with the age of the pregnant women. With respect to gestational age at birth, 85.9% had full-term deliveries, 13.5% had preterm delivery and 0.6% had post-term delivery. It was revealed that adolescent mothers were at a disadvantage compared to the other mothers in terms of both socioeconomic characteristics and prenatal care received.

Impacto da idade materna na acidez do colostro de nutrizes em maternidade do interior do Estado de São Paulo

“…The predominant type of delivery was vaginal in adolescent pregnant women, data similar from other studies in the literature 24 , which is opposite to the advanced maternal age group, in whose cesarean was predominated with rates above than the recommended by the World Health Organization, estimated around 15%. This organization recommends medical intervention to be performed only when necessary, in order to guarantee the health of the mother/newborn binomial.…”

“…However, the unpaid occupation was highlighted in the group of adolescent mothers whereas paid activity was more frequent in advanced maternal age. In relation to the marital status, Queiroz et al 23 has suggested gestation may be a preponderant factor for conjugality among adolescent couples, which may explain the stable union of more than 50% of pregnant adolescents observed in this and other studies 24,25 . In this context, it is understood why the majority of adolescent pregnant women do not perform paid activity, since the financial and emotional dependence on the partner and family, besides baby care, still overcomes for them in this period 23 .…”

“…Resultados: A mediana da idade materna das nutrizes adolescentes foi de 20 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) anos, e das nutrizes com idade materna avançada foi de 37 (35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45) anos. A maioria das nutrizes adolescentes (66,3%) eram primíparas e a via de parto cesárea ocorreu em 66,7% das nutrizes em idade materna avançada.…”

Extensão Acadêmica Multiprofissional: Experiências Na Educação Em Saúde De Jovens Em Ambiente Escolar

“…Apesar da relevância de todos os temas, reforça-se que a cada cinco mulheres brasileiras, uma tem o primeiro filho na adolescência e esta proporção tem se mantido constante nos últimos 10 anos (SANTOS et al, 2018). Nos Estados Unidos, a gravidez na adolescência ainda é a principal causa de desistência escolar entre as jovens do sexo feminino, além de reduzir a chance de crescimento profissional, aumentar a incidência de dificuldades financeiras e de separações e divórcios (MARQUES; RESSA, 2013).…”

Economic and racial inequalities in the prenatal care of pregnant teenagers in Brazil, 2011-2012

“…Studies in Brazil indicate that pregnant teenagers tend to begin prenatal care later and attend fewer visits than older pregnant women, besides having fewer routine laboratory tests, [7][8][9] revealing this age group's difficulties in receiving effective prenatal care. 9,10 New studies on socioeconomic and racial inequalities in the quality of prenatal and childbirth careare welcome. 2,11 Considering that the effects of inadequate prenatal care are more severe in teenagers, 8,12 this article aimed to gather evidence on the effect of socioeconomic and racial disparities in prenatal care for Brazilian teenagers.…”