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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2008, Number 2

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Rev Invest Clin 2008; 60 (2)

Neonatal and maternal morbidity among adolescent and adult women. A comparative study

García H, Avendaño-Becerra MP, Islas-Rodríguez MT

Language: Spanish
References: 28
Page: 94-100
PDF size: 60.70 Kb.


ABSTRACT

Objective. To identify neonatal and maternal morbidity among adolescent and adult women. Material and methods. We used a cross sectional study design. Recorded data from newborn infants: gestational age, birth weight, sex, route of delivery, Apgar score, Silverman score and morbidity; and mothers’ data reviewed: age, marital status, scholarship, occupation, monthly income, drug abuse history, number of pregnancies, abortion, deliveries, cesarean section, prenatal follow up and complications during the pregnancy. Results. One hundred newborn infants were studied in each group. Complications during pregnancy were present among 26% of adult women and 10% of adolescents (p = 0.04). Gestational age and birth-weight were similar in both groups. Birth by cesarean section was more frequent among the offspring of adult women (65% vs. 48%, p = 0.015). Perinatal asphyxia and birth trauma were observed more often in children from adolescent mothers (p ‹ 0.05). Mortality rate was 5% and 1% among the offspring of adolescent and adult women, respectively. Conclusions. The morbidity in pregnancy was more frequent in adult women. The offspring of adolescent women had a higher incidence of perinatal complications like asphyxia and birth trauma. Mortality rate was higher in children from adolescent mothers.


REFERENCES

  1. Díaz SV. El embarazo de los adolescentes en México. Gac Med Mex 2003; 139: 523-8.

  2. Klein JD, Committee on adolescence. Adolescent pregnancy: current trends and issues. Pediatrics 2005; 116: 281-6.

  3. Amini SB, Catalana PM, Dieker LJ, Mann LI. Births to teenagers trends and obstetric outcomes. Obstet Gynecol 1996; 87: 668-74.

  4. Elfenbein DS, Felice ME. Adolescent pregnancy. Pediatr Clin North Am 2003; 50: 781-800.

  5. García J, Figueroa J, Reyes H, Brindis C, Pérez PG. Características reproductivas en la Cd. de México. Salud Pública Mex 1993; 35: 682-9.

  6. Lubarsky SL, Schiff E, Friedman SA, Mercer BM, Silbai BM. Obstetric characteristics among nulliparas under age 15. Obstet Gynecol 1994; 84: 365-8.

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

  8. Yolden BA, Young MK. Neonatal outcomes of teenager pregnancy in military population. Obstet Gynecol 1997; 90: 500-6.

  9. Zuckerman B, Alpert JJ, Dooling E, Higson R, Kayne H, Morelock S, et al. Neonatal outcome: Is adolescent pregnancy a risk factor? Pediatrics 1983; 71: 489-93.

  10. Miller HS, Lesser KB, Reed KL. Adolescence and very low birth weight infants: a disproportionate association. Obstet Gynecol 1996; 87: 83-8.

  11. Chang SC, O’Brien KO, Schulman MN, Mancini J, Witter F. Characteristics and risk factors for adverse birth outcome in pregnant black adolescents. J Pediatr 2003; 143: 250-7.

  12. Eures CR, Lindsay MK, Graves WL. Risk of adverse pregnancy outcomes in young adolescent parturients in an inner-city hospital. Am J Obstet Gynecol 2002; 186: 918-20.

  13. Linares RJ, Romero GE, Moreno H. Factores de riesgo de salud materno infantil en madres adolescentes de Colombia. Rev Panam Salud Pública 1998; 4: 80-6.

  14. Peña GM, Rodríguez BI, Guerra TA, Juárez RS. Morbilidad y mortalidad de los recién nacidos hijos de madres adolescentes. Med Univer 2005; 7: 3-10.

  15. Tapia GA, Alenzuela GL, Rodríguez BI. Madre adolescente como factor de riesgo de morbilidad y mortalidad neonatal en unidades de cuidados intensivos neonatales. Med Univer 2006; 8: 5-10.

  16. Olausson PO, Cnattingius S, Goldenberg R. Determinants of poor pregnancy outcomes among teenagers in Sweden. Obstet Gynecol 1997; 89: 451-7.

  17. Scholl TO, Hediger ML, Belsky D. Prenatal care and maternal health during adolescent pregnancy. A review and meta-analisis. J Adolescent Health Care 1994; 15: 444-56.

  18. Sukanich AC, Rogers KD, Mc Donald HM. Physical maturity and outcome of pregnancy in primiparas younger than 16 year of age. Pediatrics 1986; 78: 31-6.

  19. Pardo VRA, Nazer HJ, Cifuentes OL. Prevalencia al nacimiento de malformaciones congénitas y de menor peso de nacimiento en hijos de madres adolescentes. Rev Med Chile 2003; 131: 1165-72.

  20. Pinto e Silva JL. Pregnancy during adolescence: wanted vs. unwanted. Int J Gynecol Obstet 1998; (Suppl. 1): S151-S6.

  21. Goldenberg RL, Klerman LV. Adolescent pregnancy – another look. N Engl J Med 1995; 332: 1161-2.

  22. Lawlor DA, Shani M. Too much to young? Teenage pregnancy is not a public health problem. Int J Epidemiol 2002; 31: 552-4.

  23. Sanova VC, Gech ES. Risk in pregnant teenagers. Int J Gynecol Obstet 1990; 32: 7-13.

  24. Tyson J, Guzick D, Rossenfeld CR, Lasky R, Gant N, Jimenez J, et al. Prenatal care evaluation and cohort analyses. Pediatrics 1990; 85: 195-204.

  25. Rome ES, Rybicki LA, Durant RH. Pregnancy and other risk behaviors among adolescent girls in Ohio. J Adolesc Health 1998; 22: 50-5.

  26. American Academy of Pediatrics, Committee on adolescence. Adolescent pregnancy-current trends and issues. Pediatrics 1999; 103: 516-20.

  27. Paul RH, Koh KS, Monfared AH. Obstetric factors influencing outcome in infants weighing from 1001 to 1500 grams. Am Obstet Gynecol 1979; 133: 503-8.

  28. Eisner V, Brazie JV, Pratt MW, Hexter AC. The risk of low birth weight. Am J Public Health 1979; 69: 887-93.




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