Article

Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study

Fundación Valle Del Lili, Santiago de Cali, Valle del Cauca, Colombia
American Journal of Obstetrics and Gynecology (Impact Factor: 4.7). 03/2005; 192(2):342-9. DOI: 10.1016/j.ajog.2004.10.593
Source: PubMed

ABSTRACT

This study was undertaken to determine whether adolescent pregnancy is associated with increased risks of adverse pregnancy outcomes.
We studied 854,377 Latin American women who were younger than 25 years during 1985 through 2003 using information recorded in the Perinatal Information System database of the Latin American Center for Perinatology and Human Development, Montevideo, Uruguay. Adjusted odds ratios were obtained through logistic regression analysis.
After an adjustment for 16 major confounding factors, adolescents aged 15 years or younger had higher risks for maternal death, early neonatal death, and anemia compared with women aged 20 to 24 years. Moreover, all age groups of adolescents had higher risks for postpartum hemorrhage, puerperal endometritis, operative vaginal delivery, episiotomy, low birth weight, preterm delivery, and small-for-gestational-age infants. All adolescent mothers had lower risks for cesarean delivery, third-trimester bleeding, and gestational diabetes.
In Latin America, adolescent pregnancy is independently associated with increased risks of adverse pregnancy outcomes.

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Available from: José M Belizán, Jan 29, 2014
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    • "The adverse effects of adolescent pregnancy on birth outcomes, such as maternal and neonatal mortality,3456preterm delivery,3457891011low birth weight,3457891012,13]and small for gestational age,[5,8,9]have been well established. Teenage pregnancy has been associated with higher rates of school drop-out for young mothers and higher risk for living below the poverty line.[32,33]However, "
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    • "mothers, educators) (e.g.Torteya et al. 2009;Gewirtz & Edleson 2007;Howell 2011) . Much of this literature is focused primarily on mother-child relationships (Katz, 2015), aaguig that othes o opig ediates hilddes apaaitt to e esiliet (Conde-Agudelo, Belizán, & Lammers, 2005;Flach et al., 2011a;Whitaker, Orzol, & Kahn, 2006). This literature generally implies that children are resilient when their mothers are resilient, and that if children experience negative impacts from DV, it is largely a consequence of compromised mothering (damaged by violence and abuse histories) (e.g.Wekerle et al. 2009), or of mothers etal health o additioo elated difficulties (e.g.Levendosky et al. 2006). "
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    • "población adolescente, principalmente aquellos que viven en situación de pobreza, enfrentan numerosos riesgos para la vida y la salud, por lo que son uno de los grupos poblacionales en el mundo con mayor vulnerabilidad. Regularmente, están expuestos a graves riesgos como infecciones de transmisión sexual, embarazos no deseados, aborto en condiciones inseguras, padecimientos mentales, consumo de drogas, violencia y accidentes, entre otras situaciones adversas para la salud (Conde, Belizán y Lammers, 2005; Organización Mundial de la Salud [OMS], 2001, 2003, 2008, 2010; Programa Conjunto de la Organización de Naciones Unidas sobre el VIH-Sida, 2010). A ello se suma que el grupo poblacional enfrenta importantes barreras para la utilización de servicios de atención a la salud, tanto preventivos como curativos, tales como tener que recorrer largas distancias para encontrar servicios médicos disponibles, hacer prolongadas esperas, ser atendidos por personal de salud poco competente a sus necesidades específicas, además de ser víctimas en muchas ocasiones de maltrato de parte del personal de salud (Sleet, Ballesteros y Borse, 2010; Fondo de las Naciones Unidas para la Infancia, 2011). "
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