Atención de la Salud Sexual y Reproductiva en el contexto de la pandemia / Sexual and Reproductive Health Care in the Context of the Pandemic

¿Por qué importa el embarazo adolescente a nivel mundial? Presentación de evidencia científica sobre este tema. Así como datos del ministerio de salud del Perú relacionados con: Porcentaje de adolescentes de 15 - 19 años de edad alguna vez embarazadas 2009 - 2018, número de Gestantes Adolescentes de 12 a 17 años atendidas Enero-Septiembre 2019 - 2020, número de adolescentes tamizados con PR y molecular para COVID-19. Atención de Orientación/Consejería en adolescentes a través de la Teleorientación, telemonitoreo y seguimiento telefónico. Enero a Setiembre. Acciones realizadas para asegurar la Atención en Salud Sexual y Reproductiva a los Adolescentes en el Perú. Disposición para la Atención diferenciada de la Violencia Sexual en Adolescente.

Risk of spontaneous preterm birth in relation to maternal depressive, anxiety, and stress symptoms.

OBJECTIVE: To examine the risk of preterm birth (PTB) in relation to maternal psychiatric symptoms during pregnancy in Peruvian women. STUDY DESIGN: This case-control study included 479 PTB cases and 480 term controls. In-person interviews were conducted to assess women's depressive, anxiety, and stress symptoms using the Patient Health Questionnaire (PHQ-9) and the Depression Anxiety Stress Scales (DASS-21). Multivariable logistic regression procedures were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (CIs). RESULTS: Compared with women reporting no or minimal depressive symptoms, the aOR (95% CI) for PTB associated with consecutive severity of depressive symptoms based on the PHQ-9 assessment method were as follows: mild, 2.22 (95% CI 1.64-3.00) and moderate-severe, 3.67 (95% CI 2.09-6.46). The corresponding aORs for normal, mild, and moderate-severe depressive symptoms based on the DASS-21 assessment were 1.00 (reference), 3.82 (95% CI 1.90-7.66), and 2.90 (95% CI 1.66-5.04), respectively. A positive gradient was observed for the odds of PTB with severity of anxiety (Ptrend < 0.001) and stress symptoms (Ptrend < 0.001). CONCLUSION: The odds of PTB increased in pregnant Peruvian women with psychiatric symptoms. Efforts to screen and treat affected women may modify risks of PTB and possibly other associated disorders.