Barrios-Prieto E, Corona-Gutiérrez AA, Romo-Huerta HPE

Language: Spanish
References: 9
Page: 227-232
PDF size: 550.09 Kb.

ABSTRACT

Introduction: Unwanted pregnancies represent a problem that affects women, their families and society. Incidence ranges between 6 and 14% of pregnancies. In a study performed in Ecuador, a higher likelihood of 1.64 OR (CI 94% 1.22,2.20) of low birth weight infants was found in unwanted pregnancies
Objective: To identify the history and perinatal outcome in patients with unwanted pregnancies and to determine if the likelihood of adverse perinatal outcomes are higher compared to those presenting in wanted pregnancies. Material and Methods A retrospective cohort study was performed, in which 300 patients were included; 150 with unwanted pregnancies and 150 with desired pregnancies. Most frequent outcome variables were abortion, stillbirth, low birth weight infant, small for gestational age infant and preterm new born. Central tendency and proportion measures were used, and for the difference in central tendencies Student´s T was used and for proportions Chi square.
Results: Average age in both groups was 24.8 years. Tobacco consumption (10.7% vs 4.0% p 0.02), alcohol (2.67% vs 0.67%) and drugs (1.33 % vs 0%) during pregnancy, lack of medical prenatal visits (15.33 % vs 7.33%) and abortion (8.0% vs 3.33% RR 1.7) were more likely in unwanted pregnancies. Beginning of sex life was earlier in the group with unwanted pregnancies (17.3 years vs 18.1, p 0.04). There was a larger incidence of newborns small for gestational age in the unwanted pregnancy group. (15.44 vs 8.45% RR 1.46)
Conclusions: We found a larger incidence of high risk conducts in pregnancy in the unwanted pregnancy group, a more likely occurrence of abortions and small for gestational age newborns.

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