OBJETIVO: comparar parto e seguimento de gravidez entre gravidas adolescentes e nao-adolescentes que pariram num hospital terciario da regiao de Lisboa (Portugal). METODOS: estudo retrospectivo com 10.656 partos. Foram avaliados: seguimento da gravidez, idade gestacional no parto, tipo de parto, necessidade de episiotomia e laceracoes graves, indice de Apgar no quinto minuto e peso ao nascer. As gravidas foram divididas em dois grupos, acima e abaixo dos 20 anos. O grupo abaixo dos 20 anos foi depois subdividido entre gravidas com menos ou mais de 16 anos. Foi usado o teste do χ2 para analise estatistica. RESULTADOS: as adolescentes tiveram pior seguimento: primeira consulta apos as 12 semanas (46,4 versus 26,3%) e menos de quatro consultas (8,1 versus 3,1%), menos distocia (21,5 versus 35,1%), menos cesarianas (10,6 versus 20,7%) e menor necessidade de inducao do trabalho de parto (16,5 versus 26,5%). Nao houve diferenca significativa para idade gestacional no parto e taxa de recem-nascidos de baixo peso. Entre adolescentes, as menores de 16 anos tiveram mais recem-nascidos de baixo peso (12 versus 7,4%) e mais partos entre 34 e 37 semanas (10,8 versus 4,2%). CONCLUSOES: num hospital com servico dedicado a gravidas adolescentes com apoio social e psicologico, apesar de pior seguimento pre-natal vigilância, o seu desempenho nao foi pior. Uma atencao especial deve, no entanto, ser dada a gravidas abaixo dos 16 anos.
Primiparity, birthweight, operative delivery and obstetrical complications contribute to episiotomy and severe perineal lacerations. Episiotomy correlates with Hispanics, while African Americans correlate with severe perineal lacerations. OBJECTIVE: The purpose of this study was to identify risk factors for both episiotomy and severe perineal lacerations in a large population from a single institution. STUDY DESIGN: This was a review of 66,224 vaginal deliveries of African Americans or Hispanics...
Last. Luiz Camano(UNIFESP: Federal University of São Paulo)H-Index: 14
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OBJETIVOS: descrever aspectos da assistencia e resultados obstetricos da gravidez em adolescentes atendidas em um centro de atendimento terciario do Ceara e comparar os resultados maternos e perinatais entre adolescentes precoces e tardias. METODOS: em estudo transversal, analitico, avaliaram-se 2.058 casos, sendo 322 (15,6%) de adolescentes precoces e 1.736 (84,4%) tardias, atendidas no ano de 2000. Foram analisados as intercorrencias clinicas no pre-natal, tipo de parto, indicacoes de cesarea,...
Background: Teenage pregnancies have been associated with fetal growth restriction, low birth weight, preterm birth and neonatal mortality. These could be due to biological immaturity, lifestyle factors or inadequate attendance to maternity care. The objective of this study was to assess the relationship between young age of the mother and pregnancy risk factors and adverse pregnancy outcome in conditions of high-quality maternity care used by almost the entire pregnant population. Methods: We a...
The relationship between birth weight and maternal sociodemographic characteristics was examined in a sample from two teaching hospitals in eastern Taiwan. Using a structured questionnaire, we conducted face- to-face interviews with women at antenatal clinics between 1998 and 1999 in Hualien City. One year later, we took the outcome of pregnancy from medical records and birth certificates from the Public Health Bureau of Hualien County. Of the 1,128 single live births, 6.8% had low birth weight ...
#2José M. Belizán(OPS: Pan American Health Organization)H-Index: 49
Last. Cristina Lammers(OPS: Pan American Health Organization)H-Index: 1
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OBJECTIVE: This study was undertaken to determine whether adolescent pregnancy is associated with increased risks of adverse pregnancy outcomes. STUDY DESIGN: We studied 854,377 Latin American women who were younger than 25 years during 1985 through 2003 using information recorded in the Perinatal Information System database of the Latin American Center for Perinatology and Human Development, Montevideo, Uruguay. Adjusted odds ratios were obtained through logistic regression analysis. RESULTS: A...
Abstract Objective To describe episiotomy usage at vaginal delivery in the United States from 1979–1997. Methods We used the National Hospital Discharge Survey, a federal database of a national sample of inpatient hospitals. Data from 1979 to 1997 were analyzed using International Classification of Diseases, Ninth Revision, Clinical Modification codes for diagnoses and procedures. Rates per 1000 women were calculated using the 1990 census population for women aged 15–44 years. We calculated the ...
Last. Ilana Shoham-Vardi(BGU: Ben-Gurion University of the Negev)H-Index: 35
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Objectives: To assess the perinatal outcome of teenage pregnancy in a large cohort and to determine risk factors for low birth weight (LBW) in teenage pregnancy. Study design: All singleton first deliveries to mothers of age 16-24 years between 1990 and 1997 were included. The deliveries were subdivided into three maternal age groups (16-17 and 18-19 compared to 20-24 years) and parameters of perinatal outcomes were compared. To adjust for potential confounding effects on the association between...
#1S. M. Ziadeh(JUST: Jordan University of Science and Technology)H-Index: 2
Objective: The purpose of this study was to investigate obstetric outcomes of nulliparous teenagers and to compare selected variables of their course and outcome of pregnancy with controls. Methods: A review of hospital records from 1997—1999 was done to compare the obstetric outcome in 760 teenage first pregnancies (study group) with that in control group i.e. 20 years to 29 years selected from the first women in the birth registry who delivered after each study case and satisfying the criteria...
