García Heladia, Avendaño-Becerra Norma Patricia, Islas-Rodríguez María Teresa
Unidad de Cuidados Intensivos Neonatales, Hospital de Pediatría, CMN Siglo XXI, IMSS, México, D.F.
Rev Invest Clin. 2008 Mar-Apr;60(2):94-100.
To identify neonatal and maternal morbidity among adolescent and adult women.
We used a cross sectional study design. Recorded data from newborn infants: gestational age, birth weight, sex, route of delivery, Apgar score, Silverman score and morbidity; and mothers' data reviewed: age, marital status, scholarship, occupation, monthly income, drug abuse history, number of pregnancies, abortion, deliveries, cesarean section, prenatal follow up and complications during the pregnancy.
One hundred newborn infants were studied in each group. Complications during pregnancy were present among 26% of adult women and 10% of adolescents (p = 0.04). Gestational age and birth-weight were similar in both groups. Birth by cesarean section was more frequent among the offspring of adult women (65% vs. 48%, p = 0.015). Perinatal asphyxia and birth trauma were observed more often in children from adolescent mothers (p < 0.05). Mortality rate was 5% and 1% among the offspring of adolescent and adult women, respectively.
The morbidity in pregnancy was more frequent in adult women. The offspring of adolescent women had a higher incidence of perinatal complications like asphyxia and birth trauma. Mortality rate was higher in children from adolescent mothers.
确定青少年女性和成年女性中的新生儿及孕产妇发病率。
我们采用横断面研究设计。记录新生儿数据：胎龄、出生体重、性别、分娩方式、阿氏评分、西尔弗曼评分及发病率；并回顾母亲的数据：年龄、婚姻状况、学历、职业、月收入、药物滥用史、怀孕次数、流产、分娩、剖宫产、产前检查及孕期并发症。
每组研究100例新生儿。成年女性中有26%出现孕期并发症，青少年女性中有10%出现孕期并发症（p = 0.04）。两组的胎龄和出生体重相似。成年女性后代剖宫产分娩更为常见（65%对48%，p = 0.015）。青少年母亲的孩子中围产期窒息和产伤更为常见（p < 0.05）。青少年女性和成年女性后代的死亡率分别为5%和1%。
成年女性孕期发病率更高。青少年女性的后代围产期并发症如窒息和产伤的发生率更高。青少年母亲的孩子死亡率更高。
