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Federación Mexicana de Ginecología y Obstetricia, A.C.

2006, Number 05

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Ginecol Obstet Mex 2006; 74 (05)

Analysis of the perinatal results of the first five years of the functioning of a clinic for pregnant teenagers

Lira PJ, Oviedo CH, Simón PLA, Dib SC, Grosso EJM, Ibargüengoitia OF, Ahued AR

Language: Spanish
References: 20
Page: 241-247
PDF size: 348.01 Kb.


ABSTRACT

Objective: To evaluate the perinatal outcomes within a pregnant cohort of adolescents aged 16 years and younger.
Patients and methods: Case review prospective study. All pregnant adolescents who attended to the Coordination for assistance of the adolescent patient from June 1998 to July 2003 were included. Inclusion criteria: age, irrespective from antenatal care inside or outside of the Coordination and delivering inside the institution. Variables analyzed were: age, occupation, marital status, gestational age at first antenatal visit, number of antenatal visits, medical complications during pregnancy, gestational age on delivery, mode of delivery and contraceptive acceptance on discharge. Neonatal variables: weight at birth and intensive care admissions. Statistical analysis included descriptive measures.
Results: We identified 2,723 pregnant adolescents, from whom only 2,315 met the inclusion criteria. Mean maternal age was 15.3 (SD 0.87). From the total 58% were single and 83.4% were households while only. Mean gestational age on first visit at the coordination was 24.26 (SD 6.79) weeks. The average number of antenatal visits was 4.78 (SD 3.99). The most frequent medical complications affected the genital and urinary tract, with a 54.2% of cervical and vaginal infections, and a 23.8% of urinary tract infections; anemia in 16.7%, threatened preterm delivery in 9.2% and pregnancy induced hypertension in 3.8%. From the total of cases the 79.1% presented with any morbidity. Mean gestational age concluded at 37.58 (SD 3.03), the preterm delivery rate was 15.4%. The most frequent way of delivery was vaginal with a 55.8% rate. On the neonatal outcomes, the mean birth weight was 2,819.07 (SD 613.85). The contraceptive acceptance on the discharge was 98%.
Conclusions: The adolescent pregnant has a high risk of suffering major complications, such as genital and urinary tract infections, anemia and preterm delivery.


REFERENCES

  1. Tuirán R, Zúñiga E, Zubieta B, et al. Situación actual de las y los jóvenes en México. Diagnóstico sociodemográfico (serial online), noviembre, 2000. Disponible en URL: http://www.conapo.gob.mx.

  2. Normas y procedimientos de ginecología y obstetricia. México: Instituto Nacional de Perinatología, 2002.

  3. Weiner IB. Normalidad durante la adolescencia. En: McAnarney ER, Kreipe RE, Orr DP, Comerci GD. Medicina del adolescente. Buenos Aires: Editorial Médica Panamericana, 1994;pp:120-4.

  4. Cravioto J, Cravioto P, Bravo G. Crecimiento en talla postmenarquia en jóvenes de una población rural del centro de México. Rev Invest Clin 1988;40:223-9.

  5. Worthing B, Rodwell S. Nutrition in pregnancy and lactation. 5th ed. Washington: Mosby, 1993;pp:293-300.

  6. Sexual and reproductive health: Women and men. Facts in brief (serial online) 2002. The Alan Guttmacher Institute. Disponible en URL: http://www.guttmacher.org

  7. Ahued AJR, Lira PJ, Simón PLA. La adolescente embarazada: Un problema de salud pública. Cir Ciruj 2001;69:300-3.

  8. Simón PLA, Lira PJ, Ahued AJR, et al. Morbilidad materna en la adolescente embarazada. Ginec Obstet Mex 2002;70:270-4.

  9. Subtil D, Denoit V, Le Gooueff F, et al. The role of bacterial vaginosis in the preterm labor and preterm birth: A case-control study. Eur J Obstet Gynecol Reprod Biol 2002;10:101-6.

  10. Amini SB, Catalano PM, Dierker LJ, Mann LI. Births to teenagers: Trends and obstetric outcomes. Obstet Gynecol 1996;87:668-74.

  11. Hediger ML, Scholl TO, Belsky DH, Ances IG, Salmon RW. Patterns of weight gain in adolescent pregnancy: Effects on birth weight and preterm delivery. Obstet Gynecol 1989;74:35-43.

  12. Viteri FE. The consequences of iron deficiency and anemia in pregnancy on maternal health, fetus and the infants. SCN News 1994;11:14-18.

  13. Allen L. Pregnancy and iron deficiency: Unresolved issues. Nut Rev 1997;55:91-101.

  14. De la Garza QC, Celaya JJA, Hernández EC, Palacios EG. La adolescente primípara. Ginecol Obstet Mex 1997;65:533-7.

  15. Conde AA, Belizan JM, Lammers C. Maternal perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross sectional study. Am J Obstet Gynecol 2005;192:342-9.

  16. Roberts J, Pearson MJ, Cutler J, Lindheimer M. Summary of the NHLBI Working Group on Research on Hypertension during Pregnancy. Hypertension 2003;41:437-45.

  17. Goldenberg RL. The management of preterm labor. Obstet Gynecol 2002;100:1020-37.

  18. Gilbert W, Jandial D, Field N, Bigelow P, Danielsen B. Birth outcomes in teenage pregnancies. J Matern Fetal Neonatal Med 2004;16:265-70.

  19. Control prenatal en la adolescente. Boletín AMGO núm. 5. México: Asociación Mexicana de Ginecología y Obstetricia, 2005. En: Lira PJ, Oviedo HC. Control prenatal en la adolescente. Coordinación para la atención de la paciente adolescente (serial online), noviembre 2004. Disponible en URL: http://servidor.inper.edu.mx/adolescente/tercera/.

  20. Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. N Engl J Med 1995;332:1113-7.




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