ARE ADVERSE NEONATAL OUTCOMES MORE FREQUENT IN ADOLESCENT PREGNANCIES?

Author:

Hall Peter RichardORCID,Araújo Monteiro Paula AndréiaORCID,Nogueira Arcanjo Francisco PlácidoORCID,Chaves Filipe NobreORCID,Monteiro de Andrade Luiz OdoricoORCID,Barreto Ivana Cristina de Holanda CunhaORCID,Corrêa de Oliveira ThiagoORCID,Prado Maria Gabriella AdeodatoORCID,Freire Cecília Costa Arcanjo,Arcanjo Caio Plácido CostaORCID,E Cavalcante Júlio César ChagasORCID,Passos Maria Aparecida ZanettiORCID,Vellozo Eliana PereiraORCID

Abstract

Adolescent pregnancy is a complex issue since it has been associated to adverse fetal and maternal outcomes. Method: This is a cross-sectional analytical study, having as a data source the medical records of pregnant women at a reference maternity hospital, located in the northeast of Brazil. Data was collected on maternal age, gestational age at delivery, birth weight, type of delivery, 1- and 5-minute Apgar scores less than 7, and fetal deaths. For the analysis of data, two groups were distinguished according to age: 1) girls aged 13-19 years old, and 2) women aged 20-34 years old. Results: A total of 1642 pregnant women’s medical records were included in this study, 28.1% belonged to adolescent mothers, and 71.9% to adult mothers. In the comparison between groups, there were significantly more cesarean deliveries to mothers aged 20-34 years (p<.001); and a significantly higher proportion of preterm deliveries in the group of adolescent mothers (p=.0239). The other study variables did not present statistical significance. Conclusions: Adolescent mothers are at higher odds of preterm birth, and since this factor is associated short- and long-term adverse outcomes for the neonate, there is a need to prioritize this age group in prenatal care.

Publisher

Granthaalayah Publications and Printers

Subject

Ocean Engineering

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