Adolescencia como factor de riesgo para complicaciones maternas y neonatales / Adolescence as a risk factor for complications maternal and neonatal
Rev. chil. obstet. ginecol. (En línea)
; 83(5): 478-486, nov. 2018.
Article
in Spanish
| LILACS
| ID: biblio-978122
Responsible library:
CL126.2
RESUMEN
RESUMEN Introducción:
El embarazo adolescente se define como aquel que ocurre antes de los 19 años; muchos autores afirman que la adolescencia es un factor de riesgo para la morbimortalidad materna y neonatal; otros concluyen que el riesgo está ligado a su condición socioeconómica, más que a la edad misma.Objetivo:
Determinar si la adolescencia es un factor de riesgo para complicaciones maternas y neonatales.Métodos:
Estudio de casos y controles en un hospital de tercer nivel con muestra de 560 pacientes en una relación de 3 a 1, datos recogidos durante el periodo de noviembre de 2016 hasta julio de 2017; se recopilaron características sociodemográficas mediante encuesta (cuestionario semiestructurado) y revisión de historia clínica; con base en las variables significativas se generó un análisis bivariado y finalmente un multivariado por medio de una regresión logística.Resultados:
Se evidenció que la adolescencia es factor de riesgo para trastornos hipertensivos del embarazo ORa 2,06 (IC 95% 1,31 - 3,25); preeclampsia con hallazgos de severidad ORa 1,63 (IC 95% 1,01 - 2,66); corioamnionitis ORa 2,28 (IC 95% 1,26 - 4,13); ingreso materno a UCI ORa 3,51 (IC 95% 1,08 - 11,37); prematurez ORa 1,74 (IC 95% 1,02 - 2,99).Conclusión:
La adolescencia es un factor de riesgo para trastornos hipertensivos, corioamnionitis y prematurez.ABSTRACT
SUMMARY Background:
Adolescent pregnancy is that which happens before the 19th birthday. Many authors report adolescence as a risk factor for maternal and neonatal morbidity and mortality, and others conclude that the risk is associated to socioeconomic conditions rather than adolescence itself.Objective:
To determine if adolescence is a risk factor contributing to maternal and neonatal complications.Methods:
A case/control study in a high complexity hospital, with a total of 560 patients randomly selected during the 8 moths period from November 2016 to July 2017 in a ratio of 3 cases to 1 control. The sociodemographic characteristics were collected through survey (semi-structured questionnaire) and reviews of clinical history. Then, based on the significant variables, we generate a bivariate analysis and finally a multivariate analysis with logistic regression to adjust for possible confounding factors.Results:
This study demonstrated that adolescence is a risk factor for hypertensive disorders (odds ratio [OR]= 2.06; 95% confidence interval [95% CI] CI 1.31 - 3.25); preeclampsia with findings of severity (OR= 1.63;95% CI 1.01 - 2.66); Chorioamnionitis (OR=2.28; 95% CI 1.26 - 4.13); maternal admission to ICU (OR=3.51;95% CI 1.08 - 11.37); and prematurity (OR= 1.74; 95% CI 1.02 - 2.99).Conclusion:
Adolescence is a risk factor for hypertensive disorders, chorioamnionitis and prematurity.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.1 Reduce Maternal Mortality
/
SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.1: Reduce maternal mortality
/
Target 3.2: Reduce avoidable death in newborns and children under 5
/
Obstetric Labor Complications
/
Hypertension, Pregnancy-Induced
/
Neonatal Healthcare
Database:
LILACS
Main subject:
Pre-Eclampsia
/
Pregnancy Complications
/
Pregnancy in Adolescence
Type of study:
Etiology study
/
Observational study
/
Qualitative research
/
Risk factors
Limits:
Adolescent
/
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Rev. chil. obstet. ginecol. (En línea)
Journal subject:
Ginecologia
/
Obstetr¡cia
Year:
2018
Document type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Hospital Universitario San José Popayán/CO