ARE ADVERSE NEONATAL OUTCOMES MORE FREQUENT IN ADOLESCENT PREGNANCIES?

Peter Richard Hall; Paula Andréia Araújo Monteiro; Francisco Plácido Nogueira Arcanjo; Filipe Nobre Chaves; Luiz Odorico Monteiro de Andrade; Ivana Cristina de Holanda Cunha Barreto; Thiago Corrêa de Oliveira; Maria Gabriella Adeodato Prado; Cecília Costa Arcanjo Freire; Caio Plácido Costa Arcanjo; Júlio César Chagas e Cavalcante; Maria Aparecida Zanetti Passos; Eliana Pereira Vellozo

doi:10.29121/granthaalayah.v10.i6.2022.4558

Authors

Peter Richard Hall https://orcid.org/0000-0002-2865-700X
Paula Andréia Araújo Monteiro Postgraduate Program in Family Health, Universidade Federal do Ceará, Sobral, Brazil https://orcid.org/0000-0002-3474-5997
Francisco Plácido Nogueira Arcanjo Postgraduate Program in Family Health & Postgraduate Program in Health Sciences & Faculty of Medicine, Universidade Federal do Ceará, Sobral, Brazil. https://orcid.org/0000-0002-9020-3092
Filipe Nobre Chaves Postgraduate Program in Health Sciences, Universidade Federal do Ceará, Sobral, Brazil. https://orcid.org/0000-0001-6345-8156
Luiz Odorico Monteiro de Andrade Faculty of Medicine, Universidade Federal do Ceará, Sobral, Brazil and Researcher at the Osvaldo Cruz Foundation, Ceará, Brazil. https://orcid.org/0000-0002-3335-0619
Ivana Cristina de Holanda Cunha Barreto Researcher at the Osvaldo Cruz Foundation, Ceará, Brazil. https://orcid.org/0000-0001-8447-3654
Thiago Corrêa de Oliveira Faculty of Medicine, Universidade Federal do Ceará, Sobral, Brazil and Centro Universitário INTA, Sobral, Ceará, Brazil. https://orcid.org/0000-0003-2781-0436
Maria Gabriella Adeodato Prado Postgraduate Program in Family Health, Universidade Federal do Ceará, Sobral, Brazil. https://orcid.org/0000-0002-0132-7182
Cecília Costa Arcanjo Freire Postgraduate Program in Family Health & Faculty of Medicine, Universidade Federal do Ceará, Sobral, Brazil and Centro Universitário INTA, Sobral, Ceará, Brazil.
Caio Plácido Costa Arcanjo Postgraduate Program in Health Sciences, Universidade Federal do Ceará, Sobral, Brazil and Centro Universitário INTA, Sobral, Ceará, Brazil. https://orcid.org/0000-0002-5854-6650
Júlio César Chagas e Cavalcante Faculty of Medicine, Universidade Federal do Ceará, Sobral, Brazil and Centro Universitário INTA, Sobral, Ceará, Brazil. https://orcid.org/0000-0002-8746-0514
Maria Aparecida Zanetti Passos Postgraduate Program in Education and Health in Childhood and Adolescence, Universidade Federal de São Paulo / Escola Paulista de Medicina, São Paulo, Brazil. https://orcid.org/0000-0003-4626-0871
Eliana Pereira Vellozo Postdoctoral student in Pediatrics and Sciences Applied to Pediatrics at the Universidade Federal de São Paulo. Outpatient Supervisor of the Adolescent Medicine Sector, Department of Pediatrics, Universidade Federal de São Paulo. Co-advisor of the Postgraduate Program in Pathology at the Universidade Federal de São Paulo. https://orcid.org/0000-0002-9020-3092

DOI:

https://doi.org/10.29121/granthaalayah.v10.i6.2022.4558

Keywords:

Pregnancy In Adolescence, Pregnancy Complications, Cesarean Section, Premature Infant

Abstract [English]

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.

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