2020, Number 6
Births in the extremes. Contribution of two clinical cases
Language: Spanish
References: 17
Page: 1393-1407
PDF size: 295.03 Kb.
ABSTRACT
Introduction: childbirth is considered a physiological event and is received, in most cases, as a gift granted to the female sex. Both anticipating and delaying childbearing has become a common phenomenon in the developed world, and is the result of social, educational, and economic factors.Clinical case: the first patient is an 11-year-old pregnant woman, with GA of 34 weeks, who is admitted to the hospital delivery room, she reports DBV and loss of bloody phlegm. Size: 150 cm. APP: low weight and prematurity. Total labor time: 9 hours. The second pregnant woman, 58 years old, 40.5 weeks old, was admitted to the hospital delivery room due to DBV and loss of phlegm. Accompanying preference: her husband. Behavior during labor: Regular. Total labor time: 10 hours.
Discussion: it is estimated that approximately fifteen million adolescents give birth each year in the world, that is, they are responsible for 10% of all births worldwide, a figure that increases in developing countries, since It is estimated that in these countries adolescent births correspond to 17%.
Conclusions: both patients 40 years of age and older, as well as early adolescents, have an increased probability of similar complications, such as: cesarean section and twice the risk of prematurity than that reported for the general population that receives medical care in our unit.
REFERENCES
Fawed Reyes O, Erazo Coello A, Carrasco Medrano JC, Gonzales D, Mendoza Talavera AF, Mejía Rodríguez ME, et al. Complicaciones obstétricas en adolescentes y mujeres adultas con o sin factores de riesgo asociados, Honduras 2016. ARCHIVOS DE MEDICINA [Internet]. 2016 [citado 2/5/2019]; 12(4). Disponible en: https://www.archivosdemedicina.com/medicina-de-familia/complicaciones-obsteacutetricas-en-adolescentes-y-mujeres-adultas-con-o-sin-factores-de-riesgo-asociados-honduras-2016.pdf
Moya Toneut C, Garaboto García ME, Moré Vega A, Borges Fernández R, Moya Arechabaleta N, Moya Arechabaleta A. Resultados maternos y perinatales en gestantes con avanzada edad materna. Rev Cubana Obstet Ginecol [Internet]. 2017 [citado 2/5/2019]; 43(2). Disponible en: http://revginecobstetricia.sld.cu/index.php/gin/article/view/210
The American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine. Definición de embarazo a término. Nuevas denominaciones para los partos entre las semanas 37 y 42 semanas de gestación. IntraMed. [Internet]. 2015 [citado 2/5/2019]. Disponible en: https://www.intramed.net/contenidover.asp?contenidoid=81944
Quentin Wodon B, Male Ch, Nayihouba A, Onagoruwa A, Savadogo A, Yedan A, et al. Economic impacts of child marriage: Global synthesis report. [Internet] Washington, DC: World Bank; 2017. [citado 5/2/2017]. Disponible en: http://documents1.worldbank.org/curated/en/530891498511398503/pdf/116829-WP-P151842-PUBLIC-EICM-Global-Conference-Edition-June-27.pdf
Darroch J, Woog V, Bankole A, Ashford LS. Adding it up: Costs and benefits of meeting the contraceptive needs of adolescents. [Internet]. New York: Guttmacher Institute; 2016. [citado 2/5/2019]. Disponible en: https://www.guttmacher.org/report/adding-it-costs-and-benefits-investing-sexual-and-reproductive-health-2014-methodology
WHO. Global health estimates 2015: deaths by cause, age, sex, by country and by region, 2000–2015. [Internet]. Geneva: WHO; 2016. [citado 2/5/2019]. Disponible en: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwj7s8q_munsAhXuw1kKHceuAZsQFjACegQIBBAC&url=http%3A%2F%2Fwww.who.int%2Fhealthinfo%2Fglobal_burden_disease%2FGHE2015_Deaths_Global_2000_2015.xls%3Fua%3D1&usg=AOvVaw3ZvuX_qald9Jg-Tx4prziq