Maternity in adolescents and its association with caesarean labor

Maternity in adolescents and its association with caesarean labor

Contenido principal del artículo

Henry Rodrigo Gallardo-Lizarazo
Ingrid Sofía Guerrero-Romero
Jorge Ernesto Niño-González
Mariana Villaveces-Franco

Resumen

Objective: to evaluate the association between adolescence and cesarean section in women  aged 10-19 years compared with those found in ages between 19 and 25 years, patients in a hospital, and determine its association with sociodemographic variables and neonatal in terms of prematurity, and Apgar low birth weight. Materials and Methods: a case-control study was performed using a simple random sampling, considering the calculation of a statistical sample. a total of 1,304 cases and 2,608 controls were included. First time mom patients treated at an institution x over a period of three years, to determine associations of risk through analysis of hypothesis testing is included. Results: the risk of caesarean section in teenagers is (OR 1.13, 95% CI 1.10 to 1.51). In addition, it was determined that there is an increased risk of low birth weight (OR 9.4, 95% CI 7.59 to 11.76), with no difference in adolescents in the risk of  Apgar down score at minute and 5 minutes later. Conclusion: there is an increased risk of low birth weight and require termination of pregnancy via cesarean in adolescents compared to young adults, especially if they are under 14. It is necessary to promote campaigns to prevent teenage pregnancy, as the main measure of control over these population.

KEYWORDS: abdominal delivery, childbirth, complications of pregnancy, teenage pregnancy, teenagers.

 

Adolescencia materna y su asociación con la realización de cesárea

RESUMEN

 Objetivo: evaluar la asociación entre adolescencia y la realización de cesárea en mujeres de 10 a 19 años, en comparación con las que se encuentran en edades entre 19 y 25 años, atendidas en un hospital X, y determinar su asociación con variables sociodemográficas y neonatales en términos de prematurez, Apgar y bajo peso al nacer. Materiales y Métodos: se realizó un estudio de casos y controles, mediante un muestreo simple aleatorio, teniendo en cuenta el cálculo de una muestra estadística. Se incluyeron un total de 1.304 casos y 2.608 controles. Se incluyeron pacientes primigestantes atendidas en una institución X en un período de tres años, para determinar asociaciones de riesgo mediante análisis de contraste de hipótesis. Resultados: el riesgo de cesárea en adolescentes es de (OR 1,13, IC 95% 1,10-1,51). Además, se determinó que en las adolescentes existe un riesgo mayor de bajo peso al nacer (OR 9,4, IC 95% 7,59-11,76), sin diferencia en cuanto al riesgo de Apgar bajo al minuto y los 5 minutos. Conclusión: existe un mayor riesgo de presentar bajo peso neonatal y requerir terminación de la gestación por vía cesárea en adolescentes, en comparación con las adultas jóvenes, especialmente si son menores de 14 años. Se requiere promover campañas para evitar el embarazo adolescente, como principal medida de control sobre esta población.

PALABRAS CLAVE: parto abdominal, parto, complicaciones del embarazo, embarazo en adolescencia, adolescentes.

 

Mãe adolescente e sua associação com cesariana

 SUMÁRIO

 Objetivo: avaliar a associação entre a adolescência ea cesariana em mulheres com idade entre 10 a 19 anos, em comparação com aqueles encontrados na faixa etária entre 19 e 25 anos, servido em um hospital, e determinar associação STI com variáveis neonatais e sociodemográficos em termos de prematuridade, Apgar e baixo peso ao nascer. Materiais e Métodos: um estudo de caso-controle foi realizado utilizando amostragem aleatória simples, Considerando o cálculo de uma amostra estatística. Um total de 1.304 casos e 2.608 controles foram incluídos. Primigestas pacientes tratados em uma instituição x ao longo de um período de três anos, para determinar associações de risco através da análise dos testes de hipóteses está incluído. Resultados: o risco de cesariana em adolescentes é (ou CI 1,13, 95% 1,10-1,51). Além disso, determinou-se que há um aumento do risco de baixo peso ao nascer (OR 9,4, IC 95% 7,59-11,76), não havendo diferença em adolescentes no risco de baixo índice de Apgar no minuto 5 minutos. Conclusão: há um aumento do risco de baixo peso ao nascer e exigem a interrupção da gravidez através de cesariana em adolescentes em comparação com adultos jovens, especialmente se eles estão sob 14. É necessário promover campanhas de prevenção da gravidez na adolescência, como a principal medida de controle sobre a população.

PALAVRAS-CHAVE: parto abdominal, parto, complicações da gravidez, gravidez na adolescencia, adolescentes.

 

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Detalles del artículo

Biografía del autor/a (VER)

Henry Rodrigo Gallardo-Lizarazo, Universidad Militar Nueva Granada - Hospital Universitario Clínica San Rafael. Bogotá

Doctor. III year Resident of Gynecology and Obstetrics.

Ingrid Sofía Guerrero-Romero, Universidad Militar Nueva Granada - Hospital Universitario Clínica San Rafael. Bogotá

Doctor. III year Resident of Gynecology and Obstetrics.

Jorge Ernesto Niño-González, Hospital Universitario Clínica San Rafael. Bogotá

Gynecologist and Obstetrician. Unit Chief of Obstetrics and Gynecology.

Mariana Villaveces-Franco, Universidad del Rosario. Bogotá

Doctor. Epidemiologist. Quality Management Specialist Health. Research Advisor.

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