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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2013, Number 3

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An Med Asoc Med Hosp ABC 2013; 58 (3)

Maternal-fetal morbidity in adolescents: experience in a Mexican suburban hospital

Corres MM, Valerio CE, Ortiz RME, Shaw DRJ, Colín VAG, Ponce JER
Full text How to cite this article

Language: Spanish
References: 21
Page: 175-179
PDF size: 206.59 Kb.


Key words:

Adolescent pregnancy, morbility, maternal complications, fetal complications.

ABSTRACT

Objective: To determine the frequency and rate of maternal and fetal complications of pregnancy in adolescent girls in the General Hospital «Fernando Quiroz» during January-June 2008. Material and methods: We performed an observational descriptive cross-sectional, retrospective analysis of the patient population. Using non-probability sampling of consecutive cases, we included all the obstetric events resolved in the hospital among women under 20 years old. We analyzed the sociodemographic, clinical, pregnancy termination, and perinatal outcomes. Results: 373 cases of pregnancy were identified in women between 13 and 19 years of age. Of these, 25% were in observed in patients of under 16. There was moderate correlation (Pearson 0.72) between age at pregnancy and the onset of sexual activity. Of the total number of pregnancies, 12% resulted in spontaneous abortion and 30% were resolved by cesarean birth. The percentage of abortions was higher in women under 16 years, showing statistical significance. Maternal and fetal complications occurred in 9.5 and 12.3% respectively. Conclusions: In this sample there was no greater number of fetal and maternal complications in adolescent girls with exception of higher frequency of spontaneous abortion in women under 16 years.


REFERENCES

  1. Zúñiga E, Zubieta B, Anaya C. Cuadernos de Salud Reproductiva. República Mexicana. México: CONAPO. Accesible en URL: http://www.conapo.gob.mx Consultada 02/12/12.

  2. Singh, S, Darroch JE. Adolescent pregnancy and childbearing: levels and trends in developed countries. Fam Plann Perspect. 2000; 32 (1): 14-23.

  3. Treffers PE, Olukoya AA, Ferguson BJ, Liljestrand J. Care for adolescent pregnancy and childbirth. Int J Gynecol Obstet. 2001; 75 (2): 111-21.

  4. Lee MC, Suhng LA, Lu TH, Chou MC. Association of parental characteristics with adverse outcomes of adolescent pregnancy. Fam Pract. 1998; 15 (4): 336-42.

  5. Deardorff J, Gonzales NA, Christopher FS, Roosa MW, Millsap RE. Early puberty and adolescent pregnancy: the influence of alcohol use. Pediatrics. 2005; 116 (6): 1451-6.

  6. East PL, Reyes BT, Horn EJ. Association between adolescent pregnancy and family history of teenage births. Perspect Sex Repro H. 2007; 39 (2): 108-15.

  7. Stevens-Simon C, McAnarney ER. Childhood victimization: relationship to adolescence pregnancy outcome. Child Abuse Neglect. 1994; 18 (7): 569-75.

  8. Friede A, Baldwin W, Rhodes PH, Buehler JW, Strauss LT, Smith JC et al. Young maternal age and infant mortality: the role of low birth weight. Public Health Rep. 1987; 102 (2): 192-9.

  9. Brown, HL, Fan YD, Gonsoulin WJ. Obstetric complication in young teenagers. South Med J. 1991; 84 (1): 46-8.

  10. Malamitsi-Puchner A, Boutsikou T. Adolescent pregnancy and perinatal outcome. Pediatr Endocrinol Rev. 2006; 3 (Suppl 1): 170-1.

  11. Okonofua FE. Factors associated with adolescent pregnancy in rural Nigeria. J Youth Adolescence. 1995; 24 (4): 419-38.

  12. Conde-Agudelo A, Belizán JM, Lammers C. Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Am J Obstet Gynecol. 2005: 192 (2): 342-9.

  13. Kondamudi VK, Bhattacharyya A, Noah PK, Noel D. Adolescent pregnancy in Greneda. Ann Trop Paediatr. 1993; 13 (4): 379-83.

  14. Goldenberg P, Figueiredo Mdo C, Silva Rde S. Cadernos de Saude Publica. Brazil; 2005.

  15. Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. New Engl J Med. 1995; 332 (17): 1113-7.

  16. Ahued-Ahued JR, Lira-Plascencia J, Simón-Pereira LA. La adolescente embarazada. Un problema de salud pública. Cir Cir. 2001; 69 (6): 300-3.

  17. Zeteroglu S, Sahin I, Gol K. Cesarean delivery rates in adolescent pregnancy. Eur J Contraceo Repr. 2005; 10 (2): 119-22.

  18. Instituto Nacional de Estadística, Geografía e Informática [Internet]. México: INEGI, 2008. Disponible en: http://www.inegi.gob.mx/lib/olap/general_ver3/MDXQueryDatos.asp?c=11835 [Consultado el 20 de abril, 2008].

  19. Simpson JL, Carson SA. Causes of fetal loss. In: Gray R, Leridon L, Spira F. Symposium on Biological and Demographic Determinants of Human Reproduction. 287. Oxford: Oxford University Press; 1993: 287-315.

  20. Combs CA, Murphy EL, Laros RK Jr. Factors associated with postpartum hemorrhage with vaginal birth. Obstet Gynecol. 1991; 77 (1): 69-76.

  21. Working Group Report on High Blood Pressure in Pregnancy. Report of the National High Blood Pressure Education Program. Am J Obstet Gynecol. 2000; 183 (1): S1-S22.




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An Med Asoc Med Hosp ABC. 2013;58