Suárez GN, Crespo TY, Vara CO, Balestena SJM, Soto PN

Language: Spanish
References: 19
Page: 14-25
PDF size: 152.57 Kb.

ABSTRACT

Introduction: pregnancy in adolescence constitutes a negative health indicator that provokes serious maternal-child consequences.
Objective: to evaluate maternal-perinatal and neonatal indicators in adolescent mothers admitted at "Abel Santamaria Cuadrado" University General Hospital during 2010.
Material and method: an applied, observational, analytical, retrospective, case-control type study which target group comprised 5363 live-born babies during the period, assigning as cases (n=59): newborn infants who were admitted to Neonatal Intensive Care Unit (NICU), newborn infants of adolescent mothers (<20 years old), control group (n=118), the two subsequent births of adult mothers (=20 years old) occurring in the same place and time per non-probabilistic method, ratio of 1:2. Descriptive statistics (absolute frequency and percentage) and the inferential (chi square with a significance level of 95% and Odds Ratio with a Confidence Interval of 95%) were used of statistical methods.
Results: the majority of the adolescents whose newborn infants were admitted to NICU were primigravida (69.49%) (OR=5.63; CI 95%: 2.7-11.8); 45, 6% suffered from some affection (OR=2.27; CI 95%: 1.12-4.59), prevailing Premature Rupture of Membranes (18.64%) and pregnancy-induced hypertension (11.86%), 49,15% of newborn infants were premature (OR=3.11; CI 95 %: 1.53-6.38), 52.54% were low-birth-weight infants (OR=3.4; CI 95%: 1.67-3.95) and 59,32% got the Apgar score of <7 points (OR=11.54; CI 95%: 5.13-26.33). Cesarean section was not associated with maternal age (OR=0.56; CI 95 %: 0.27-1.18).
Conclusions: adolescence had a negative influence on perinatal and neonatal indicators increasing the risks of diseases associated with pregnancy: prematurity, low-weight and depression at birth.

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