Pregnancy in adolescence
ESC Congress Library. Pereira D. May 28, 2014; 50482; A-065
Daniela Pereira
Daniela Pereira
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Abstract
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Objetives:
The aim of this study was to evaluate pregnancy surveillance, complications and delivery in adolescence.


Material and Methods:
Retrospective study including pregnant women aged below twenty years, whose delivery occurred since January to December 2012. Statistical analysis was performed with IBM SPSS Statistics 19 software.


Results:
Ninety women were including in this study, corresponding to 5.6% of the deliveries.
Patients age was: 13 years (1%), 14 years (2%), 15 years (2%), 16 years (14%), 17 years (18%), 18 years (21%) e 19 years (41%).
The surveillance of pregnancy was in medical specialty consultation in 51% of cases and in primary health care in 47%. The first consultation was performed in first trimester in 71% of women, in second trimester in 21% and in third trimester in 3%. The educational level was basic (until 6 years) in 45% of teenagers, 3º cycle (until 9 years) in 34% and secondary (until 12 years) in 8%. At the time of delivery, 43% of adolescents were unemployed, 16% had a job and 28% were students.
Obstetrical complications were noted in twelve cases: oligoamnios (4), pre-eclampsia (2), fetal death (2), fetal growth restriction (1), hypertensive pathology in pregnancy (1), gestational diabetes (1) and abruptio placentae (1).
Nineteen percent of teenagers already had been pregnant previously, 47% of which performing a voluntary interruption of pregnancy.
Term delivery occurred in 92% of cases and pre-term delivery in 8%. The type of delivery was: abdominal in 19% of pregnant and vaginal in 81% (eutocic 66%, vaccum 13% and forceps 2%). The apgar index above 7 in first minute was present in 90% of neonates.


Conclusions:
47% of adolescents were monitored in primary health care, and were not referenced to the hospital consultation, which are the recommendations.
There was an early surveillance of pregnancy in 71% of teenagers, with de first consultation in the first trimester.
The main obstetrical complications were: oligoamnios, pre-eclampsia and fetal death.
Pre-term delivery was superior in this group of pregnant (8% vs 5.5%). However, the rate of caesareans was inferior in the adolescents (19% vs 29%).
The conclusions will be able to suffer an error from bias due to dimension of the sample.


 

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