OBJECTIVE: To identify the role of pregnancy during adolescence as a risk factor to low birth weight (LBW). METHODS: A stratified sample of live births from the Information System of Live Births in the municipality of Rio de Janeiro, in the period 1996-98, was selected. The risk factors of LBW were analyzed for the two strata composed by the mother age, 15-19 and 20-24 years old. For the statistical analysis, odds ratios and correspondent confidence intervals were estimated. Logistic regression ...
Last. Lesley Regan(Imperial College London)H-Index: 54
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Abstract Objective: To quantify the age-related risks of adverse outcome during pregnancy in women less than 18 years old. Methods: We analyzed data from 341,708 completed singleton pregnancies in the North West Thames region between 1988 and 1997. Pregnancy outcomes were compared by age at delivery in women less than 18 years old ( n = 5246) and 18–34 years old ( n = 336,462); women 35 years old or older ( n = 48,658) were excluded. Data are presented as percentages of women less than 18 and 18...
Objetivo: escribir el perfil obstetrico de las adolescentes al inicio del trabajo de parto, durante el parto, el posparto y el puerperio. Metodo: estudio descriptivo transversal, con 85 adolescentes embarazadas elegidas por conveniencia, referidas de los Centros de Salud a un Hospital Publico en la Ciudad de Mexico. Fue evaluado el riesgo antes, durante, despues del parto y en el puerperio, medidos respectivamente con los "Previgenes" que componen el Sistema de Evaluacion de Riesgo Reproductivo ...
Objetivo: descrever o perfil obstetrico das adolescentes no inicio do trabalho de parto, durante o parto, pos-parto e puerperio.Metodo: estudo descritivo transversal, com 85 adolescentes gravidas, escolhidas por conveniencia, encaminhadas dos Centros de Saude a um Hospital Publico na Cidade do Mexico. Foram avaliados os riscos antes, durante e depois do parto e no puerperio, medidos respectivamente com os "Previgenes" que compoem o Sistema de Avaliacao de Risco Reprodutivo e Perinatal.Resultados...
Objetivo: escribir el perfil obstetrico de las adolescentes al inicio del trabajo de parto, durante el parto, el posparto y el puerperio.Metodo: estudio descriptivo transversal, con 85 adolescentes embarazadas elegidas por conveniencia, referidas de los Centros de Salud a un Hospital Publico en la Ciudad de Mexico. Fue evaluado el riesgo antes, durante, despues del parto y en el puerperio, medidos respectivamente con los "Previgenes" que componen el Sistema de Evaluacion de Riesgo Reproductivo y...
Objective. To identify the perception of the teenager puerperas regarding the practice of episiotomy. Methodology. This is a study with qualitative nature developed with 11 teenage puerperas in the Obstetrics Unit of one hospital located in the metropolitan region of Sao Paulo, Brazil. Results. Teens knew of the existence of episiotomy, but they unaware the reasons for its realization. Pain, discomfort and burning were negative repercussions presented, but most of them believe that assisted proc...
This study aims to analyze the clinical, obstetric and neonatal implications of biological risks of pregnancy among adolescents under 16 years of age through a systematic review of 28 articles. The search strategy was performed by key words of MeSH and DECS (in English) merging the words “teenage pregnancy” and “obstetric, clinical and neonatal risk factors”. Boolean operators were used specifically for PubMed, LILACS, SciELO and EMBASE. The complications most frequently noted were: small for ge...
Last. Edmarlon Girotto(UEL: Universidade Estadual de Londrina)H-Index: 7
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OBJECTIVE: To analyze the characteristics of infant mortality at the extremes of maternal age.METHOD: Retrospective, cross-sectional quantitative study using data from Live Birth Certificates, Death Certificates and from Child Death Investigation records in Londrina, Parana, in the years of 2000-2009.RESULTS: During the 10-year study period,there were 176 infant deaths among mothers up to 19 years of age, and 113 deaths among mothers aged 35 years or more. The infant mortality rate among young m...
Nesse artigo sao apresentados os fatores associados a realizacao de cesariana em primiparas adolescentes no Brasil, utilizando-se dados de pesquisa nacional de base hospitalar realizada entre 2011 e 2012. As informacoes foram obtidas por meio de entrevista com a puerpera durante a internacao hospitalar. Um modelo teorico conceitual foi estabelecido com tres niveis de hierarquia e a variavel dependente foi a via de parto – cesariana ou vaginal. Os resultados mostram proporcao elevada de cesariana...
This paper presents the factors associated with caesarean section in primiparous adolescents in Brazil using data from a national hospitalbased survey conducted between 2011 and 2012. Information was obtained from postpartum women through face-to-face and telephone interviews and a theoretical model with three levels of hierarchy was used to analyze associations with the dependent variable mode of delivery (caesarean or vaginal). The results show that the caesarean section rate among primiparous...
Resume Les maternites a l’adolescence representent un reel probleme de sante publique dans des nombreux pays. Elles ne sont pas problematiques seulement a cause de leur prevalence elevee, mais aussi parce qu’elles sont frequemment associees a une serie de difficultes d’ordre socio-economique, familial et psychologique. Ces maternites precoces sont aussi associees a des troubles psychiatriques, notamment la depression maternelle, ainsi qu’a des difficultes dans les soins du bebe. Dans cet article...