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Thesis about compication of early pregnancy among teenagers

Two studies 2027 that evaluated the need for admission to a neonatal intensive care unit NICU demonstrated that 18. Only one study described the prevalence of infant death in this population, 21 which was approximately 9. Pregnancy in adolescence is considered a public health problem that should be considered in a comprehensive manner, in order to involve the adolescent mother and the problems that surround her. In 2011, of the 2,913,160 liveborns, 560,889 19. In literature in general, some authors demonstrated an increase in maternal-fetal complications at all stages of the gestational cycle among adolescent mothers.

The occurrence of premature births, low-weight newborns, or infants with very low weight and mortality was significantly greater among babies of adolescent mothers.

Supplementary literature suggests that the socioeconomic and cultural environments in which the young mother is inserted are associated with the increased frequency of low-weight and premature newborns. Additionally, it is known that prenatal care tends to be inadequate among adolescent mothers, 44 which shows the importance of prenatal visits to decrease complications of pregnancy in this age group.

Adolescent pregnancy is one of the three reproductive variables associated with greater infant mortality, primarily because it is related to a complex interaction of determining factors. In the study by Oliveira et al. One should point out that most deaths could be avoidable and that the main failures are found in the quality of prenatal care, delivery, and neonatal care.

The following complications were cited: In general, the papers evaluated confirmed that an adolescent would be more inclined to an increase in maternal complications than would an adult pregnant woman. The presence of comorbidity during the gestational period such as, for example, hypertension, urinary tract infection, pathological vaginal discharge, is much more common among adolescents than at other ages. Some studies declared that it was significantly greater among infants of adolescent mothers.

  1. The following complications were cited. Agency for International Development,
  2. About thirty-five percent of young women in Latin America have a first child before age
  3. Preterm birth and reduced birthweight in first and second teenage pregnancies. Fifty percent of births to women aged 15 to 19 in Brazil are reported to be unplanned.

When analyzing specifically the occurrence of abortion in the population of puerperal women, Abreu 47 found a 54. As to the quantity of abortions, the same author observed the occurrence of two episodes of abortion, at most, among the adolescents. It is known that adolescents who get an abortion suffer from lack of information, deficient medical care, of loneliness, and of a lack of communication in the family.

In the study by Santos et al. Within this context, the need for prevention and control of consequences of an early pregnancy is justified. Additionally, in selected cross-sectional studies is it difficult to establish with precision the cause-effect relation, since the causal relation may suffer influences from confounding factors.

Adolescent Fertility Remains High in Latin America.

The scarcity of data from good quality randomized controlled clinical studies to evaluate the complications of pregnancy in adolescence was also a limiting factor. Whereas the major maternal complications were hypertensive pregnancy disorders, abortion, urinary infections, and premature rupture of the fetal membranes.

However, it is important to point out that the data are controversial as to the occurrence of pre-eclampsia. Within this context, the importance of conducting studies for further clarification as to neonatal mortality, which seems to be strongly influenced by some determinants, such as low birth weight and prematurity, as well as maternal complications related to adolescent pregnancy.

This fact reinforces the importance of prevention of these variables in prenatal and delivery care. Pediatr Clin North Am.

Rev Bras Ginecol Obstet. Obstetric and neonatal outcomes of adolescent primiparous singleton pregnancies: J Matern Fetal Neonatal Med. Bringing it all together: Lancet-Cochrane collaborate on systematic reviews. Rev Man [computer program].

The Cochrane Collaboration, 2004. Screening for group B Streptococcus in pregnant women: Rev Lat Am Enferm. Guides for reading and interpreting systematic reviews: How did the authors synthesize the data and make their conclusions? Arch Pediatr Adolesc Med. Maternal and neonatal outcome in teenage pregnancy in Tehran Valiasr Hospital.

Socioeconomic factors and adolescent pregnancy outcomes: Preterm delivery but not intrauterine growth retardation is associated with young maternal age among primiparae in rural Nepal. Adverse perinatal outcomes of adolescent pregnancies in Cameroon. Matern Child Health J. Impact of change in maternal age composition on the incidence of Caesarean section and low birth weight: Impacto da idade materna sobre os resultados perinatais e via de parto. Preterm birth and reduced birthweight in first and second teenage pregnancies: Hospital-based perinatal outcomes and complications in teenage pregnancy in India.

J Health Popul Nutr. Labor and delivery complications among teenage mothers.

Conflitos vivenciados pelas adolescentes com a descoberta da gravidez. Mortalidade perinatal e evitabilidade: Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social; 2002.

  1. Eighty-six percent of those who became pregnant while in primary school never advanced to secondary school. Fifty percent of births to women aged 15 to 19 in Brazil are reported to be unplanned.
  2. Labor and delivery complications among teenage mothers. Of these young women, only 16 percent returned to school after the birth of their first child.
  3. Maternal and neonatal outcome in teenage pregnancy in Tehran Valiasr Hospital.
  4. In Paraguay, a pregnant adolescent's risk of dying is 52 times higher than in the United States. Lancet-Cochrane collaborate on systematic reviews.
  5. Encuesta Nacional de Salud Materno Infantil, Timing of Births and Child Survival.

Adolescent maternal mortality in Mozambique. Esc Anna Nery Rev Enferm. April 2, 2014; Accepted: August 8, 2014 Corresponding author: