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Federación Mexicana de Ginecología y Obstetricia, A.C.

2005, Number 08

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Ginecol Obstet Mex 2005; 73 (08)

Perinatal implications of pregnancy in adolescent women

Lira PJ, Oviedo CH, Zambrana CM, Ibargüengoitia OF, Ahued AR

Language: Spanish
References: 20
Page: 407-414
PDF size: 64.38 Kb.


ABSTRACT

Objective: To establish if there are differences on obstetric and perinatal outcomes between adolescents who are younger than 16 with young adults aging 20 to 24 years old.
Patients and method: A double-cohort prospective and comparative study in 328 Mexican pregnant women. Cohort I included 153 pregnant adolescents younger than 16 years old and cohort II included 175 young adults aging 20 to 24 years old. Inclusion criteria for both groups were: healthy, singleton, primigravidas, with 4 or more antenatal care visits and delivery at institution. Statistical analysis: descriptive, t-test, χ2 and Fisher’s exact test.
Results: Cohort I: Mean age, 15 years old. Mean gestational age on first visit, 22.35 ± 6.75 weeks. Morbidity was due mainly by vaginitis and vaginosis (p = 0.0001), urinary tract infection (p = 0.110) and anemia (p = 0.0001). Maternal weight on first visit was 54.11 ± 9.11 (p = 0.001). In cohort II mean maternal age was 22 years old with a mean gestational age on first visit of 19.58 ± 7.94 weeks. Main morbidity was: urinary tract infections, vaginitis-vaginosis and preeclampsia (p = 0.191). Mean maternal weight on first visit was 60.37 ± 9.99. Gestational age on delivery and birth weight were not statistically different between newborns in each group.
Conclusions: Pregnancy in adolescents should be considered of risk; nevertheless, adequacy in antenatal care provides good obstetric and perinatal outcomes.


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